{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T02:09:08Z","timestamp":1791943748504,"version":"4.3.4"},"reference-count":35,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,6,16]],"date-time":"2022-06-16T00:00:00Z","timestamp":1655337600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Socio\u2010economic (SE) status is closely linked to health status and the mechanisms of this association are complex. One important adverse effect of SE disadvantage is vulnerability to cancer and cancer is a major cause of morbidity and mortality in Australia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>We aimed to estimate the effect of SE status on mortality rates from ovarian, cervical, and endometrial cancer.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>National mortality data were obtained from the Australian Bureau of Statistics (ABS) for the calendar years from 2001 to 2018, inclusive. Individual deaths were grouped by the ABS Index of Relative Socio\u2010economic Advantage and Disadvantage. Population data were obtained to provided denominators allowing calculation of mortality rates (deaths per 100\u2009000 women aged 30\u201379\u2009years). Statistical analyses performed included tabulating point\u2010estimates of mortality rates and their changes over time and modelling the trends of rates using maximum likelihood method.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Age\u2010standardised mortality rates for ovarian and cervical cancer fell over the study period but increased for endometrial cancer. There was clear evidence of a SE gradient in the mortality rate for all three cancers. This SE gradient increased over the study period for ovarian and cervical cancer but remained unchanged for endometrial cancer.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Women at greater SE disadvantage have higher rates of death from the commonest gynaecological cancers and this gradient has not reduced over the last two decades. After the COVID\u201019 pandemic efforts must be redoubled to ensure that Australians already at risk of ill health do not face even greater risks because of their circumstances.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.13553","type":"journal-article","created":{"date-parts":[[2022,6,16]],"date-time":"2022-06-16T10:34:27Z","timestamp":1655375667000},"page":"714-719","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["The socioeconomic gradient in mortality from ovarian, cervical, and endometrial cancer in Australian women, 2001\u20132018: A population\u2010based study"],"prefix":"10.1111","volume":"62","author":[{"given":"James","family":"Gregory","sequence":"first","affiliation":[{"name":"Junior Medical Officer Nepean Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8960-7620","authenticated-orcid":false,"given":"Leon","family":"Foster","sequence":"additional","affiliation":[{"name":"Senior Subspecialty Trainee, Gynaecological Oncology Royal Hospital for Women  Sydney New\u00a0South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pauline","family":"O'Shaughnessy","sequence":"additional","affiliation":[{"name":"School of Mathematics and Applied Statistics University of Wollongong  Wollongong New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2752-4309","authenticated-orcid":false,"given":"Stephen\u00a0J.","family":"Robson","sequence":"additional","affiliation":[{"name":"School of Health and Medicine Australian National University  Canberra Australian Capital Territory Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,6,16]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph16020281"},{"key":"e_1_2_6_3_1","unstructured":"DavidsonP BradburyB WongM HillP.Inequality in Australia 2020 part 2: who is affected and why?2020 Australian Council of Social Service (ACOSS) and UNSW (Sydney). 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