IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0147099.html
   My bibliography  Save this article

Regional Inequalities in Lung Cancer Mortality in Belgium at the Beginning of the 21st Century: The Contribution of Individual and Area-Level Socioeconomic Status and Industrial Exposure

Author

Listed:
  • Paulien Hagedoorn
  • Hadewijch Vandenheede
  • Didier Willaert
  • Katrien Vanthomme
  • Sylvie Gadeyne

Abstract

Being a highly industrialized country with one of the highest male lung cancer mortality rates in Europe, Belgium is an interesting study area for lung cancer research. This study investigates geographical patterns in lung cancer mortality in Belgium. More specifically it probes into the contribution of individual as well as area-level characteristics to (sub-district patterns in) lung cancer mortality. Data from the 2001 census linked to register data from 2001–2011 are used, selecting all Belgian inhabitants aged 65+ at time of the census. Individual characteristics include education, housing status and home ownership. Urbanicity, unemployment rate, the percentage employed in mining and the percentage employed in other high-risk industries are included as sub-district characteristics. Regional variation in lung cancer mortality at sub-district level is estimated using directly age-standardized mortality rates. The association between lung cancer mortality and individual and area characteristics, and their impact on the variation of sub-district level is estimated using multilevel Poisson models. Significant sub-district variations in lung cancer mortality are observed. Individual characteristics explain a small share of this variation, while a large share is explained by sub-district characteristics. Individuals with a low socioeconomic status experience a higher lung cancer mortality risk. Among women, an association with lung cancer mortality is found for the sub-district characteristics urbanicity and unemployment rate, while for men lung cancer mortality was associated with the percentage employed in mining. Not just individual characteristics, but also area characteristics are thus important determinants of (regional differences in) lung cancer mortality.

Suggested Citation

  • Paulien Hagedoorn & Hadewijch Vandenheede & Didier Willaert & Katrien Vanthomme & Sylvie Gadeyne, 2016. "Regional Inequalities in Lung Cancer Mortality in Belgium at the Beginning of the 21st Century: The Contribution of Individual and Area-Level Socioeconomic Status and Industrial Exposure," PLOS ONE, Public Library of Science, vol. 11(1), pages 1-18, January.
    • Handle: RePEc:plo:pone00:0147099
    DOI: 10.1371/journal.pone.0147099
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0147099
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0147099&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0147099?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Hystad, Perry & Carpiano, Richard M. & Demers, Paul A. & Johnson, Kenneth C. & Brauer, Michael, 2013. "Neighbourhood socioeconomic status and individual lung cancer risk: Evaluating long-term exposure measures and mediating mechanisms," Social Science & Medicine, Elsevier, vol. 97(C), pages 95-103.
    2. Katharine H Sharpe & Alex D McMahon & Gillian M Raab & David H Brewster & David I Conway, 2014. "Association between Socioeconomic Factors and Cancer Risk: A Population Cohort Study in Scotland (1991-2006)," PLOS ONE, Public Library of Science, vol. 9(2), pages 1-15, February.
    3. repec:rri:wpaper:200801 is not listed on IDEAS
    4. Stafford, M. & Cummins, S. & Macintyre, S. & Ellaway, A. & Marmot, M., 2005. "Gender differences in the associations between health and neighbourhood environment," Social Science & Medicine, Elsevier, vol. 60(8), pages 1681-1692, April.
    5. Maria Vigotti & Francesca Mataloni & Antonella Bruni & Caterina Minniti & Emilio Gianicolo, 2014. "Mortality analysis by neighbourhood in a city with high levels of industrial air pollution," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 59(4), pages 645-653, August.
    6. Duncan, Craig & Jones, Kelvyn & Moon, Graham, 1998. "Context, composition and heterogeneity: Using multilevel models in health research," Social Science & Medicine, Elsevier, vol. 46(1), pages 97-117, January.
    7. Diez-Roux, A.V., 1998. "Bringing context back into epidemiology: Variables and fallacies in multilevel analysis," American Journal of Public Health, American Public Health Association, vol. 88(2), pages 216-222.
    8. Meijer, Mathias & Röhl, Jeannette & Bloomfield, Kim & Grittner, Ulrike, 2012. "Do neighborhoods affect individual mortality? A systematic review and meta-analysis of multilevel studies," Social Science & Medicine, Elsevier, vol. 74(8), pages 1204-1212.
    9. Kunst, A.E. & Looman, C.W.N. & Mackenbach, J.P., 1993. "Determinants of regional differences in lung cancer mortality in the Netherlands," Social Science & Medicine, Elsevier, vol. 37(5), pages 623-631, September.
    10. Michael Hendryx & Kathryn O'Donnell & Kimberly Horn, 2008. "Lung Cancer Mortality Is Elevated in Coal Mining Areas of Appalachia," Working Papers Working Paper 2008-01, Regional Research Institute, West Virginia University.
    11. Fanny Janssen & Alette Spriensma, 2012. "The contribution of smoking to regional mortality differences in the Netherlands," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 27(9), pages 233-260.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Roberto Pasetto & Benedetta Mattioli & Daniela Marsili, 2019. "Environmental Justice in Industrially Contaminated Sites. A Review of Scientific Evidence in the WHO European Region," IJERPH, MDPI, vol. 16(6), pages 1-20, March.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Steffen Andreas Schüle & Gabriele Bolte, 2015. "Interactive and Independent Associations between the Socioeconomic and Objective Built Environment on the Neighbourhood Level and Individual Health: A Systematic Review of Multilevel Studies," PLOS ONE, Public Library of Science, vol. 10(4), pages 1-31, April.
    2. infocede, 2001. "Desnutrición infantil en Colombia: inequidades y determinantes," Documentos CEDE 20100, Universidad de los Andes, Facultad de Economía, CEDE.
    3. De Clercq, B. & Vyncke, V. & Hublet, A. & Elgar, F.J. & Ravens-Sieberer, U. & Currie, C. & Hooghe, M. & Ieven, A. & Maes, L., 2012. "Social capital and social inequality in adolescents’ health in 601 Flemish communities: A multilevel analysis," Social Science & Medicine, Elsevier, vol. 74(2), pages 202-210.
    4. Mansyur, Carol & Amick, Benjamin C. & Harrist, Ronald B. & Franzini, Luisa, 2008. "Social capital, income inequality, and self-rated health in 45 countries," Social Science & Medicine, Elsevier, vol. 66(1), pages 43-56, January.
    5. De Clercq, Bart & Pfoertner, Timo-Kolja & Elgar, Frank J. & Hublet, Anne & Maes, Lea, 2014. "Social capital and adolescent smoking in schools and communities: A cross-classified multilevel analysis," Social Science & Medicine, Elsevier, vol. 119(C), pages 81-87.
    6. Kiss, Ligia & Schraiber, Lilia Blima & Heise, Lori & Zimmerman, Cathy & Gouveia, Nelson & Watts, Charlotte, 2012. "Gender-based violence and socioeconomic inequalities: Does living in more deprived neighbourhoods increase women’s risk of intimate partner violence?," Social Science & Medicine, Elsevier, vol. 74(8), pages 1172-1179.
    7. Petrović, Ana & Manley, David & van Ham, Maarten, 2018. "Freedom from the Tyranny of Neighbourhood: Rethinking Socio-Spatial Context Effects," IZA Discussion Papers 11416, Institute of Labor Economics (IZA).
    8. Poortinga, Wouter, 2006. "Social relations or social capital? Individual and community health effects of bonding social capital," Social Science & Medicine, Elsevier, vol. 63(1), pages 255-270, July.
    9. Jeong, Tay, 2022. "Contextual fallacy in MLMs with cross-level interaction: A critical review of neighborhood effects on psychiatric resilience," Social Science & Medicine, Elsevier, vol. 310(C).
    10. Yongyun Shin & Stephen W. Raudenbush, 2010. "A Latent Cluster-Mean Approach to the Contextual Effects Model With Missing Data," Journal of Educational and Behavioral Statistics, , vol. 35(1), pages 26-53, February.
    11. Cummins, Steven & Curtis, Sarah & Diez-Roux, Ana V. & Macintyre, Sally, 2007. "Understanding and representing 'place' in health research: A relational approach," Social Science & Medicine, Elsevier, vol. 65(9), pages 1825-1838, November.
    12. Havard, Sabrina & Deguen, Séverine & Bodin, Julie & Louis, Karine & Laurent, Olivier & Bard, Denis, 2008. "A small-area index of socioeconomic deprivation to capture health inequalities in France," Social Science & Medicine, Elsevier, vol. 67(12), pages 2007-2016, December.
    13. Marklund, Staffan & Bolin, Malin & von Essen, Jan, 2008. "Can individual health differences be explained by workplace characteristics?--A multilevel analysis," Social Science & Medicine, Elsevier, vol. 66(3), pages 650-662, February.
    14. Bolte, Gabriele, 2018. "Epidemiologische Methoden und Erkenntnisse als eine Grundlage für Stadtplanung und gesundheitsfördernde Stadtentwicklung," Forschungsberichte der ARL: Aufsätze, in: Baumgart, Sabine & Köckler, Heike & Ritzinger, Anne & Rüdiger, Andrea (ed.), Planung für gesundheitsfördernde Städte, volume 8, pages 118-134, ARL – Akademie für Raumentwicklung in der Leibniz-Gemeinschaft.
    15. Mitchell, Richard & Dujardin, Claire & Popham, Frank & Farfan Portet, Maria-Isabel & Thomas, Isabelle & Lorant, Vincent, 2011. "Using matched areas to explore international differences in population health," Social Science & Medicine, Elsevier, vol. 73(8), pages 1113-1122.
    16. Spielman, Seth E. & Yoo, Eun-hye, 2009. "The spatial dimensions of neighborhood effects," Social Science & Medicine, Elsevier, vol. 68(6), pages 1098-1105, March.
    17. Fanny Janssen & Anthe van den Hende & Joop de Beer & Leo van Wissen, 2016. "Sigma and beta convergence in regional mortality: A case study of the Netherlands," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 35(4), pages 81-116.
    18. Dusan Paredes Araya & Tomothy M Komarek, 2013. "Spatial Income Inequality in Chile and the Rol of Spatial Labor Sorting," Documentos de Trabajo en Economia y Ciencia Regional 46, Universidad Catolica del Norte, Chile, Department of Economics, revised Apr 2013.
    19. Seth E Spielman & Eun-Hye Yoo & Crystal Linkletter, 2013. "Neighborhood Contexts, Health, and Behavior: Understanding the Role of Scale and Residential Sorting," Environment and Planning B, , vol. 40(3), pages 489-506, June.
    20. Nummela, Olli & Raivio, Risto & Uutela, Antti, 2012. "Trust, self-rated health and mortality: A longitudinal study among ageing people in Southern Finland," Social Science & Medicine, Elsevier, vol. 74(10), pages 1639-1643.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0147099. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.