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2013-11-19Zeitschriftenartikel DOI: 10.1186/1471-2458-13-1080
Occupation and educational inequalities in laryngeal cancer: the use of a job index
dc.contributor.authorSanti, Irene
dc.contributor.authorKroll, Lars Eric
dc.contributor.authorDietz, Andreas
dc.contributor.authorBecher, Heiko
dc.contributor.authorRamroth, Heribert
dc.date.accessioned2018-05-07T17:14:54Z
dc.date.available2018-05-07T17:14:54Z
dc.date.created2013-11-29
dc.date.issued2013-11-19none
dc.identifier.otherhttp://edoc.rki.de/oa/articles/rezJroc2LVZWI/PDF/26EFVMWEKtL2Q.pdf
dc.identifier.urihttp://edoc.rki.de/176904/1739
dc.description.abstractBackground: 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.eng
dc.language.isoeng
dc.publisherRobert Koch-Institut, Epidemiologie und Gesundheitsberichterstattung
dc.subjectEducationeng
dc.subjectLaryngeal cancereng
dc.subjectOccupational indiceseng
dc.subjectExposure substance check listeng
dc.subject.ddc610 Medizin
dc.titleOccupation and educational inequalities in laryngeal cancer: the use of a job index
dc.typeperiodicalPart
dc.identifier.urnurn:nbn:de:0257-10033879
dc.identifier.doi10.1186/1471-2458-13-1080
dc.identifier.doihttp://dx.doi.org/10.25646/1664
local.edoc.container-titleBMC Public Health
local.edoc.fp-subtypeArtikel
local.edoc.type-nameZeitschriftenartikel
local.edoc.container-typeperiodical
local.edoc.container-type-nameZeitschrift
local.edoc.container-urlhttp://www.biomedcentral.com/1471-2458/13/1080
local.edoc.container-publisher-nameBioMedCentral
local.edoc.container-volume13
local.edoc.container-issue1080
local.edoc.container-year2013

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