title: Spatial disparities in melanoma incidence and prognosis with consideration to stage at diagnosis, gender and marital status.
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.
authors.affiliation: Health Metrics Unit, Department of Public Health and Community Medicine, Institute of Medicine, The Sahlgrenska Academy, University of Gothenburg, Box 414, SE-405 30, Gothenburg, Sweden ; Institute of Clinical Sciences, Division of Cancer Epidemiology, Lund University, Sweden . Electronic address: ulf.stromberg@gu.se.
authors.forename: Ulf
authors.initials: U
authors.lastname: Strömberg
authors.affiliation: Department of Research, Development and Education, Region Halland, Halmstad, Sweden.
authors.forename: Anders
authors.initials: A
authors.lastname: Holmén
authors.affiliation: Regional Cancer Center South, Lund, Sweden.
authors.forename: Stefan
authors.initials: S
authors.lastname: Peterson
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D017533:Marital Status; D008545:Melanoma / Q000453:epidemiology* / Q000209:etiology / Q000473:pathology / Q000517:prevention & control; D008875:Middle Aged; D009367:Neoplasm Staging; D011379:Prognosis; D012737:Sex Factors; D062211:Spatio-Temporal Analysis; D013548:Sweden / Q000453:epidemiology; D055815:Young Adult
keywords: Disease mapping; Gender; Marital status; Register-based study; Skin tumor