| Item type |
文献 / Documents(1) |
| 公開日 |
2021-06-22 |
| アクセス権 |
|
|
アクセス権 |
open access |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_db06 |
|
資源タイプ |
doctoral thesis |
| 出版社版DOI |
|
|
|
識別子タイプ |
DOI |
|
|
関連識別子 |
https://doi.org/10.3390/cancers12113258 |
|
|
言語 |
ja |
|
|
関連名称 |
10.3390/cancers12113258 |
| 出版タイプ |
|
|
出版タイプ |
NA |
|
出版タイプResource |
http://purl.org/coar/version/c_be7fb7dd8ff6fe43 |
| タイトル |
|
|
タイトル |
Association between Socioeconomic Status and Digestive Tract Cancers : A Case-Control Study |
|
言語 |
en |
| タイトル別表記 |
|
|
その他のタイトル |
社会経済的地位と消化器がんの関係について : 症例対照研究 |
|
言語 |
ja |
| 著者 |
川勝, 雪乃
コヤナギ, ユリコ
オゼ, イサオ
カスガイ, ユミコ
森岡, 久尚
ヤマグチ, ルイ
イトウ, ヒデミ
マツオ, ケイタロウ
|
| 抄録 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
Although socioeconomic status (SES) has been associated with cancer risk, little research on this association has been done in Japan. To evaluate the association between SES and digestive tract cancer risk, we conducted a case-control study for head and neck, esophageal, stomach, and colorectal cancers in 3188 cases and the same number of age- and sex-matched controls within the framework of the Hospital-based Epidemiological Research Program at Aichi Cancer Center III (HERPACC III). We employed the education level and areal deprivation index (ADI) as SES indicators. The association was evaluated with odds ratios (ORs) and 95% confidence intervals (CIs) by conditional logistic models adjusted for potential confounders. Even after allowance for known cancer risk factors, the education level showed linear inverse associations with head and neck, stomach, and colorectal cancers. Compared to those educated to junior high school, those with higher education showed statistically significantly lower risks of cancer (0.43 (95% CI: 0.27–0.68) for head and neck, 0.52(0.38–0.69) for stomach, and 0.52(0.38–0.71) for colorectum). Consistent with these results for the educational level, the ADI in quintiles showed positive associations with head and neck, esophageal, and stomach cancers (p-trend: p = 0.035 for head and neck, p = 0.02 for esophagus, and p = 0.013 for stomach). Interestingly, the positive association between ADI and stomach cancer risk disappeared in the additional adjustment for Helicobacter pylori infection and/or atrophic gastritis status. In conclusion, a lower SES was associated with an increased risk of digestive cancers in Japan and should be considered in cancer prevention policies for the target population. |
|
言語 |
en |
| 抄録 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
An association between socioeconomic status (SES) and cancer risk has been reported, but little is known in Asia. We revealed an association between SES, including education level and areal deprivation index (ADI), and digestive tract cancers in Japan. Lower SES was associated with an increased risk of digestive cancers. For stomach cancer, the positive association with ADI disappeared following an additional adjustment of Helicobacter pylori infection and/or atrophic gastritis status. Cancer prevention policy should consider both individual and regional perspectives by the integration of SES in the target population. |
|
言語 |
en |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Socioeconomic status |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
digestive tract cancer |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
cancer risk |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
case-control study |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
areal deprivation index |
| 書誌情報 |
en : Cancers
巻 12,
号 11,
p. 3258,
発行日 2020-11-04
|
| 収録物ID |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
20726694 |
| 出版者 |
|
|
出版者 |
MDPI |
|
言語 |
en |
| 備考 |
|
|
言語 |
ja |
|
値 |
内容要旨・審査要旨・論文本文の公開
本論文は，著者Yukino Kawakatsuの学位論文として提出され，学位審査・授与の対象となっている。
学位授与者所属 : 徳島大学大学院医科学教育部（医学専攻） |
| 権利情報 |
|
|
言語 |
en |
|
権利情報 |
© 2020 by the authors. Licensee MDPI, Basel, Switzerland.This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license. |
| EID |
|
|
識別子 |
378516 |
|
識別子タイプ |
URI |
| 言語 |
|
|
言語 |
eng |
| 報告番号 |
|
|
学位授与番号 |
甲第3507号 |
| 学位記番号 |
|
|
言語 |
ja |
|
値 |
甲医第1496号 |
| 学位授与年月日 |
|
|
学位授与年月日 |
2021-03-23 |
| 学位名 |
|
|
言語 |
ja |
|
学位名 |
博士（医学） |
| 学位授与機関 |
|
|
|
言語 |
ja |
|
|
学位授与機関名 |
徳島大学 |
k3507_abstract_review.pdf (272 KB)
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