{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T18:58:33Z","timestamp":1780340313151,"version":"3.54.1"},"reference-count":45,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2020,10,1]],"date-time":"2020-10-01T00:00:00Z","timestamp":1601510400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,10,1]],"date-time":"2020-10-01T00:00:00Z","timestamp":1601510400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Cancer Epidemiology"],"published-print":{"date-parts":[[2020,10]]},"DOI":"10.1016\/j.canep.2020.101789","type":"journal-article","created":{"date-parts":[[2020,8,12]],"date-time":"2020-08-12T00:38:45Z","timestamp":1597192725000},"page":"101789","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":11,"special_numbering":"C","title":["Social gradient in cancer incidence in Costa Rica: Findings from a national population-based cancer registry"],"prefix":"10.1016","volume":"68","author":[{"given":"Romain","family":"Fantin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolina Santamar\u00eda","family":"Ulloa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristina Barboza","family":"Sol\u00eds","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.canep.2020.101789_bib0005","series-title":"Reducing Social Inequalities in Cancer: Evidence and Priorities for Research","author":"Vaccarella","year":"2019"},{"key":"10.1016\/j.canep.2020.101789_bib0010","series-title":"Les cancers attribuables au mode de vie et \u00e0 l\u2019environnement en France m\u00e9tropolitaine","article-title":"Facteurs socio-\u00e9conomiques","author":"Bry\u00e8re","year":"2018"},{"key":"10.1016\/j.canep.2020.101789_bib0015","first-page":"44","article-title":"[Trends in mortality from cancer in Chile according to differences in educational level, 2000-2010]","volume":"37","author":"Herrera Riquelme","year":"2015","journal-title":"Rev. Panam. Salud. Publica. Pan. Am. J. Public Health"},{"key":"10.1016\/j.canep.2020.101789_bib0020","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1007\/s10389-009-0306-1","article-title":"Socioeconomic inequalities in cancer incidence and mortality-a spatial analysis in Bremen, Germany","volume":"18","author":"Eberle","year":"2010","journal-title":"J. Public Health"},{"issue":"49","key":"10.1016\/j.canep.2020.101789_bib0025","doi-asserted-by":"crossref","first-page":"1072","DOI":"10.1016\/j.oraloncology.2013.08.002","article-title":"Incidence of head and neck cancer and socioeconomic status in Canada from 1992 to 2007","author":"Hwang","year":"2013","journal-title":"Oral Oncol."},{"key":"10.1016\/j.canep.2020.101789_bib0030","doi-asserted-by":"crossref","first-page":"2191","DOI":"10.1002\/cncr.28632","article-title":"The relationship between area poverty rate and site-specific cancer incidence in the United States","volume":"120","author":"Boscoe","year":"2014","journal-title":"Cancer"},{"key":"10.1016\/j.canep.2020.101789_bib0035","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0089513","article-title":"Association between socioeconomic factors and cancer risk: a population cohort study in Scotland (1991-2006)","volume":"9","author":"Sharpe","year":"2014","journal-title":"PloSOne"},{"issue":"97","key":"10.1016\/j.canep.2020.101789_bib0040","first-page":"95","article-title":"Neighbourhood socioeconomic status and individual lung cancer risk: evaluating long-term exposure measures and mediating mechanisms","volume":"2013","author":"Hystad","year":"1982","journal-title":"Soc. Sci. Med."},{"issue":"44","key":"10.1016\/j.canep.2020.101789_bib0045","first-page":"1989","article-title":"Social inequality and incidence of and survival from lung cancer in a population-based study in Denmark, 1994-2003","volume":"2008","author":"Dalton","year":"1990","journal-title":"Eur. J. Cancer"},{"issue":"44","key":"10.1016\/j.canep.2020.101789_bib0050","first-page":"2074","article-title":"Social inequality in incidence of and survival from cancer in a population-based study in Denmark, 1994-2003: Summary of findings","volume":"2008","author":"Dalton","year":"1990","journal-title":"Eur. J. Cancer"},{"key":"10.1016\/j.canep.2020.101789_bib0055","doi-asserted-by":"crossref","first-page":"2910","DOI":"10.1002\/cncr.23742","article-title":"Examining the association between socioeconomic status and potential human papillomavirus-associated cancers","volume":"113","author":"Benard","year":"2008","journal-title":"Cancer"},{"key":"10.1016\/j.canep.2020.101789_bib0060","doi-asserted-by":"crossref","first-page":"4086","DOI":"10.1002\/cncr.28241","article-title":"Body mass index and socioeconomic status measured in adolescence, country of origin, and the incidence of gastroesophageal adenocarcinoma in a cohort of 1 million men","volume":"119","author":"Levi","year":"2013","journal-title":"Cancer"},{"key":"10.1016\/j.canep.2020.101789_bib0065","doi-asserted-by":"crossref","first-page":"442","DOI":"10.1097\/01.ede.0000129512.61698.03","article-title":"Socioeconomic risk factors for breast cancer: distinguishing individual- and community-level effects","volume":"15","author":"Robert","year":"2004","journal-title":"Epidemiol. Camb. Mass."},{"key":"10.1016\/j.canep.2020.101789_bib0070","first-page":"1431","article-title":"Socioeconomic status and prostate cancer incidence and mortality rates among the diverse population of California","volume":"20","author":"Cheng","year":"2009","journal-title":"Cancer Causes Control CCC"},{"key":"10.1016\/j.canep.2020.101789_bib0075","doi-asserted-by":"crossref","first-page":"783","DOI":"10.1001\/archdermatol.2011.44","article-title":"Increases in melanoma among adolescent girls and young women in California: trends by socioeconomic status and UV radiation exposure","volume":"147","author":"Hausauer","year":"2011","journal-title":"Arch. Dermatol."},{"issue":"46","key":"10.1016\/j.canep.2020.101789_bib0080","first-page":"2681","article-title":"Socioeconomic status and changing inequalities in colorectal cancer? A review of the associations with risk, treatment and outcome","volume":"2010","author":"Aarts","year":"1990","journal-title":"Eur. J. Cancer"},{"key":"10.1016\/j.canep.2020.101789_bib0085","series-title":"Social inequalities and cancer","article-title":"Why socioeconomic inequalities (increasingly) matter in the cancer continuum","author":"Sarfati","year":"2018"},{"key":"10.1016\/j.canep.2020.101789_bib0090","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1136\/jech.2004.023531","article-title":"Indicators of socioeconomic position (part 1)","volume":"60","author":"Galobardes","year":"2006","journal-title":"J. Epidemiol. Community Health"},{"key":"10.1016\/j.canep.2020.101789_bib0095","doi-asserted-by":"crossref","first-page":"982","DOI":"10.1136\/jech-2011-200311","article-title":"Construction of an adaptable European transnational ecological deprivation index: the French version","volume":"66","author":"Pornet","year":"2012","journal-title":"J. Epidemiol. Community Health"},{"key":"10.1016\/j.canep.2020.101789_bib0100","doi-asserted-by":"crossref","DOI":"10.7189\/jogh.08.020409","article-title":"A systematic review of associations between non-communicable diseases and socioeconomic status within low- and lower-middle-income countries","volume":"8","author":"Williams","year":"2018","journal-title":"J. Glob. Health"},{"key":"10.1016\/j.canep.2020.101789_bib0105","article-title":"The changing global burden of cancer: transitions in human development and implications for cancer prevention and control","volume":"Vol. 3","author":"Bray","year":"2015","journal-title":"Cancer: Disease Control Priorities"},{"key":"10.1016\/j.canep.2020.101789_bib0110","series-title":"Social inequalities and cancer","article-title":"Cancer transitions and patterns of cancer occurrence by HDI","author":"Fidler","year":"2018"},{"issue":"136","key":"10.1016\/j.canep.2020.101789_bib0115","first-page":"E359","article-title":"Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012","author":"Ferlay","year":"2015","journal-title":"Int. J. Cancer"},{"key":"10.1016\/j.canep.2020.101789_bib0120","first-page":"95","article-title":"El registro de C\u00e1ncer de Costa Rica: caracter\u00edsticas, evoluci\u00f3n y modernizaci\u00f3n","volume":"3","author":"Zamora","year":"2017","journal-title":"Rev. Hispanoam Cienc. Salud"},{"key":"10.1016\/j.canep.2020.101789_bib0125","unstructured":"Instituto Nacional de Estad\u00edsticas y Censos. Sistema de consultas - Estad\u00edsticas demogr\u00e1ficas - Defunciones generales. http:\/\/sistemas.inec.cr:8080\/bincri\/RpWebEngine.exe\/Portal?BASE=2011&lang=esp."},{"key":"10.1016\/j.canep.2020.101789_bib0130","series-title":"Poverty and Shared Prosperity 2016. Taking on Inequality.","author":"World Bank","year":"2016"},{"key":"10.1016\/j.canep.2020.101789_bib0135","doi-asserted-by":"crossref","first-page":"1130","DOI":"10.1073\/pnas.1521917112","article-title":"Exploring why Costa Rica outperforms the United States in life expectancy: A tale of two inequality gradients","volume":"113","author":"Rosero-Bixby","year":"2016","journal-title":"Proc. Natl. Acad. Sci. U. S. A."},{"key":"10.1016\/j.canep.2020.101789_bib0140","doi-asserted-by":"crossref","DOI":"10.1016\/j.canep.2020.101695","article-title":"Social inequalities in cancer survival: A population-based study using the Costa Rican cancer registry","volume":"65","author":"Fantin","year":"2020","journal-title":"Cancer Epidemiol."},{"key":"10.1016\/j.canep.2020.101789_bib0145","doi-asserted-by":"crossref","first-page":"143","DOI":"10.15517\/ijds.2019.37295","article-title":"Measuring socioeconomic position from the social inequalities in health perspective?: the case of costa rica","author":"Fantin","year":"2019","journal-title":"Odovtos \u2013 Int. J Dent Sci"},{"key":"10.1016\/j.canep.2020.101789_bib0150","article-title":"Socioeconomic Inequalities in Cancer Mortality: is Costa Rica an Exception to the rule?","volume":"22","author":"Fantin","year":"2020","journal-title":"Int. J. Cancer Published Online First"},{"key":"10.1016\/j.canep.2020.101789_bib0155","series-title":"Estad\u00edsticas de sufragio - Febrero","author":"Tribunal Supremo de Elecciones","year":"2016"},{"key":"10.1016\/j.canep.2020.101789_bib0160","series-title":"Costa Rica : un mapa de carencias cr\u00edticas para el a\u00f1o 2000. Costa Rica a la luz del censo 2000 Published Online First","author":"M\u00e9ndez Fonseca","year":"2004"},{"key":"10.1016\/j.canep.2020.101789_bib0165","series-title":"El m\u00e9todo de las necesidades b\u00e1sicas insatisfechas (NBI) y sus aplicaciones en Am\u00e9rica Latina","author":"Feres","year":"2011"},{"key":"10.1016\/j.canep.2020.101789_bib0170","unstructured":"Vaccarella S., de Vries E., Sierra M., et al. Social inequalities in cancer within countries. In: Reducing social inequalities in cancer: evidence and priorities for research.https:\/\/www.researchgate.net\/publication\/332448366_Chapter_6_Social_inequalities_in_cancer_within_countries (accessed 2 Dec 2019)."},{"key":"10.1016\/j.canep.2020.101789_bib0175","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1093\/ije\/28.3.365","article-title":"Geographical differences of cancer incidence in Costa Rica in relation to environmental and occupational pesticide exposure","volume":"28","author":"Wesseling","year":"1999","journal-title":"Int. J. Epidemiol."},{"key":"10.1016\/j.canep.2020.101789_bib0180","doi-asserted-by":"crossref","DOI":"10.1155\/2017\/2819372","article-title":"Socioeconomic and Racial\/Ethnic Disparities in Cancer Mortality, Incidence, and Survival in the United States, 1950-2014: Over Six Decades of Changing Patterns and Widening Inequalities","author":"Singh","year":"2017","journal-title":"J. Environ. Public Health"},{"key":"10.1016\/j.canep.2020.101789_bib0185","doi-asserted-by":"crossref","first-page":"777","DOI":"10.1002\/ijc.30499","article-title":"Lifecourse socioeconomic status and cancer-related risk factors: Analysis of the WHO study on global ageing and adult health (SAGE)","volume":"140","author":"Akinyemiju","year":"2017","journal-title":"Int. J. Cancer."},{"key":"10.1016\/j.canep.2020.101789_bib0190","doi-asserted-by":"crossref","first-page":"1","DOI":"10.26633\/RPSP.2020.17","article-title":"Caracter\u00edsticas sociodemogr\u00e1ficas asociadas a la prevalencia del consumo de tabaco en Costa Rica","volume":"44","author":"Espinoza Aguirre","year":"2020","journal-title":"Rev Panam Salud P\u00fablica"},{"key":"10.1016\/j.canep.2020.101789_bib0195","series-title":"VI encuesta nacional 2015: Consumo de drogas en Costa Rica","author":"Instituto sobre Alcoholismo y Farmacodependencia","year":"2018"},{"key":"10.1016\/j.canep.2020.101789_bib0200","first-page":"1","article-title":"Variation in dietary intake and body fatness by socioeconomic status among women in the context of Costa Rican nutrition transitions","author":"Bekelman","year":"2019","journal-title":"J. Biosoc. Sci."},{"key":"10.1016\/j.canep.2020.101789_bib0205","series-title":"Ministerio de Educaci\u00f3n P\u00fablica. Censo Escolar Peso\/Talla - 2016","year":"2017"},{"key":"10.1016\/j.canep.2020.101789_bib0210","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0205253","article-title":"Spatial distribution of breast cancer mortality: Socioeconomic disparities and access to treatment in the state of Parana, Brazil","volume":"13","author":"Rocha-Brischiliari","year":"2018","journal-title":"PloSOne"},{"key":"10.1016\/j.canep.2020.101789_bib0215","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2015-008985","article-title":"Time trends in educational inequalities in cancer mortality in Colombia, 1998-2012","volume":"6","author":"de Vries","year":"2016","journal-title":"BMJ Open"},{"key":"10.1016\/j.canep.2020.101789_bib0220","first-page":"203","article-title":"Parity and Illiteracy as Risk Factors of Cervical Cancers in Viet Nam","volume":"2","author":"Ngaon","year":"2001","journal-title":"Asian Pac. J. Cancer Prev. APJCP"},{"key":"10.1016\/j.canep.2020.101789_bib0225","doi-asserted-by":"crossref","first-page":"546","DOI":"10.1002\/(SICI)1097-0215(19980209)75:4<546::AID-IJC9>3.0.CO;2-T","article-title":"The viral origin of cervical cancer in Rabat, Morocco","volume":"75","author":"Chaouki","year":"1998","journal-title":"Int. J. Cancer"}],"container-title":["Cancer Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1877782120301235?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1877782120301235?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T05:25:28Z","timestamp":1761801928000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1877782120301235"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10]]},"references-count":45,"alternative-id":["S1877782120301235"],"URL":"https:\/\/doi.org\/10.1016\/j.canep.2020.101789","relation":{},"ISSN":["1877-7821"],"issn-type":[{"value":"1877-7821","type":"print"}],"subject":[],"published":{"date-parts":[[2020,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Social gradient in cancer incidence in Costa Rica: Findings from a national population-based cancer registry","name":"articletitle","label":"Article Title"},{"value":"Cancer Epidemiology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.canep.2020.101789","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2020 Elsevier Ltd. All rights reserved.","name":"copyright","label":"Copyright"}],"article-number":"101789"}}