Danièle Luce1,2, Stéphane Michel3, Julien Dugas4,5, Bernard Bhakkan6, Gwenn Menvielle7, Clarisse Joachim8, Jacqueline Deloumeaux6. 1. INSERM UMRS 1085-Institut de Recherche en Santé, Environnement et Travail (IRSET), Faculté de Médecine, Campus de Fouillole, BP 145, 97154, Pointe-à-Pitre, Guadeloupe, France. daniele.luce@inserm.fr. 2. University of Rennes 1, Rennes, France. daniele.luce@inserm.fr. 3. AMREC, Association Martiniquaise pour la Recherche Epidémiologique en Cancérologie, Fort-de-France, Martinique, France. 4. INSERM UMRS 1085-Institut de Recherche en Santé, Environnement et Travail (IRSET), Faculté de Médecine, Campus de Fouillole, BP 145, 97154, Pointe-à-Pitre, Guadeloupe, France. 5. University of Rennes 1, Rennes, France. 6. Registre Général des Cancers de Guadeloupe, Centre Hospitalier Universitaire de Guadeloupe, Pointe-à-Pitre, Guadeloupe, France. 7. Sorbonne Universités, UPMC Univ Paris 06, INSERM, Institut Pierre Louis d'Épidémiologie et de Santé Publique (IPLESP UMRS 1136), Paris, France. 8. Registre Général des Cancers de la Martinique, UF 1441 Registre des Cancers, Pôle de Cancérologie Hématologie Urologie Pathologie, CHU de Martinique, Fort-de-France, Martinique, France.
Abstract
PURPOSE: Social inequalities in cancer incidence and mortality have been reported in France, but no data are available for the French overseas territories. Our objective was to explore the association between cancer incidence and the socioeconomic level of the residence area in the French West Indies. METHODS: Cancer incidence data were obtained from the cancer registries of Guadeloupe and Martinique (2009-2010). To assess socioeconomic status, we developed a specific index of social deprivation from census data at a small area level. We used Bayesian methods to evaluate the association between cancer incidence and the deprivation index, for all cancers combined and for the major cancer sites. RESULTS: There was no clear association between area-based deprivation and the incidence of all cancers combined. In men, higher area deprivation was associated with a higher incidence of prostate cancer (relative risk (RR) 1.25, 95% credible interval (CI) 1.04-1.49; RR 1.08, CI 0.91-1.29 in the categories of intermediate and high deprivation, respectively, compared to low deprivation), but was not associated with respiratory cancer. Women living in the most deprived areas had a higher incidence of stomach (RR 1.77, CI 1.12-2.89), breast (RR 1.15, CI 0.90-1.45), and cervical (RR 1.13, CI 0.63-2.01) cancers and a lower incidence of respiratory cancer (RR 0.65, CI 0.38-1.11). CONCLUSION: These first results in the French West Indies suggest specific patterns for some cancer sites that need to be further investigated.
PURPOSE: Social inequalities in cancer incidence and mortality have been reported in France, but no data are available for the French overseas territories. Our objective was to explore the association between cancer incidence and the socioeconomic level of the residence area in the French West Indies. METHODS:Cancer incidence data were obtained from the cancer registries of Guadeloupe and Martinique (2009-2010). To assess socioeconomic status, we developed a specific index of social deprivation from census data at a small area level. We used Bayesian methods to evaluate the association between cancer incidence and the deprivation index, for all cancers combined and for the major cancer sites. RESULTS: There was no clear association between area-based deprivation and the incidence of all cancers combined. In men, higher area deprivation was associated with a higher incidence of prostate cancer (relative risk (RR) 1.25, 95% credible interval (CI) 1.04-1.49; RR 1.08, CI 0.91-1.29 in the categories of intermediate and high deprivation, respectively, compared to low deprivation), but was not associated with respiratory cancer. Women living in the most deprived areas had a higher incidence of stomach (RR 1.77, CI 1.12-2.89), breast (RR 1.15, CI 0.90-1.45), and cervical (RR 1.13, CI 0.63-2.01) cancers and a lower incidence of respiratory cancer (RR 0.65, CI 0.38-1.11). CONCLUSION: These first results in the French West Indies suggest specific patterns for some cancer sites that need to be further investigated.
Entities:
Keywords:
Cancer incidence; French West Indies; Social deprivation index; Socioeconomic status
Authors: Ophélie Merville; Ludivine Launay; Olivier Dejardin; Quentin Rollet; Joséphine Bryère; Élodie Guillaume; Guy Launoy Journal: Int J Environ Res Public Health Date: 2022-02-17 Impact factor: 3.390