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Spatial disparities in melanoma incidence and prognosis with consideration to stage at diagnosis, gender and marital status

Strömberg, Ulf LU ; Holmén, Anders and Peterson, Stefan LU (2015) In Spatial and Spatio-temporal Epidemiology
Abstract

Screening strategies need to consider differences in late-stage disease detection linked to socio-demographic and geographic factors. We specifically addressed disparity in melanoma stage at diagnosis linked to residential municipality, gender and marital status within the middle- and old-age population of southern and western Sweden. Population-based registers were used to identify the melanoma cases diagnosed in 2004-2013 (n=7,417). Disease mapping for each population group based on gender and marital status showed marked spatial disparities in melanoma incidences and the overall patterns differed by stage at diagnosis. The incidence of early-stage melanoma was markedly higher in the western region, whereas the incidence of late-stage... (More)

Screening strategies need to consider differences in late-stage disease detection linked to socio-demographic and geographic factors. We specifically addressed disparity in melanoma stage at diagnosis linked to residential municipality, gender and marital status within the middle- and old-age population of southern and western Sweden. Population-based registers were used to identify the melanoma cases diagnosed in 2004-2013 (n=7,417). Disease mapping for each population group based on gender and marital status showed marked spatial disparities in melanoma incidences and the overall patterns differed by stage at diagnosis. The incidence of early-stage melanoma was markedly higher in the western region, whereas the incidence of late-stage melanoma was markedly higher in the southern region except for married women. Excess mortality among cases was observed to be higher in the southern than in the western region, with significant regional differences for the married male cases and the unmarried female cases.

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author
organization
publishing date
type
Contribution to journal
publication status
epub
subject
keywords
Disease mapping, Gender, Marital status, Register-based study, Skin tumor
in
Spatial and Spatio-temporal Epidemiology
publisher
Elsevier Limited
external identifiers
  • Scopus:84979649882
ISSN
1877-5845
DOI
10.1016/j.sste.2016.05.005
language
English
LU publication?
yes
id
1ddcdbcf-2398-4f1e-87dd-d8ad0013b4e6
date added to LUP
2016-09-06 11:15:55
date last changed
2016-10-21 10:14:52
@misc{1ddcdbcf-2398-4f1e-87dd-d8ad0013b4e6,
  abstract     = {<p>Screening strategies need to consider differences in late-stage disease detection linked to socio-demographic and geographic factors. We specifically addressed disparity in melanoma stage at diagnosis linked to residential municipality, gender and marital status within the middle- and old-age population of southern and western Sweden. Population-based registers were used to identify the melanoma cases diagnosed in 2004-2013 (n=7,417). Disease mapping for each population group based on gender and marital status showed marked spatial disparities in melanoma incidences and the overall patterns differed by stage at diagnosis. The incidence of early-stage melanoma was markedly higher in the western region, whereas the incidence of late-stage melanoma was markedly higher in the southern region except for married women. Excess mortality among cases was observed to be higher in the southern than in the western region, with significant regional differences for the married male cases and the unmarried female cases.</p>},
  author       = {Strömberg, Ulf and Holmén, Anders and Peterson, Stefan},
  issn         = {1877-5845},
  keyword      = {Disease mapping,Gender,Marital status,Register-based study,Skin tumor},
  language     = {eng},
  month        = {11},
  publisher    = {ARRAY(0x91d5d68)},
  series       = {Spatial and Spatio-temporal Epidemiology},
  title        = {Spatial disparities in melanoma incidence and prognosis with consideration to stage at diagnosis, gender and marital status},
  url          = {http://dx.doi.org/10.1016/j.sste.2016.05.005},
  year         = {2015},
}