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Neighborhood Deprivation and Risk of Cancer Incidence, Mortality and Survival: Results from a Population-Based Cohort Study in Japan

Author

Listed:
  • Yasuhiro Miki
  • Manami Inoue
  • Ai Ikeda
  • Norie Sawada
  • Tomoki Nakaya
  • Taichi Shimazu
  • Motoki Iwasaki
  • Taiki Yamaji
  • Shizuka Sasazuki
  • Kenji Shibuya
  • Shoichiro Tsugane
  • for the JPHC Study Group

Abstract

Background: In many developed countries, socioeconomic status is associated with cancer incidence and survival. However, research in Japan is sparse. We examined the association between neighborhood deprivation based on the Japanese Deprivation Index and the risk of incidence, mortality and survival from total and major cancers in the Japan Public Health Center-based Prospective Study. Methods: 86,112 participants were followed through the end of 2009. A total of 10,416 incident cases and 5,510 deaths from cancer were identified among 1,348,437 person-years of follow-up (mean follow-up: 15.7 years). The Japanese deprivation index was used to access neighborhood deprivation. Hazard ratios and 95% confidence intervals were calculated by Cox regression analysis. Results: We found no associations between neighborhood deprivation index and the incidence of total and major cancers. In some cancer risks or deaths, however, we found positive or inverse associations with a higher deprivation index, such as a decreased risk of colorectal cancer incidence and an increased risk of liver cancer incidence and deaths in women. Conclusion: Although some positive or inverse associations were detected for specific sites, the neighborhood deprivation index has no substantial overall association with the risk of incidence, mortality and survival from cancer in the Japanese population.

Suggested Citation

  • Yasuhiro Miki & Manami Inoue & Ai Ikeda & Norie Sawada & Tomoki Nakaya & Taichi Shimazu & Motoki Iwasaki & Taiki Yamaji & Shizuka Sasazuki & Kenji Shibuya & Shoichiro Tsugane & for the JPHC Study Grou, 2014. "Neighborhood Deprivation and Risk of Cancer Incidence, Mortality and Survival: Results from a Population-Based Cohort Study in Japan," PLOS ONE, Public Library of Science, vol. 9(9), pages 1-1, September.
    • Handle: RePEc:plo:pone00:0106729
    DOI: 10.1371/journal.pone.0106729
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    References listed on IDEAS

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    1. Jacqueline M Major & Chyke A Doubeni & Neal D Freedman & Yikyung Park & Min Lian & Albert R Hollenbeck & Arthur Schatzkin & Barry I Graubard & Rashmi Sinha, 2010. "Neighborhood Socioeconomic Deprivation and Mortality: NIH-AARP Diet and Health Study," PLOS ONE, Public Library of Science, vol. 5(11), pages 1-6, November.
    2. Tomoki Nakaya & Kaori Honjo & Tomoya Hanibuchi & Ai Ikeda & Hiroyasu Iso & Manami Inoue & Norie Sawada & Shoichiro Tsugane & the Japan Public Health Center-based Prospective Study Group, 2014. "Associations of All-Cause Mortality with Census-Based Neighbourhood Deprivation and Population Density in Japan: A Multilevel Survival Analysis," PLOS ONE, Public Library of Science, vol. 9(6), pages 1-10, June.
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