Dudley Strategy for Tackling Health Inequalities 2010-15

Colorectal cancerProstate cancerThere are also a range of survivorship issues which have an impact on equalityincluding provision of financial advice, access to follow up assistance in returning toemployment and access to psychological support.Research (Davey, Austoker and Macleod, 1999) focused on women with breastcancer found that those living in deprived areas were:• More likely to be diagnosed with advanced cancer• More likely to have a mastectomy, rather than breastconserving surgery• Less likely to receive radiotherapy• Less likely to have surgical treatment• Less likely to have survived five yearsLifestyle factors account for most of the variance in cancer incidence between themost and least deprived groups. Higher smoking prevalence among lowersocioeconomic groups is the single most important contributing factor to inequalitiesin cancer incidence and mortality but different exposures to other risky healthbehaviours that contribute to inequalities in cancer rates such as: poor diet, obesity,129