TY - JOUR
T1 - Cancer mortality by migrant background in Belgium during the 2000s
T2 - patterns and social determinants
AU - Van Hemelrijck, W. M. J.
AU - de Valk, H. A. G.
AU - Vandenheede, H.
N1 - Dit tijdschrift heette voorheen Cancer Treatment Communication.
PY - 2017
Y1 - 2017
N2 - AimTo map and compare site-specific cancer mortality for Belgians and five of the largest immigrant groups in Belgium, and to look into the role of socio-economic position (SEP) and urbanisation.MethodsWe use linked Belgian census and register data for the period 2001–2011. Mortality from common cancer sites is studied for Belgians and individuals with a migrant background from Italy, France, the Netherlands, Morocco and Turkey aged 40 to 69. We use indirect standardisation and Poisson regression modelling, taking into account the effect of age, urbanisation and SEP. First- (FG) and second-generation (SG) immigrants are included.ResultsThere is marked diversity in cancer mortality levels by migrant background, with oft-lower levels for FG Moroccan and Turkish immigrants, and levels usually closer to those of Belgians for European immigrants. Small increases are commonly observed by generation, although less clearly so for stomach and liver cancer. SEP plays an important role in the patterning of cancer mortality by migrant background.ConclusionMigrant background is associated with differences in site-specific cancer mortality levels in Belgium. The observed role of SEP warrants special attention to the most vulnerable socio-economic groups.
AB - AimTo map and compare site-specific cancer mortality for Belgians and five of the largest immigrant groups in Belgium, and to look into the role of socio-economic position (SEP) and urbanisation.MethodsWe use linked Belgian census and register data for the period 2001–2011. Mortality from common cancer sites is studied for Belgians and individuals with a migrant background from Italy, France, the Netherlands, Morocco and Turkey aged 40 to 69. We use indirect standardisation and Poisson regression modelling, taking into account the effect of age, urbanisation and SEP. First- (FG) and second-generation (SG) immigrants are included.ResultsThere is marked diversity in cancer mortality levels by migrant background, with oft-lower levels for FG Moroccan and Turkish immigrants, and levels usually closer to those of Belgians for European immigrants. Small increases are commonly observed by generation, although less clearly so for stomach and liver cancer. SEP plays an important role in the patterning of cancer mortality by migrant background.ConclusionMigrant background is associated with differences in site-specific cancer mortality levels in Belgium. The observed role of SEP warrants special attention to the most vulnerable socio-economic groups.
KW - Belgium
KW - immigrants
KW - cancer mortality
KW - socio-economic position
KW - JCR
U2 - 10.1016/j.ctarc.2017.05.003
DO - 10.1016/j.ctarc.2017.05.003
M3 - Article
VL - 12
SP - 19
EP - 24
JO - Cancer Treatment and Research Communications
JF - Cancer Treatment and Research Communications
SN - 2468-2942
ER -