Cutaneous melanoma mortality among the socioeconomically disadvantaged in Massachusetts
Bibliographic Data
| ID | 11023271 |
|---|---|
| Authors | Alan C Geller (0000-0003-3060-5513, Boston University), Donald R Miller (0000-0002-7881-8801), R A Lew (0000-0002-1931-2894), R W CLAPP, Richard Clapp (0000-0001-8174-0825), Mark B Wenneker, H K Koh |
| Year | 1996 |
| Volume | 86 |
| Issue | 4 |
| Pages | 538-544 |
| Publication date | 1996-04-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | American Journal of Public Health (JOURNAL) |
| Journal identifiers | ISSN: 0090-0036 • E-ISSN: 1541-0048 |
| Publisher | American Public Health Association (PUBLISHER • US) |
| DOI | 10.2105/ajph.86.4.538 |
| PMID | 8604786 |
| OpenAlex | W2006781442 |
| Language | EN |
| Citations received | 8 |
| References cited | 35 |
OBJECTIVES: To identify groups for melanoma prevention and early detection programs, this study explored the hypothesis that survival with cutaneous melanoma is disproportionately lower for persons of lower socioeconomic status. METHODS: Massachusetts Cancer Registry and Registry of Vital Records and Statistics data (1982 through 1987) on 3288 incident cases and 1023 deaths from cutaneous melanoma were analyzed. Mortality/incidence ratios were calculated and compared, predictors of late stage disease were examined with logistic regression analysis, and a proportional hazards regression analysis that used death registration as the outcome measure for incident cases was performed. RESULTS: Lower socioeconomic status was associated with a higher mortality/incidence ratio after adjustment for age and sex. For education, the mortality/incidence ratio was 0.37 in the lower group vs 0.25 in the higher group (rate ratio = 1.48, 95% confidence interval [CI] = 1.08, 2.03). Late stage disease was independently associated with lower income (rate ratio for lowest vs highest tertile = 1.64, 95% CI = 1.20, 2.25), and melanoma mortality among case patients was associated with lower education (rate ratio = 1.52, 95% CI = 1.09, 213). CONCLUSIONS: Melanoma patients of lower socioeconomic status may be more likely to die from their melanoma than patients of higher socioeconomic status. Low- SES communities may be appropriate intervention targets
Cancer · Cancer registry · Confidence interval · Environmental health · Incidence (geometry) · Mortality rate · Population · Proportional hazards model · Rate ratio · Skin cancer · Socioeconomic status · Cutaneous Melanoma Detection and Management · Demography · Epidemiology · Internal Medicine · Medicine · Melanoma and MAPK Pathways · Nonmelanoma Skin Cancer Studies · Gerontology
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| Unique citing works | 8 |
|---|---|
| Citations per year | 0,27 |
| Citation span | 1996 - 2017 (22) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 6 |