Association of Esophageal Cancer Mortality with Municipal Socioeconomic Deprivation Level in Japan, 2013-2017: An Ecological Study Using Nationwide Data

This study aimed to show geographical differences in esophageal cancer mortality in Japan and reveal an association of esophageal cancer mortality with municipal socioeconomic deprivation level. Esophageal cancer mortality data in the Vital Statistics from 2013 to 2017 for each municipality and corr...

Full description

Saved in:
Bibliographic Details
Published in:International journal of environmental research and public health 2022-04, Vol.19 (9), p.5483
Main Authors: Okui, Tasuku, Hirata, Akie, Nakashima, Naoki
Format: Article
Language:English
Subjects:
Age groups
Bayes Theorem
Bayesian analysis
Brief Report
Cancer
Cities
Deprivation
Ecological studies
Esophageal cancer
Esophageal Neoplasms - epidemiology
Esophagus
Female
Health risks
Households
Humans
Japan - epidemiology
Labor force
Male
Manual workers
Medical prognosis
Mortality
Municipal taxation
Municipalities
Per capita
Population
Population statistics
Principal components analysis
Regression analysis
Social factors
Socioeconomic Factors
Socioeconomics
Statistical analysis
Taxable income
Variables
Vital statistics
Women
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:This study aimed to show geographical differences in esophageal cancer mortality in Japan and reveal an association of esophageal cancer mortality with municipal socioeconomic deprivation level. Esophageal cancer mortality data in the Vital Statistics from 2013 to 2017 for each municipality and corresponding population data were analyzed. The deprivation level was derived from the municipal socioeconomic variables by principal component analysis. Municipalities were classified into five quintiles based on the deprivation level, and an association between the level and esophageal cancer mortality was evaluated using a Bayesian spatial model. As a result of regression analysis, the relative risk of esophageal cancer mortality tended to become larger as the deprivation level increased irrespective of sex, and the relative risk of esophageal cancer mortality was significantly higher in quintile 5 (most deprived) than quintile 1 (least deprived) among men and women. These results suggest that the deprivation level increases the risk of esophageal cancer mortality in Japan.
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph19095483