New insights into the association of socioeconomic status with cutaneous malignant melanoma

Idorn, LW

doi:10.1111/bjd.13726

Br J Dermatol

2015

DOI: 10.1111/bjd.13726

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New insights into the association of socioeconomic status with cutaneous malignant melanoma

LW Idorn

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2024

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Socioeconomic disparity in the natural history of cutaneous melanoma: evidence from two large prospective cohorts

Yang,

Xiao,

Jing

et al. 2024

J Epidemiol Community Health

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BackgroundPrevious studies on the associations between socioeconomic status (SES) and cutaneous malignant melanoma (CMM) failed to distinguish the effects of different SES factors under an individual-data-based prospective study design.MethodsBased on UK Biobank (UKB) and China Kadoorie Biobank (CKB), we estimated the effects of four SES factors on transitions from baseline to CMM in situ, subsequently to invasive CMM and further CMM mortality by applying multistate models. We further explored to which extent the associations between SES and CMM incidence could be explained by potential mediators including sun exposure, lifestyle and ageing in UKB.ResultsIn multistate analyses, good household income was independently associated with an increased risk of CMM in situ (HR=1.38, 95% CI: 1.21 to 1.58) and invasive CMM (HR=1.34, 95% CI: 1.22 to 1.48) in UKB. These findings were partly validated in CKB. Especially in UKB, we observed an increased risk of CMM in situ and invasive CMM among participants with good type of house; only good education was independently associated with lower risk of evolving to invasive CMM among patients with CMM in situ (HR=0.69, 95% CI: 0.52 to 0.92); only good household income was independently associated with lower risk of CMM mortality among patients with CMM (HR=0.65, 95% CI: 0.45 to 0.95). In mediation analysis, the proportions attributable to the mediating effect were <6% for all selected variables, including self-reported sun exposure-related factors.ConclusionSES factors have different effects on the incidence and progression of CMM. The association between SES and incident CMM is neither causal nor well explained by selected mediators.

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Socioeconomic disparity in the natural history of cutaneous melanoma: evidence from two large prospective cohorts

Yang,

Xiao,

Jing

et al. 2024

J Epidemiol Community Health

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New insights into the association of socioeconomic status with cutaneous malignant melanoma

Cited by 1 publication

References 7 publications

Socioeconomic disparity in the natural history of cutaneous melanoma: evidence from two large prospective cohorts

Socioeconomic disparity in the natural history of cutaneous melanoma: evidence from two large prospective cohorts

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