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Occupation and educational inequalities in laryngeal cancer: the use of a job index

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Occupation and educational inequalities in laryngeal cancer: the use of a job index. / Santi, Irene; Kroll, Lars Eric; Dietz, Andreas; Becher, Heiko; Ramroth, Heribert.

In: BMC PUBLIC HEALTH, Vol. 13, 01.01.2013, p. 1080.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Santi, I, Kroll, LE, Dietz, A, Becher, H & Ramroth, H 2013, 'Occupation and educational inequalities in laryngeal cancer: the use of a job index', BMC PUBLIC HEALTH, vol. 13, pp. 1080. https://doi.org/10.1186/1471-2458-13-1080

APA

Santi, I., Kroll, L. E., Dietz, A., Becher, H., & Ramroth, H. (2013). Occupation and educational inequalities in laryngeal cancer: the use of a job index. BMC PUBLIC HEALTH, 13, 1080. https://doi.org/10.1186/1471-2458-13-1080

Vancouver

Santi I, Kroll LE, Dietz A, Becher H, Ramroth H. Occupation and educational inequalities in laryngeal cancer: the use of a job index. BMC PUBLIC HEALTH. 2013 Jan 1;13:1080. https://doi.org/10.1186/1471-2458-13-1080

Bibtex

@article{2b8631f140ac466a996841656fdf3e2e,
title = "Occupation and educational inequalities in laryngeal cancer: the use of a job index",
abstract = "BACKGROUND: Previous studies tried to assess the association between socioeconomic status and laryngeal cancer. Alcohol and tobacco consumption explain already a large part of the social inequalities. Occupational exposures might explain a part of the remaining but the components and pathways of the socioeconomic contribution have yet to be fully disentangled. The aim of this study was to evaluate the role of occupation using different occupational indices, differentiating between physical, psycho-social and toxic exposures and trying to summarize the occupational burden into one variable.METHODS: A population-based case-control study conducted in Germany in 1998-2000 included 208 male cases and 702 controls. Information on occupational history, smoking, alcohol consumption and education was collected with face-to-face interviews. A recently developed job-classification index was used to account for the occupational burden. A sub-index focussed on jobs involving potentially carcinogenic agents (CAI) for the upper aero digestive tract.RESULTS: When adjusted for smoking and alcohol consumption, higher odds ratios (ORs) were found for lower education. This OR decreased after further adjustment using the physical and psycho-social job indices (OR = 3.2, 95%-CI: 1.5-6.8), similar to the OR using the sub-index CAI (OR = 3.0, 95%-CI: 1.4-6.5).CONCLUSIONS: The use of an easily applicable control variable, simply constructed on standard occupational job classifications, provides the possibility to differentiate between educational and occupational contributions. Such an index might indirectly reflect the effect of carcinogenic agents, which are not collected in many studies.",
keywords = "Carcinogens, Case-Control Studies, Educational Status, Germany, Health Status Disparities, Humans, Laryngeal Neoplasms, Male, Middle Aged, Occupational Diseases, Occupational Exposure, Occupations, Psychology, Risk Factors",
author = "Irene Santi and Kroll, {Lars Eric} and Andreas Dietz and Heiko Becher and Heribert Ramroth",
year = "2013",
month = jan,
day = "1",
doi = "10.1186/1471-2458-13-1080",
language = "English",
volume = "13",
pages = "1080",
journal = "BMC PUBLIC HEALTH",
issn = "1471-2458",
publisher = "BioMed Central Ltd.",

}

RIS

TY - JOUR

T1 - Occupation and educational inequalities in laryngeal cancer: the use of a job index

AU - Santi, Irene

AU - Kroll, Lars Eric

AU - Dietz, Andreas

AU - Becher, Heiko

AU - Ramroth, Heribert

PY - 2013/1/1

Y1 - 2013/1/1

N2 - BACKGROUND: Previous studies tried to assess the association between socioeconomic status and laryngeal cancer. Alcohol and tobacco consumption explain already a large part of the social inequalities. Occupational exposures might explain a part of the remaining but the components and pathways of the socioeconomic contribution have yet to be fully disentangled. The aim of this study was to evaluate the role of occupation using different occupational indices, differentiating between physical, psycho-social and toxic exposures and trying to summarize the occupational burden into one variable.METHODS: A population-based case-control study conducted in Germany in 1998-2000 included 208 male cases and 702 controls. Information on occupational history, smoking, alcohol consumption and education was collected with face-to-face interviews. A recently developed job-classification index was used to account for the occupational burden. A sub-index focussed on jobs involving potentially carcinogenic agents (CAI) for the upper aero digestive tract.RESULTS: When adjusted for smoking and alcohol consumption, higher odds ratios (ORs) were found for lower education. This OR decreased after further adjustment using the physical and psycho-social job indices (OR = 3.2, 95%-CI: 1.5-6.8), similar to the OR using the sub-index CAI (OR = 3.0, 95%-CI: 1.4-6.5).CONCLUSIONS: The use of an easily applicable control variable, simply constructed on standard occupational job classifications, provides the possibility to differentiate between educational and occupational contributions. Such an index might indirectly reflect the effect of carcinogenic agents, which are not collected in many studies.

AB - BACKGROUND: Previous studies tried to assess the association between socioeconomic status and laryngeal cancer. Alcohol and tobacco consumption explain already a large part of the social inequalities. Occupational exposures might explain a part of the remaining but the components and pathways of the socioeconomic contribution have yet to be fully disentangled. The aim of this study was to evaluate the role of occupation using different occupational indices, differentiating between physical, psycho-social and toxic exposures and trying to summarize the occupational burden into one variable.METHODS: A population-based case-control study conducted in Germany in 1998-2000 included 208 male cases and 702 controls. Information on occupational history, smoking, alcohol consumption and education was collected with face-to-face interviews. A recently developed job-classification index was used to account for the occupational burden. A sub-index focussed on jobs involving potentially carcinogenic agents (CAI) for the upper aero digestive tract.RESULTS: When adjusted for smoking and alcohol consumption, higher odds ratios (ORs) were found for lower education. This OR decreased after further adjustment using the physical and psycho-social job indices (OR = 3.2, 95%-CI: 1.5-6.8), similar to the OR using the sub-index CAI (OR = 3.0, 95%-CI: 1.4-6.5).CONCLUSIONS: The use of an easily applicable control variable, simply constructed on standard occupational job classifications, provides the possibility to differentiate between educational and occupational contributions. Such an index might indirectly reflect the effect of carcinogenic agents, which are not collected in many studies.

KW - Carcinogens

KW - Case-Control Studies

KW - Educational Status

KW - Germany

KW - Health Status Disparities

KW - Humans

KW - Laryngeal Neoplasms

KW - Male

KW - Middle Aged

KW - Occupational Diseases

KW - Occupational Exposure

KW - Occupations

KW - Psychology

KW - Risk Factors

U2 - 10.1186/1471-2458-13-1080

DO - 10.1186/1471-2458-13-1080

M3 - SCORING: Journal article

C2 - 24246148

VL - 13

SP - 1080

JO - BMC PUBLIC HEALTH

JF - BMC PUBLIC HEALTH

SN - 1471-2458

ER -