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Radespiel-Tröger, M.* ; Geiss, K.* ; Twardella, D.* ; Maier, W. ; Meyer, M.*

Cancer incidence in urban, rural, and densely populated districts close to core cities in Bavaria, Germany.

Int. Arch. Occup. Environ. Health 91, 155–174 (2017)
DOI PMC
Open Access Green möglich sobald Postprint bei der ZB eingereicht worden ist.
An ecologic study on the level of districts was performed to evaluate the possible association between district type and risk of cancer in Bavaria, Southern Germany. Cancer incidence data for the years 2003-2012 were obtained from the population-based cancer registry Bavaria according to sex and cancer site. Data on district type, socio-economic area deprivation, particulate matter exposure, tobacco consumption, and alcohol consumption were obtained from publicly available sources. The possible association between district type and cancer risk adjusted for age, socio-economic area deprivation, particulate matter exposure, tobacco consumption, and alcohol consumption was evaluated using multivariable multi-level negative binomial regression. We found a significantly reduced cancer risk in densely populated districts close to core cities and/or rural districts compared to core cities with respect to the cancer sites mouth and pharynx (women only), liver (both sexes), larynx (both sexes), lung (both sexes), melanoma of the skin (both sexes), mesothelioma (men only), connective and soft tissue (both sexes), corpus uteri, other urinary tract (men only), urinary bladder (both sexes), and non-Hodgkin lymphoma (both sexes). Our findings require further monitoring. Since the apparently increased cancer risk in core cities may be related to lifestyle factors, preventive measures against lifestyle-related cancer could be specifically targeted at populations in deprived core cities.
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Publikationstyp Artikel: Journalartikel
Dokumenttyp Wissenschaftlicher Artikel
Schlagwörter Cancer Incidence ; Urban ; Rural ; Lifestyle ; Socio-economic Area Deprivation ; Environment ; Prevention ; Cancer Registries ; Ecologic Studies; Lung-cancer; Smoking-behavior; United-states; Socioeconomic Indicators; Regional Deprivation; European Countries; Cigarette-smoking; Air-pollution; Registry Data; Time Trends
Sprache englisch
Veröffentlichungsjahr 2017
HGF-Berichtsjahr 2017
ISSN (print) / ISBN 0340-0131
e-ISSN 1432-1246
Zeitschrift International Archives of Occupational and Environmental Health
Quellenangaben Band: 91, Heft: 2, Seiten: 155–174 Artikelnummer: , Supplement: ,
Verlag Springer
Verlagsort New York
Begutachtungsstatus Peer reviewed
Institut(e) Institute of Health Economics and Health Care Management (IGM)
POF Topic(s) 30202 - Environmental Health
Forschungsfeld(er) Genetics and Epidemiology
PSP-Element(e) G-505300-001
DOI 10.1007/s00420-017-1266-3
WOS ID WOS:000424206000003
Scopus ID 85031411524
PubMed ID 29027001
Erfassungsdatum 2017-10-17
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