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, 96 (11), 1760-6

Cancer Incidence Patterns by Region and Socioeconomic Deprivation in Teenagers and Young Adults in England


Cancer Incidence Patterns by Region and Socioeconomic Deprivation in Teenagers and Young Adults in England

R D Alston et al. Br J Cancer.


Data on 35,291 individuals with cancer, aged 13-24 years, in England from 1979 to 2001 were analysed by region and socio-economic deprivation of census ward of residence, as measured by the Townsend deprivation index. The incidence of leukaemia, lymphoma, central nervous system tumours, soft tissue sarcomas, gonadal germ cell tumours, melanoma and carcinomas varied by region (P<0.01, all groups) but bone tumour incidence did not. Lymphomas, central nervous system tumours and gonadal germ cell tumours all had higher incidence in less deprived census wards (P<0.01), while chronic myeloid leukaemia and carcinoma of the cervix had higher incidence in more deprived wards (P<0.01). In the least deprived wards, melanoma incidence was nearly twice that in the most deprived, but this trend varied between regions (P<0.001). These cancer incidence patterns differ from those seen in both children and older adults and have implications for aetiology and prevention.


Figure 1
Figure 1
Percentage relative risk of melanoma in 13–24 year olds, 1979–2001, by Government Office Region and TDI using common quintile boundaries across England.

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    1. Alexander FE, McKinney PA, Williams J, Ricketts TJ, Cartwright RA. Community lifestyle characteristics and incidence of Hodgkin's disease in young people. Int J Cancer. 1991;48:10–14. - PubMed
    1. Baris D, Zahm SH. Epidemiology of lymphomas. Curr Opin Oncol. 2001;12:383–394. - PubMed
    1. Birch JM, Alston RD, Kelsey AM, Quinn MJ, Babb P, McNally RJQ. Classification and incidence of cancers in adolescents and young adults in England 1979–1997. Br J Cancer. 2002;87:1267–1274. - PMC - PubMed
    1. Birch JM. Patterns of incidence of cancer in teenagers and young adults: implications for aetiology Cancer and the Adolescent 2005Blackwell Publishing: London; 13–31.In: Eden, TOB, Barr RD, Bleyer A, Whiteson M (eds)2nd edn. pp
    1. Coleman MP, Babb P, Damiecki P, Grosclaude P, Honjo S, Jones J, Knerer G, Pitard A, Quinn MJ, Sloggett A, De Stavola B. Cancer survival Trends in England and Wales 1971–1995: Deprivation and NHS Region. Studies in Medical and Population Subjects 61. The Stationery Office: London; 1999.