Table 2 Geographical and socioeconomic environment influence on survival for patient with digestive tract cancer (models adjusted for age, gender, year of diagnosis and department)

From: Socioeconomic and geographic determinants of survival of patients with digestive cancer in France

 

Oesophageal cancer ( N =7813)

Stomach cancer ( N =11 619)

Small intestine cancer ( N =1038)

Colon cancer ( N =28010)

 

RR

Confidence interval a

P -trend

RR

Confidence interval a

P -trend

RR

Confidence interval a

P -trend

RR

Confidence interval a

P -trend

Distance to nearest cancer reference care centre (km)

 <10

1.00

  

0.335

1.00

  

0.014

1.00

  

0.107

1.00

  

0.003

 10–30

1.04

0.97

1.12

 

1.00

0.93

1.06

 

0.89

0.70

1.13

 

1.10

1.04

1.15

 

 30–50

1.03

0.96

1.11

 

1.06

1.00

1.13

 

1.48

1.18

1.85

 

1.10

1.04

1.15

 

 50–70

1.03

0.95

1.12

 

1.05

0.97

1.13

 

1.11

0.82

1.51

 

1.06

1.00

1.12

 

 70–90

1.04

0.93

1.16

 

1.09

1.00

1.20

 

1.33

0.94

1.90

 

1.09

1.01

1.17

 

 >90

1.06

0.93

1.22

 

1.11

1.00

1.23

 

0.94

0.63

1.39

 

1.14

1.05

1.24

 

Proportion who did not complete secondary education to age 15 (%)

 <14

1.00

  

0.261

1.00

  

0.138

1.00

  

0.122

1.00

  

0.002

 14–19

1.03

0.96

1.11

 

1.03

0.97

1.10

 

1.21

0.97

1.52

 

1.08

1.03

1.13

 

 19–23

1.05

0.98

1.13

 

1.01

0.95

1.08

 

1.18

0.94

1.48

 

1.08

1.03

1.13

 

 >23

1.04

0.97

1.12

 

1.06

0.99

1.12

 

1.23

0.98

1.54

 

1.08

1.03

1.14

 

Mean taxable income (in euros)

 <13 458

1.00

  

0.133

1.00

  

0.342

1.00

  

0.975

1.00

  

0.003

 13 458–14 997

1.00

0.94

1.07

 

0.97

0.92

1.03

 

0.96

0.77

1.20

 

0.97

0.92

1.01

 

 14 997–16 711

0.96

0.89

1.03

 

0.96

0.90

1.02

 

1.18

0.93

1.50

 

0.99

0.94

1.04

 

 >16 711

0.95

0.89

1.02

 

0.97

0.93

1.01

 

0.96

0.76

1.23

 

0.92

0.88

0.97

 

Unemployment rate (%)

 <7.9

1.00

  

0.538

1.00

  

0.591

1.00

  

0.547

1.00

  

0.865

 7.9–12

0.96

0.90

1.03

 

0.93

0.88

0.98

 

0.91

0.74

1.13

 

1.00

0.96

1.05

 

 12–15

0.99

0.92

1.06

 

0.94

0.88

0.99

 

1.03

0.83

1.27

 

1.00

0.95

1.05

 

 >15

1.02

0.94

1.10

 

0.98

0.92

1.05

 

1.03

0.82

1.30

 

1.00

0.94

1.05

 

Proportion of houses without bath or shower (%)

<1.1

1.00

  

0.004

1.00

  

0.080

1.00

  

0.823

1.00

  

0.143

 1.1–1.7

1.06

0.98

1.14

 

1.02

0.96

1.08

 

1.10

0.88

1.36

 

1.06

1.01

1.11

 

 1.7–2.7

1.08

1.00

1.16

 

1.02

0.96

1.08

 

1.13

0.92

1.40

 

1.07

1.02

1.12

 

 >2.7

1.12

1.04

1.20

 

1.06

1.00

1.13

 

1.01

0.80

1.26

 

1.03

0.98

1.09

 

Proportion of manual workers (%)

 <13

1.00

  

0.142

1.00

  

0.271

1.00

  

0.072

1.00

  

0.153

 13–17

0.93

0.87

1.00

 

0.99

0.93

1.05

 

1.03

0.99

1.07

 

1.02

0.97

1.07

 

 17–21

0.96

0.89

1.03

 

0.98

0.92

1.04

 

1.07

0.85

1.34

 

1.04

0.99

1.09

 

 >21

0.93

0.87

1.00

 

1.04

0.97

1.10

 

1.23

0.97

1.55

 

1.03

0.98

1.09

 
 

Rectum cancer ( N =18 080)

Liver cancer ( N =5797)

Gall bladder and biliary tract cancer ( N =2893)

Pancreatic cancer ( N =6018)

 

RR

Confidence interval a

P -trend

RR

Confidence interval a

P -trend

RR

Confidence interval a

P -trend

RR

Confidence interval a

P -trend

Distance to nearest cancer care centre (km)

 <10

1.00

  

0.024

1.00

  

0.629

1.00

  

0.529

1.00

  

0.246

 10–30

1.09

1.03

1.15

 

0.96

0.88

1.04

 

0.95

0.84

1.07

 

1.03

0.95

1.13

 

 30–50

1.08

1.02

1.14

 

0.98

0.91

1.07

 

1.02

0.90

1.15

 

1.05

0.96

1.14

 

 50–70

1.12

1.05

1.19

 

0.91

0.83

1.01

 

1.02

0.88

1.19

 

1.03

0.93

1.14

 

 70–90

1.04

0.96

1.13

 

1.03

0.90

1.17

 

0.98

0.82

1.17

 

1.03

0.91

1.17

 

>90

1.06

0.96

1.16

 

1.01

0.87

1.17

 

1.09

0.89

1.34

 

1.11

0.96

1.29

 

Proportion who did not complete secondary education to age 15 (%)

 <14

1.00

  

0.002

1.00

  

0.444

1.00

  

0.899

1.00

  

0.197

 14–19

1.05

0.99

1.11

 

0.95

0.87

1.03

 

1.03

0.91

1.16

 

1.04

0.96

1.13

 

 19–23

1.07

1.02

1.13

 

0.94

0.87

1.02

 

1.03

0.92

1.16

 

1.07

0.99

1.16

 

 >23

1.09

1.03

1.15

 

0.97

0.89

1.05

 

0.99

0.88

1.12

 

1.05

0.97

1.13

 

Mean taxable income (in euros)

 <13 458

1.00

  

0.132

1.00

  

0.637

1.00

  

0.991

1.00

  

0.167

 13 458–14 997

0.97

0.92

1.02

 

1.01

0.93

1.09

 

1.03

0.91

1.16

 

1.06

0.98

1.14

 

 14 997–16 711

0.96

0.91

1.02

 

0.99

0.90

1.07

 

1.00

0.88

1.13

 

1.03

0.95

1.12

 

 >16 711

0.96

0.90

1.01

 

0.99

0.91

1.07

 

0.99

0.87

1.12

 

0.95

0.88

1.03

 

Unemployment rate (%)

 <7.9

1.00

  

0.990

1.00

  

0.010

1.00

  

0.744

1.00

  

0.073

 7.9–12

1.03

0.98

1.09

 

1.02

0.94

1.10

 

1.03

0.92

1.15

 

1.06

0.99

1.14

 

 12–15

1.01

0.96

1.06

 

1.09

1.01

1.18

 

1.02

0.92

1.14

 

1.05

0.95

1.16

 

 >15

1.01

0.95

1.07

 

1.09

1.00

1.19

 

1.02

0.90

1.16

 

1.09

1.00

1.18

 

Proportion of housing without bath or shower (%)

 <1.1

1.00

  

0.113

1.00

  

0.104

1.00

  

0.147

1.00

  

0.664

 1.1–1.7

1.00

0.94

1.05

 

1.01

0.93

1.09

 

0.98

0.87

1.10

 

1.02

0.94

1.10

 

 1.7–2.7

1.03

0.98

1.09

 

1.02

0.94

1.10

 

0.96

0.85

1.08

 

1.00

0.92

1.08

 

 >2.7

1.04

0.98

1.10

 

0.92

0.85

1.01

 

0.91

0.81

1.04

 

1.03

0.94

1.11

 

Proportion of manual workers (%)

 <13

1.00

  

0.009

1.00

  

0.723

1.00

  

0.625

1.00

  

0.032

 13–17

1.07

1.01

1.13

 

0.99

0.91

1.08

 

0.97

0.86

1.09

 

1.09

1.01

1.19

 

 17–21

1.10

1.04

1.16

 

1.03

0.95

1.12

 

0.96

0.86

1.08

 

1.11

1.03

1.20

 

 >21

1.07

1.01

1.14

 

0.97

0.89

1.06

 

0.97

0.86

1.09

 

1.10

1.00

1.19

 
  1. a95% confidence interval.
  2. RR=relative risk.