Cent Eur J Public Health 2017, 25(Suppl 2):S37-S43 | DOI: 10.21101/cejph.a5050

Risk of dying from cancer by socio-demographic indicators in the Slovak Republic

Matúš Kubák1, Róbert Štefko2, Miroslav Barták3, Jaroslav Majerník4, Tatiana Vagašová1, Michaela Fedelešová5
1 Faculty of Economics, Technical University of Košice, Košice, Slovak Republic
2 Departmnet of Marketing and International Trade, Faculty of Management, University of Prešov, Prešov, Slovak Republic
3 Department of Addictology, First Faculty of Medicine, Charles University and General University Hospital in Prague, Prague, Czech Republic
4 Department of Medical Informatics, Faculty of Medicine, Pavol Jozef Šafárik University in Košice, Košice, Slovak Republic
5 Third Department of Internal Medicine, University Hospital and UK Faculty of Medicine, Bratislava, Slovak Republic

Aim: Cancer mortality distribution was investigated by detailed neoplasms groups, age, sex, marital status of deceased, and regions in the Slovak Republic, and examined how these determinants influence the odds of dying due to cancer.

Methods: A retrospective analysis of cancer mortality statistics registered in the Slovak Republic during the years 1996-2014. For this time period, data was available only on the underlying subgroups of cancer deaths, place of death, age, year, sex, and marital status. Binary logistic regression was applied for odds of dying calculation influenced by these socio-demographic factors.

Results: The most common are deaths from malignant neoplasms of digestive organs in males as well as females. The biggest difference among both genders is recognized in malignant neoplasms of lip, oral cavity and pharynx, where deaths among males are on average 7.9 times higher in comparison to females. As for place of death the Bratislava region reports the highest level of cancer mortality stated at 25.22% of all deaths, on the contrary the Banská Bystrica region reports only 21.40% of all deaths. Age has a negative influence on odds of dying due to neoplasms compared to all other causes of death by 1.7%. In all regions compared to the reference Bratislava region, the odds of dying from neoplasms are lower. Being female diminishes the odds of dying due to neoplasms by 25.7% compared to males. Yearly the relative ratio of dying from neoplasms increases with respect to all other causes of death. When single people are set as the reference category, the relation of the probability of death from cancer to the probability of death due to other causes of death is higher for married, divorced and widowed persons.

Conclusions: The results should be taken into account when comparing risk of dying due to cancer among people with the mentioned socio-demographic characteristics. Health policy makers should consider place of death and cancer types while planning hospital care units.

Keywords: cancer mortality, odds of dying, socio-demographic factors, marital status

Received: January 26, 2017; Revised: December 19, 2017; Published: December 30, 2017  Show citation

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Kubák M, Štefko R, Barták M, Majerník J, Vagašová T, Fedelešová M. Risk of dying from cancer by socio-demographic indicators in the Slovak Republic. Cent Eur J Public Health. 2017;25(Supplement 2):S37-43. doi: 10.21101/cejph.a5050. PubMed PMID: 29524368.
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