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<title lang=en>Neighborhood deprivation and risk of head and neck cancer: A multilevel analysis from France</title>
<creator>Bryere, Josephine</creator>
<creator>Menvielle, Gwenn</creator>
<creator>Dejardin, Olivier</creator>
<creator>Launay, Ludivine</creator>
<creator>Molinie, Florence</creator>
<creator>Stücker, Isabelle</creator>
<creator>Luce, Danièle</creator>
<creator>Launoy, Guy</creator>
<contributor>Cancers et préventions ; Institut National de la Santé et de la Recherche Médicale (INSERM) - Université de Caen Normandie (UNICAEN) ; Normandie Université (NU) - Normandie Université (NU)</contributor>
<contributor>Institut Pierre Louis d'Epidémiologie et de Santé Publique (iPLESP) ; Université Pierre et Marie Curie - Paris 6 (UPMC) - Institut National de la Santé et de la Recherche Médicale (INSERM)</contributor>
<contributor>Centre François Baclesse</contributor>
<contributor>FRANCIM ; Réseau des registres français du cancer</contributor>
<contributor>Centre de recherche en épidémiologie et santé des populations (CESP) ; Université de Versailles Saint-Quentin-en-Yvelines (UVSQ) - Université Paris-Sud - Paris 11 (UP11) - Assistance publique - Hôpitaux de Paris (AP-HP) - Hôpital Paul Brousse - Institut National de la Santé et de la Recherche Médicale (INSERM)</contributor>
<contributor>Université Paris-Sud - Paris 11 (UP11)</contributor>
<contributor>Institut de recherche, santé, environnement et travail [Rennes] (Irset) ; Université d'Angers (UA) - Université des Antilles et de la Guyane (UAG) - Université de Rennes 1 (UR1) - École des Hautes Études en Santé Publique [EHESP] (EHESP) - Institut National de la Santé et de la Recherche Médicale (INSERM) - Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique )</contributor>
<contributor>African Caribbean Cancer Consortium [Pointe-à-Pitre, Guadeloupe] ; CHU Pointe à Pitre [Pointe-à-Pitre, Guadeloupe]</contributor>
<contributor>Fondation de France, the French National Research Agency (ANR)</contributor>
<contributor> Fondation for Medical Research (FRM)</contributor>
<contributor> French Institute for Public Health Surveillance (Institut de veille sanitaire, InVS)</contributor>
<contributor> Health and Sport department (Direction Generale de la Sante et des Sports)</contributor>
<contributor> Organization for the Research on Cancer (Association pour la Recherche sur le Cancer, ARC)</contributor>
<contributor> Ministere du travail, de la Solidarite et de la Fonction Publique (Direction Generale du Travail)</contributor>
<contributor> ANSES (Agence Nationale de Securite Sanitaire de l'alimentation, de l'environnement et du travail)</contributor>
<description>International audience</description>
<source>ISSN: 1368-8375</source>
<source>Oral Oncology</source>
<publisher>Elsevier</publisher>
<identifier>hal-01578588</identifier>
<identifier>https://hal-univ-rennes1.archives-ouvertes.fr/hal-01578588</identifier>
<source>https://hal-univ-rennes1.archives-ouvertes.fr/hal-01578588</source>
<source>Oral Oncology, Elsevier, 2017, 71, pp.144--149. 〈10.1016/j.oraloncology.2017.06.014〉</source>
<identifier>DOI : 10.1016/j.oraloncology.2017.06.014</identifier>
<relation>info:eu-repo/semantics/altIdentifier/doi/10.1016/j.oraloncology.2017.06.014</relation>
<identifier>PUBMED : 28688682</identifier>
<relation>info:eu-repo/semantics/altIdentifier/pmid/28688682</relation>
<language>en</language>
<subject lang=en>head and neck cancer</subject>
<subject lang=en> socioeconomic status</subject>
<subject lang=en> neighborhood deprivation</subject>
<subject lang=en> multilevel analysis</subject>
<subject lang=en> case-control studies</subject>
<subject>[SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie</subject>
<type>info:eu-repo/semantics/article</type>
<type>Journal articles</type>
<description lang=en>Background: While it is known that cancer risk is related to area-level socioeconomic status, the extent to which these inequalities are explained by contextual effects is poorly documented especially for head and neck cancer. Methods: A case-control study, ICARE, included 2415 head and neck cancer cases and 3555 controls recruited between 2001 and 2007 from 10 French regions retrieved from a general cancer registry. Individual socioeconomic status was assessed using marital status, highest educational level and occupational social class. Area-level socioeconomic status was assessed using the French version of the European Deprivation Index (EDI). The relationship between both individual and area-based socioeconomic level and the risk of head and neck cancer was assessed by multilevel analyses. Results: A higher risk for head and neck cancer was found in divorced compared with married individuals (OR = 2.14, 95% CI = 1.78-2.57), for individuals with a basic school-leaving qualification compared with those with higher education (OR = 4.55 95% CI = 3.72-5.57), for manual workers compared with managers (OR = 4.91, 95% CI = 3.92-6.15) and for individuals living in the most deprived areas compared with those living in the most affluent ones (OR = 1.98, 95% CI = 1.64-2.41). The influence of area-level socioeconomic status measured by EDI remained after controlling for individual socioeconomic characteristics (OR = 1.51; 95% confidence interval: 1.23-1.85, p-value = 0.0003). Conclusions: The role of individual socioeconomic status in the risk of head and neck cancer is undeniable, although contextual effects of deprived areas also increase the susceptibility of individuals developing the disease. (C) 2017 Elsevier Ltd. All rights reserved.</description>
<date>2017</date>
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