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Cited by 60Cutaneous Melanoma Detection and ManagementGlobal Cancer Incidence and Screeningmelanin and skin pigmentation

Demographic Predictors of Melanoma Stage at Diagnosis

Van Durme, D. J.·2000·Archives of Family Medicine
DOI 10.1001/archfami.9.7.606
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Abstract

OBJECTIVE: To examine sociodemographic characteristics as possible predictors of late-stage melanoma diagnosis. We hypothesized that late-stage diagnosis would be associated with the following: older age, male sex, unmarried status, lower educational attainment and income level, rural residence, and cigarette smoking. METHODS: We used data from the state tumor registry to study all incident cases of melanoma occurring in Florida during 1994 whose stage at diagnosis was available (N = 1884). We used multiple logistic regression to determine the effects of sociodemographic characteristics on the odds of late-stage (regional or distant metastases) diagnosis. RESULTS: There were 243 patients (12.9%) diagnosed as having melanoma that had metastasized to either regional lymph nodes or distant sites. Patients who were unmarried (odds ratio, 1.5; P= .01), male (odds ratio, 2.2; P<.001), or smokers (odds ratio, 2.2; P<.001) or who resided in communities with lower median educational attainment (odds ratio, 1.5; P= .048) had greater odds of having a late-stage diagnosis. CONCLUSIONS: To detect these cancers at an earlier stage and improve outcomes, there should be increased educational efforts directed toward physicians who treat these patients. A recognition that there may be additional risk factors for late-stage diagnosis, beyond the established risk factors, such as family history and excess sun exposure, should be included in the initial assessment. Specific public education efforts should also be targeted to these patients to increase their self-surveillance and surveillance of their partners.

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Authors
Van Durme, D. J.
Venue
Archives of Family Medicine
Publisher
CLOCKSS Archive
Published
2000-07-01
Volume
9
Issue
7
Pages
606-611
ISSN
1063-3987 (ISSN-L)
DOI
10.1001/archfami.9.7.606
OpenAlex
W2144719697
Cited by
60
References
35
Citations by year
2026: 1 · 2025: 1 · 2024: 3 · 2023: 1 · 2021: 1 · 2020: 1 · 2019: 2 · 2018: 5 · 2017: 3 · 2016: 3 · 2014: 4 · 2013: 3 · 2012: 2
FWCI
0.88
Type
journal article
Language
en
Open access
closed
Locations
  • Archives of Family Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Oncology › Cutaneous Melanoma Detection and Management
  • Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › melanin and skin pigmentation
Keywords
melanoma, stage at diagnosis, delayed diagnosis, sociodemographic factors, marital status, sex differences, cigarette smoking, educational attainment, income, rural residence, metastasis, early detection, public health education
MeSH terms
Adolescent, Adult, Aged, Aged, 80 and over, Demography, Female, Humans, Male, Melanoma, Middle Aged, Neoplasm Staging, Skin Neoplasms, Socioeconomic Factors

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