Journal of Cancer Epidemiology
Volume 2017, 2017

The Role of Neighborhood Characteristics in Late Stage Melanoma Diagnosis among Hispanic Men in California, Texas, and Florida, 1996-2012 (Review) (Open Access)

Harvey V.M.* , Enos C.W. , Chen J.T. , Galadima H. , Eschbach K.
  • a Department of Dermatology, Eastern Virginia Medical School, Norfolk, VA, United States, Hampton University Skin of Color Research Institute, Hampton, VA, United States
  • b Department of Dermatology, Eastern Virginia Medical School, Norfolk, VA, United States, Hampton University Skin of Color Research Institute, Hampton, VA, United States
  • c Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, United States
  • d Center for Health Analytics Discovery, Graduate Program in Public Health, Eastern Virginia Medical School, Norfolk, VA, United States
  • e Sealy Center On Aging and Center to Eliminate Health Disparities, University of Texas Medical Branch, Galveston, TX, United States

Abstract

Background. Hispanics diagnosed with cutaneous melanoma are more likely to present at advanced stages but the reasons for this are unknown. We identify census tracts at high risk for late stage melanoma diagnosis (LSMD) and examine the contextual predictors of LSMD in California, Texas, and Florida. Methods. We conducted a cross-sectional study using geocoded state cancer registry data. Using hierarchical multilevel logistic regression models we estimated ORs and 95% confidence intervals for the impact of socioeconomic, Hispanic ethnic concentration, index of dissimilarity, and health resource availability measures on LSMD. Results. We identified 12,493 cases. In California, late stage cases were significantly more likely to reside within census tracts composed mostly of Hispanics and immigrants. In Texas, LSMD was associated with residence in areas of socioeconomic deprivation and a higher proportion of immigrants. In Florida, living in areas of low education attainment, high levels of poverty, and a high percentage of Hispanic residents was significantly associated with LSMD. Residential segregation did not independently affect LSMD. Conclusion. The influence of contextual predictors on LSMD varied in magnitude and strength by state, highlighting both the cosegregation of social adversity and poverty and the complexity of their interactions. © 2017 Valerie M. Harvey et al.

Author Keywords

[No Keywords available]

Index Keywords

social segregation immigrant cutaneous melanoma human middle aged cancer staging Aged cancer epidemiology neighborhood Florida cross-sectional study Hispanic California male Review socioeconomics cancer registry major clinical study adult cancer diagnosis Texas
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85022196841&doi=10.1155%2f2017%2f8418904&partnerID=40&md5=c1c811449e21423767778a43298979b8
DOI: 10.1155/2017/8418904
ISSN: 16878558
Cited by: 5
Original Language: English