Dudley Strategy for Tackling Health Inequalities 2010-15

Figure 5All invasive cancers, excluding non-melanoma skin cancer (ICD10 C00-C97 excl. C44):Trends in excess mortality (%) over time (1996-1998, 2001-2003, 2005-2007)West Midlands PCTs, femalesSource: West Midlands Cancer Intelligence Unit, Excess Cancer Incidence and Mortality 1997-2007Cancer incidenceFor the 2000-04 time period all malignancies group and 11 of 23 site groups showeda statistically significant association between cancer incidence and socio-economicdeprivation. (National Cancer Intelligence Network, 2009). Head and neck, stomach,liver, lung and cervical cancers were particularly strongly associated with socialdeprivation, for these groups rates in the most deprived quintile approached twicethat in the most affluent quintile. While those of breast, skin and prostate are found atincreased rates among higher socioeconomic groups. Even among those cancerswhere incidence is higher among wealthier socioeconomic groups death rates arehigher among deprived communities.The picture for ethnic minority groups varies according to cancer type and ethnicgroup. In general, incidence is lower amongst ethnic minority groups, although thereare some important exceptions (incidence of prostate cancer is greater amongstBlack African and Black African-Caribbean men, liver cancer in South Asians, andmouth cancer in Bangladeshis)122