Skin cancer screening in Switzerland: Cross-sectional trends (1997–2012) in socioeconomic inequalities

Dumont, Shireen; Cullati, Stéphane; Manor, Orly; Courvoisier, Delphine S.; Merat, Rastine; Guessous, Idris

doi:10.1016/j.ypmed.2019.105829

Cited by 6 publications

(7 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Consequently, the necessity of early diagnosis is larger in this subpopulation. However, across European Euromelanoma populations as well as in some other screening programs across the world, participants are disproportionally more often younger, better educated, white women with higher socioeconomic status (Schmitt et al, 2011;van der Leest et al, 2011;Collins et al, 2014;Dumont et al, 2019). This may in part indicate the imperfections of introductory media campaigns that fail to reach or motivate particularly vulnerable but less receptive groups.…”

Section: Discussionmentioning

confidence: 99%

The heterogeneity of population with high risk for melanoma and other skin cancer: a latent class analysis

Stojanovič

Bajić

2021

European Journal of Cancer Prevention

View full text Add to dashboard Cite

Objective To examine whether there is heterogeneity in the risk factors for skin cancer among the high-risk population in Slovenia, a Central European country with the second-largest age-standardized melanoma-related mortality rate in Europe. MethodsWe analyzed data collected during the 'Euromelanoma Day' 2010-2019. The outcome was the prevalence of newly suspected skin cancer. The independent variables were 17 known risk factors and protective behaviors. We performed a latent class analysis with skin cancer as a covariate. ResultsWe analyzed data from 1711 participants with a median (interquartile range) age of 52 (39-63) years, 52% of whom were women. During the 10 years, 81 cases of melanoma and 213 cases of other skin cancers were suspected. The model with three latent classes had the best fit. Two latent classes had a high risk for melanoma and other skin cancer: 3 and 19% respectively in class 2; 14 and 29% in class 3. The largest significant differences between the two high-risk classes were the older age and lower frequency of sunscreen use in high-risk class 2 and the number of atypical nevi, a large number of common moles, many moles as the primary motive to participate in Euromelanoma examination and having a skin phototype I or II in the highest-risk latent class 3. ConclusionsThere is heterogeneity in the risk factors for skin cancer among the Euromelanoma highrisk population. This heterogeneity should be tested in other countries, and if the findings are consistent, they should be used to refine secondary prevention programs.

show abstract

Section: Discussionmentioning

confidence: 99%

The heterogeneity of population with high risk for melanoma and other skin cancer: a latent class analysis

Stojanovič

Bajić

2021

European Journal of Cancer Prevention

View full text Add to dashboard Cite

show abstract

“…Recent estimates showed that roughly 60% of melanoma cases could be overdiagnosed in the United States, and similar proportions of overdiagnosis were reported in Australia [ 13 , 14 ]. Although routine screening is not recommended in most countries, melanoma incidence is influenced by the intensity of skin checks [ 10 , 15 ]. Due to differences in skin checks, the huge differences in incidence across countries do not reflect true differences in the risk of clinically meaningful melanoma—that is, cases that require treatment and that we aim to prevent.…”

Section: Screening As a Cause Of Cancermentioning

confidence: 99%

Screening and Surveillance Bias in Cancer

Tancredi

Cullati

2023

Epidemiologia

Self Cite

View full text Add to dashboard Cite

show abstract

“…With reference to skin disorders, there is consistent and well-documented evidence on a relevant association between SES and chronic inflammatory diseases, [8][9][10][11][12] cancers, [13][14][15] and sexually transmitted diseases. 16 Vulvar lichen sclerosus (VLS) is a chronic inflammatory progressive skin disease with distressing signs and symptoms for patients.…”

mentioning

confidence: 91%

Incidence of Vulvar Lichen Sclerosus and of Cancer Among Vulvar Lichen Sclerosus Patients: Does Socioeconomic Status Have a Role?

Borghi,

Ferretti,

Pacetti

et al. 2023

J Low Genit Tract Dis

View full text Add to dashboard Cite

Objective Socioeconomic status (SES) impacts on the incidence of many inflammatory diseases and cancers, but there is no evidence on its implication in vulvar lichen sclerosus (VLS). The authors aimed to assess possible associations between SES and both occurrence of VLS and cancer occurrence among VLS patients. Materials and Methods A retrospective cohort of women resident in the province of Ferrara, Italy, affected with VLS diagnosed between 2001 and 2020, was investigated for assessing any association of SES with VLS and cancer incidence. The SES was expressed through an ecological-based deprivation index identifying 5 subgroups. Result Four-hundred women were diagnosed with VLS during the study period, with double the number of cases in the second decade (2011–2020) compared with the first (2001–2010). More VLS patients belonged to the high rather than the low SES groups (p = .032). From VLS diagnosis to 2018 (1,958.4 total person*years at risk), 22 patients received their first diagnosis of cancer, mainly the skin, breast, and vulva. No significant differences in cancer incidence were found between high/medium-high and low/medium-low SES subjects. Conclusions The fact that more VLS patients belonged to the highest socioeconomic classes may be due to a more frequent diagnosis in those with greater health seeking behavior and resources. An involvement of SES-related factors in VLS pathophysiological background can also be taken into consideration. Both the lack of marked social and economic differences in the study area and the availability of free visits and screening may account for the lack of association between SES and cancer development.

show abstract

Skin cancer screening in Switzerland: Cross-sectional trends (1997–2012) in socioeconomic inequalities

Cited by 6 publications

References 38 publications

The heterogeneity of population with high risk for melanoma and other skin cancer: a latent class analysis

The heterogeneity of population with high risk for melanoma and other skin cancer: a latent class analysis

Screening and Surveillance Bias in Cancer

Incidence of Vulvar Lichen Sclerosus and of Cancer Among Vulvar Lichen Sclerosus Patients: Does Socioeconomic Status Have a Role?

Contact Info

Product

Resources

About