{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T23:44:56Z","timestamp":1789947896803,"version":"4.0.1"},"reference-count":41,"publisher":"BMJ","issue":"11","funder":[{"DOI":"10.13039\/501100003130","name":"Fonds Wetenschappelijk Onderzoek","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003130","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2017,8,23]]},"published-print":{"date-parts":[[2017,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study probes into site-specific cancer mortality inequalities by employment and occupational group among Belgians, adjusted for other indicators of socioeconomic (SE) position.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>This cohort study is based on record linkage between the Belgian censuses of 1991 and 2001 and register data on emigration and mortality for 01\/10\/2001 to 31\/12\/2011.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Belgium.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>The study population contains all Belgians within the economically active age (25\u201365 years) at the census of 1991.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcome measures<\/jats:title>\n                    <jats:p>Both absolute and relative measures were calculated. First, age-standardised mortality rates have been calculated, directly standardised to the Belgian population. Second, mortality rate ratios were calculated using Poisson\u2019s regression, adjusted for education, housing conditions, attained age, region and migrant background.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>This study highlights inequalities in site-specific cancer mortality, both related to being employed or not and to the occupational group of the employed population. Unemployed men and women show consistently higher overall and site-specific cancer mortality compared with the employed group. Also within the employed group, inequalities are observed by occupational group. Generally manual workers and service and sales workers have higher site-specific cancer mortality rates compared with white-collar workers and agricultural and fishery workers. These inequalities are manifest for almost all preventable cancer sites, especially those cancer sites related to alcohol and smoking such as cancers of the lung, oesophagus and head and neck. Overall, occupational inequalities were less pronounced among women compared with men.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Important SE inequalities in site-specific cancer mortality were observed by employment and occupational group. Ensuring financial security for the unemployed is a key issue in this regard. Future studies could also take a look at other working regimes, for instance temporary employment or part-time employment and their relation to health.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2016-015216","type":"journal-article","created":{"date-parts":[[2017,11,13]],"date-time":"2017-11-13T01:00:27Z","timestamp":1510534827000},"page":"e015216","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":11,"title":["Site-specific cancer mortality inequalities by employment and occupational groups: a cohort study among Belgian adults, 2001\u20132011"],"prefix":"10.1136","volume":"7","author":[{"given":"Katrien","family":"Vanthomme","sequence":"first","affiliation":[{"name":"Department of Sociology - Interface Demography, Economic and Social Sciences and Solvay Business School - Vrije Universiteit Brussel, Brussels, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Van den Borre","sequence":"additional","affiliation":[{"name":"Department of Sociology - Interface Demography, Economic and Social Sciences and Solvay Business School - Vrije Universiteit Brussel, Brussels, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hadewijch","family":"Vandenheede","sequence":"additional","affiliation":[{"name":"Department of Sociology - Interface Demography, Economic and Social Sciences and Solvay Business School - Vrije Universiteit Brussel, Brussels, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paulien","family":"Hagedoorn","sequence":"additional","affiliation":[{"name":"Department of Sociology - Interface Demography, Economic and Social Sciences and Solvay Business School - Vrije Universiteit Brussel, Brussels, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sylvie","family":"Gadeyne","sequence":"additional","affiliation":[{"name":"Department of Sociology - Interface Demography, Economic and Social Sciences and Solvay Business School - Vrije Universiteit Brussel, Brussels, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2017,11,12]]},"reference":[{"key":"2025121513072979000_7.11.e015216.1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-0009.2005.00398.x"},{"key":"2025121513072979000_7.11.e015216.2","doi-asserted-by":"publisher","DOI":"10.1177\/0022146510383498"},{"key":"2025121513072979000_7.11.e015216.3","doi-asserted-by":"publisher","DOI":"10.1177\/002214650404500303"},{"key":"2025121513072979000_7.11.e015216.4","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1186\/s12889-016-3139-1","article-title":"Socioeconomic disparities in lung cancer mortality in Belgian men and women (2001-2011): does it matter who you live with?","volume":"16","author":"Vanthomme","year":"2016","journal-title":"BMC Public Health"},{"key":"2025121513072979000_7.11.e015216.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2013.10.026"},{"key":"2025121513072979000_7.11.e015216.6","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0108072","article-title":"Occupational class inequalities in all-cause and cause-specific mortality among middle-aged men in 14 European populations during the early 2000s","volume":"9","author":"Toch-Marquardt","year":"2014","journal-title":"PLoS One"},{"key":"2025121513072979000_7.11.e015216.7","doi-asserted-by":"publisher","DOI":"10.1007\/s10654-008-9267-x"},{"key":"2025121513072979000_7.11.e015216.8","doi-asserted-by":"publisher","DOI":"10.1080\/14034940410019190"},{"key":"2025121513072979000_7.11.e015216.9","doi-asserted-by":"publisher","DOI":"10.1136\/jech.2005.041319"},{"key":"2025121513072979000_7.11.e015216.10","doi-asserted-by":"publisher","DOI":"10.1136\/jech.52.3.153"},{"key":"2025121513072979000_7.11.e015216.11","doi-asserted-by":"publisher","DOI":"10.1007\/s10552-008-9162-5"},{"key":"2025121513072979000_7.11.e015216.12","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.publhealth.18.1.341"},{"key":"2025121513072979000_7.11.e015216.13","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-14-723"},{"key":"2025121513072979000_7.11.e015216.14","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2014.05.021"},{"key":"2025121513072979000_7.11.e015216.15","unstructured":"Ezzati M , Vander Hoorn S , Lopez A , et al . 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