The association between neighborhood socioeconomic status and lung cancer incidence and mortality risk: A systematic review and meta-analysis of cohort studies from North America, Europe, and Asia

OBJECTIVE: This study aimed to synthesize evidence on the association between neighborhood socioeconomic status (n-SES) and lung cancer incidence and mortality risk. METHODS: A systematic search of Web of Science (1900-), PubMed/MEDLINE (1948-), Scopus (1960-), Embase (1947-), and Cochrane (1993-) was conducted through March 18, 2026, without restrictions. Pooled relative effect estimates were calculated using random-effects models. Study quality was assessed via Newcastle-Ottawa Scale, and publication bias using Egger's regression asymmetry test and trim-and-fill. RESULTS: = 99.4%; p < 0.01; n = 10; moderate certainty). Stronger incidence associations were observed among individuals <65 years and in European populations, whereas studies from the USA reported higher mortality risks than Asian or European cohorts. CONCLUSIONS: This study shows low n-SES is associated with higher lung cancer incidence and mortality. Policymakers may consider n-SES in cancer risk assessments and prioritize targeted interventions in disadvantaged neighborhoods, including enhanced screening, smoking cessation support, and community-based health promotion.