Spatial disparities in melanoma incidence and prognosis with consideration to stage at diagnosis, gender and marital status. (November 2016)

• Record Type: Journal Article
• Authors: Strömberg, Ulf; Holmén, Anders; Peterson, Stefan
• Is Part Of: Spatial and spatio-temporal epidemiology. Volume 19(2016)
• Page Start: 21
• Page End: 27
• Publication Date: 2016-11
• Subjects: Disease mapping -- Gender -- Marital status -- Register-based study -- Skin tumor; CMM cutaneous malignant melanoma -- SES socioeconomic status -- SIR standardized incidence ratio -- SSHCR Southern Swedish Health Care Region -- WSHCR Western Swedish Health Care Region; Epidemiology -- Statistical methods -- Periodicals; Epidemiology -- Periodicals; 614.4072
• DOI: 10.1016/j.sste.2016.05.005
• Languages: English
• ISSNs: 1877-5845

Abstract

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 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.