Jiaying Li, Daniel Yee Tak Fong, Mandy Man Ho, Edmond Pui Hang Choi, Kris Yuet Wan Lok, Jung Jae Lee, WenJie Duan, Janet Yuen Ha Wong, Chia-Chin Lin
Prevalence and Factors Associated With Willingness to Sustain Pandemic-Induced Digital Work in the General Population and Moderating Effects of Screen Hours: Cross-Sectional Study
Journal of medical Internet research
growing ageing prison population england makes accurate cancer data increasing importance prison health policies study aimed compare cancer incidence treatment survival patients diagnosed prison general population populationbased matched cohort study used cancer registration data national cancer registration analysis service england identify primary invasive cancers cervical cancers situ diagnosed adults aged 18 years prison general populations jan 1 1998 dec 31 2017 ministry justice office national statistics population data england used calculate agestandardised incidence rates asir per year agestandardised incidence rate ratios asirr 20year period patients diagnosed primary invasive cancers ie excluding cervical cancers situ prison jan 1 2012 dec 31 2017 matched individuals general population linked hospital treatment datasets matching done 15 ratio according 5year age group gender diagnosis year cancer site disease stage primary objectives compare incidence cancer 19982017 receipt treatment curative intent 201217 matched cohort using logistic regression adjusted matching variables excluding cancer site route diagnosis overall survival following cancer diagnosis 201217 matched cohort using cox proportional hazards model adjusted matching variables excluding cancer site route diagnosis stratification receipt treatment curative intent identified 2015 incident cancers among 1964 adults 1556 772 men 459 228 women english prisons 20year period dec 31 2017 asir cancer men prison initially lower men general population 1998 asir 11933 per 100 000 personyears 95 ci 485921916 vs 74697 per 100 000 personyears 7423175166 increased similar level towards end study period 2017 85685 per 100 000 personyears 67512106044 vs 78859 per 100 000 personyears 7846279257 women invasive cancer incidence rate low asir reported group 20year period incidence invasive cancer men prison increased incidence rate ratio per year 105 95 ci 104106 19992017 compared 1998 asirrs showed 20year period overall cancer incidence lower men prison men general population asirr 076 95 ci 073080 difference statistically significant women asirr 083 068100 jan 1 2012 dec 31 2017 patients diagnosed prison less likely undergo curative treatment matched patients general population 274 323 847 patients vs 1728 415 4165 adjusted odds ratio 072 95 ci 060085 diagnosed prison associated significantly increased risk death adjustment matching variables 347 deaths 20219 personyears prison cohort vs 1626 deaths 10 9442 personyears general population adjusted hr 116 95 ci 103130 association partly explained stratification curative treatment adjustment diagnosis route adjusted hr 105 093118 cancer incidence increased people prisons england 1998 2017 patients prison less likely receive curative treatments lower overall survival general population association survival partly explained accounting differences receipt curative treatment adjustment diagnosis route improved routine cancer surveillance needed inform prison cancer policies decrease inequalities underresearched population uk national institute health care research kings college london strategic priorities fund 201920 research england via university surrey