{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T17:46:16Z","timestamp":1777484776935,"version":"3.51.4"},"reference-count":43,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Cancer Control"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>This study examined the association between social determinants of health (SDHs) and cancer incidence in a nationally representative Chinese cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a prospective cohort study using data from 12,335 participants in the China Health and Retirement Longitudinal Study (2011-2020). SDHs scores reflected favorable social conditions. Cox proportional hazards models estimated cancer risk across SDHs levels, with subgroup and sensitivity analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Higher SDHs scores were associated with a lower cancer risk (HR 0.69, 95% CI 0.51-0.95), particularly among men (HR 0.60, 95% CI 0.39-0.92), rural residents (HR 0.54, 95% CI 0.33-0.87), and individuals who smoked (HR 0.59, 95% CI 0.37-0.95) or drank alcohol (HR 0.47, 95% CI 0.27-0.82). No significant association was observed in participants with hypertension (HR 0.74, 95% CI 0.44-1.24) or hyperlipidemia (HR 0.85, 95% CI 0.33-2.18).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Favorable social conditions were linked to reduced cancer risk, emphasizing the need to improve social environments alongside lifestyle interventions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10732748251404662","type":"journal-article","created":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T16:24:23Z","timestamp":1764347063000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Association Between Social Determinants of Health and Cancer Risk in Middle-Aged and Older Chinese Adults: Evidence From a Nationally Representative Cohort Study"],"prefix":"10.1177","volume":"32","author":[{"given":"Mingyang","family":"Liu","sequence":"first","affiliation":[{"name":"Beidahuang Industry Group General Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuqiao","family":"Zhang","sequence":"additional","affiliation":[{"name":"Beidahuang Industry Group General Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lei","family":"Shi","sequence":"additional","affiliation":[{"name":"Beidahuang Industry Group General Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kunxiang","family":"Ji","sequence":"additional","affiliation":[{"name":"Beidahuang Industry Group General Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hui","family":"Li","sequence":"additional","affiliation":[{"name":"Beidahuang Industry Group General Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiacheng","family":"Xing","sequence":"additional","affiliation":[{"name":"Beidahuang Industry Group General Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Siyu","family":"Xia","sequence":"additional","affiliation":[{"name":"Beidahuang Industry Group General Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-1635-4775","authenticated-orcid":false,"given":"Feng","family":"Gao","sequence":"additional","affiliation":[{"name":"Beidahuang Industry Group General Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,11,28]]},"reference":[{"key":"e_1_3_7_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/cac2.12197"},{"key":"e_1_3_7_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jncc.2024.01.006"},{"key":"e_1_3_7_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/s2468-2667(23)00211-6"},{"key":"e_1_3_7_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/cm9.0000000000002108"},{"key":"e_1_3_7_6_2","doi-asserted-by":"publisher","DOI":"10.20892\/j.issn.2095-3941.2022.0231"},{"key":"e_1_3_7_7_2","volume-title":"Social Determinants of Health","author":"WHO","unstructured":"WHO. 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