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.
Massachussets 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 that used death registration as the outcome measure for incident cases was performed.
Lower socioeconomic status was associated with a higher 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=1.09,2.13).
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.
Mots-clés Pascal : Mélanome malin, Peau, Mortalité, Epidémiologie, Homme, Statut socioéconomique, Massachusetts, Etats Unis, Amérique du Nord, Amérique, Tumeur maligne, Peau pathologie
Mots-clés Pascal anglais : Malignant melanoma, Skin, Mortality, Epidemiology, Human, Socioeconomic status, Massachusetts, United States, North America, America, Malignant tumor, Skin disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0324409
Code Inist : 002B08A. Création : 10/04/1997.