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- W2039734536 abstract "ISEE-0227 Background and Objective: Residents around a large steel plant in The Netherlands, have been concerned about their health for some considerable time. In 2007, the Regional Public Health Service published a report indicating higher incidence rates of lung cancer in one municipality near the steel plant. Air pollution emissions from the steel plant were mentioned as one of the possible explanations. The incidence rates were not adjusted for life-style variables like smoking. We re-analysed the lung cancer data with more advanced methods at a lower aggregation level and in a larger study area. Methods: Small area health statistics with time-space smoothing methods were used to analyse the data. The study area covered 106 postcode areas, each having around 6,000 inhabitants on average (total population almost 600,000). Twelve years of data were analysed (1995–2006). Standardisation was performed using population data stratified by age and sex for each postcode area. We adjusted for socioeconomic status as a proxy for smoking. Standardized Incidence Ratios (SIRs) for lung cancer were estimated per postcode area, and maps were produced to assess the spatial pattern in SIR's in the study area. Results: Before adjusting for socioeconomic status, SIRs for lung cancer were higher than the overall average in postcode areas close to the steel plant: up to 33% in men, up to 44% in women, both statistically significant. After adjusting for socioeconomic status, the SIRs reduced to up to 13% higher in men and up to 17% higher in women, and were no longer statistically significant. Conclusions: Socioeconomic status, as proxy for smoking, partly explained the increased incidence rates for lung cancer in postcode areas close to the steel plant. This result does not exclude the influence of other factors on lung cancer incidence, such as housing conditions, occupational exposure, and local air pollution." @default.
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- W2039734536 date "2009-11-01" @default.
- W2039734536 modified "2023-09-26" @default.
- W2039734536 title "The Role of Socioeconomic Status in Lung Cancer Incidence Around a Dutch Steel Planta Spatial Epidemiology Study" @default.
- W2039734536 doi "https://doi.org/10.1097/01.ede.0000362441.20334.99" @default.
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