Cancer Inequality

Inequality is a hugely important topic for societies. Inequality has many different dimensions and differential longitudinal patterns. New data in this field of social research are helpful to inform on possible ways to prevent increasing inequality. At the same time, it is important to reflect on factors that may reduce inequality in and between societies. Inequality in health is both an outcome of inequality experienced during previous stages of the life course as well as a factor in causing inequality in the evolution of the life course later on. Disentangling the factors is a difficult research issue.
A first descriptive pattern across Europe allows to get a snapshot impression of the status quo as a first indication of what health inequality looks like. Cancer is a major cause of mortality across Europe and by 2045 it is estimated to be the leading cause of mortality.
Without precisely analyzing the causal factors the overview across European countries allows to give a first impression on fields that need more policy attention and more in depth studies. The European Cancer Inequalities Registry and the ECIR Data Tool is based on data from 2019  (Link). The overview matrix by employment status reveals the highest prevalence of smoking among the unemployed (followed by the employed, not shown in figure) and the frequency of alcohol consumption is highest among the employed. Low physical activity is mostly prevalent among the retired.  This has consequences for cancer and gives hints to how an intensified prevention may work.
The OECD report (Link) based on these data and additional country case studies and policy data base reiterates the known prevention recommendations: Reduce smoking, alcohol consumption, air pollution as well as more physical activity. The dimensions of inequality are gender, age, employment status and most of years spent in education. The curing of cancer also suffers from inequities as to the amount of and access to screening of cancer. Cost coverage and shortages in medical personnel add to multiple sources of inequality in treatment of cancer within countries by regions and between nation states. The Lancet Public Health editorial contributes to the spread of the awareness among scientists and the medical profession.
(Image: ECIR data tool download 2024-2-22)