Socio-economic class, rurality and risk of cutaneous melanoma by site and gender in Sweden

Background Cutaneous melanoma (CM) is a cancer usually associated with high socio-economic level in the literature. Few studies have, however, assessed this relationship by gender and site or the association between CM and rurality. Methods A major-sized historical occupational Swedish cohort compri...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Pérez-Gómez, Beatriz [verfasserIn] Aragonés, Nuria Gustavsson, Per Lope, Virginia López-Abente, Gonzalo Pollán, Marina

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2008

Schlagwörter:	Melanoma Cutaneous Melanoma Melanoma Risk Melanoma Incidence Occupational Sector

Anmerkung:	© Pérez-Gómez et al; licensee BioMed Central Ltd. 2008

Übergeordnetes Werk:	Enthalten in: BMC public health - London : BioMed Central, 2001, 8(2008), 1 vom: 25. Jan.
Übergeordnetes Werk:	volume:8 ; year:2008 ; number:1 ; day:25 ; month:01

Links:	Volltext

DOI / URN:	10.1186/1471-2458-8-33

Katalog-ID:	SPR027832449

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520			\|a Background Cutaneous melanoma (CM) is a cancer usually associated with high socio-economic level in the literature. Few studies have, however, assessed this relationship by gender and site or the association between CM and rurality. Methods A major-sized historical occupational Swedish cohort comprising 2,992,166 workers was used to estimate relative risk of cutaneous melanoma, broken down by gender and anatomical site, for occupational sectors (as a proxy of socio-economic class) and rurality. To this end, Poisson models were fitted for each site in men and women, including occupational sector and town size, with adjustment for age, period of diagnosis and geographical area as possible confounding factors. Results White collar workers presented a marked increased of risk in men in all melanoma cases, as well as in trunk, upper and lower limbs. This pattern was less clear for women, in which some heterogeneity appeared, as low risks in lower socioeconomic sectors in trunk, or risk excesses in white collar workers in lower limbs did not achieve statistical significance. Males also showed significant differences in risk by rural/urban distribution, but in women this association was limited to CM of lower limb. Risk of CM of head/neck did not vary by occupational sector or town size, thus depicting a specific epidemiological profile, which proved common to both sexes. Conclusion While differences in risk between men and women could suggest greater homogeneity in UV-exposure behaviour among women, the uniform risk pattern in head and neck melanoma, present in both sexes, might support the coexistence of different aetiological pathways, related to anatomical site.
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allfields	10.1186/1471-2458-8-33 doi (DE-627)SPR027832449 (SPR)1471-2458-8-33-e DE-627 ger DE-627 rakwb eng Pérez-Gómez, Beatriz verfasserin aut Socio-economic class, rurality and risk of cutaneous melanoma by site and gender in Sweden 2008 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Pérez-Gómez et al; licensee BioMed Central Ltd. 2008 Background Cutaneous melanoma (CM) is a cancer usually associated with high socio-economic level in the literature. Few studies have, however, assessed this relationship by gender and site or the association between CM and rurality. Methods A major-sized historical occupational Swedish cohort comprising 2,992,166 workers was used to estimate relative risk of cutaneous melanoma, broken down by gender and anatomical site, for occupational sectors (as a proxy of socio-economic class) and rurality. To this end, Poisson models were fitted for each site in men and women, including occupational sector and town size, with adjustment for age, period of diagnosis and geographical area as possible confounding factors. Results White collar workers presented a marked increased of risk in men in all melanoma cases, as well as in trunk, upper and lower limbs. This pattern was less clear for women, in which some heterogeneity appeared, as low risks in lower socioeconomic sectors in trunk, or risk excesses in white collar workers in lower limbs did not achieve statistical significance. Males also showed significant differences in risk by rural/urban distribution, but in women this association was limited to CM of lower limb. Risk of CM of head/neck did not vary by occupational sector or town size, thus depicting a specific epidemiological profile, which proved common to both sexes. Conclusion While differences in risk between men and women could suggest greater homogeneity in UV-exposure behaviour among women, the uniform risk pattern in head and neck melanoma, present in both sexes, might support the coexistence of different aetiological pathways, related to anatomical site. Melanoma (dpeaa)DE-He213 Cutaneous Melanoma (dpeaa)DE-He213 Melanoma Risk (dpeaa)DE-He213 Melanoma Incidence (dpeaa)DE-He213 Occupational Sector (dpeaa)DE-He213 Aragonés, Nuria aut Gustavsson, Per aut Lope, Virginia aut López-Abente, Gonzalo aut Pollán, Marina aut Enthalten in BMC public health London : BioMed Central, 2001 8(2008), 1 vom: 25. Jan. (DE-627)326643583 (DE-600)2041338-5 1471-2458 nnns volume:8 year:2008 number:1 day:25 month:01 https://dx.doi.org/10.1186/1471-2458-8-33 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2008 1 25 01
spelling	10.1186/1471-2458-8-33 doi (DE-627)SPR027832449 (SPR)1471-2458-8-33-e DE-627 ger DE-627 rakwb eng Pérez-Gómez, Beatriz verfasserin aut Socio-economic class, rurality and risk of cutaneous melanoma by site and gender in Sweden 2008 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Pérez-Gómez et al; licensee BioMed Central Ltd. 2008 Background Cutaneous melanoma (CM) is a cancer usually associated with high socio-economic level in the literature. Few studies have, however, assessed this relationship by gender and site or the association between CM and rurality. Methods A major-sized historical occupational Swedish cohort comprising 2,992,166 workers was used to estimate relative risk of cutaneous melanoma, broken down by gender and anatomical site, for occupational sectors (as a proxy of socio-economic class) and rurality. To this end, Poisson models were fitted for each site in men and women, including occupational sector and town size, with adjustment for age, period of diagnosis and geographical area as possible confounding factors. Results White collar workers presented a marked increased of risk in men in all melanoma cases, as well as in trunk, upper and lower limbs. This pattern was less clear for women, in which some heterogeneity appeared, as low risks in lower socioeconomic sectors in trunk, or risk excesses in white collar workers in lower limbs did not achieve statistical significance. Males also showed significant differences in risk by rural/urban distribution, but in women this association was limited to CM of lower limb. Risk of CM of head/neck did not vary by occupational sector or town size, thus depicting a specific epidemiological profile, which proved common to both sexes. Conclusion While differences in risk between men and women could suggest greater homogeneity in UV-exposure behaviour among women, the uniform risk pattern in head and neck melanoma, present in both sexes, might support the coexistence of different aetiological pathways, related to anatomical site. Melanoma (dpeaa)DE-He213 Cutaneous Melanoma (dpeaa)DE-He213 Melanoma Risk (dpeaa)DE-He213 Melanoma Incidence (dpeaa)DE-He213 Occupational Sector (dpeaa)DE-He213 Aragonés, Nuria aut Gustavsson, Per aut Lope, Virginia aut López-Abente, Gonzalo aut Pollán, Marina aut Enthalten in BMC public health London : BioMed Central, 2001 8(2008), 1 vom: 25. Jan. (DE-627)326643583 (DE-600)2041338-5 1471-2458 nnns volume:8 year:2008 number:1 day:25 month:01 https://dx.doi.org/10.1186/1471-2458-8-33 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2008 1 25 01
allfields_unstemmed	10.1186/1471-2458-8-33 doi (DE-627)SPR027832449 (SPR)1471-2458-8-33-e DE-627 ger DE-627 rakwb eng Pérez-Gómez, Beatriz verfasserin aut Socio-economic class, rurality and risk of cutaneous melanoma by site and gender in Sweden 2008 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Pérez-Gómez et al; licensee BioMed Central Ltd. 2008 Background Cutaneous melanoma (CM) is a cancer usually associated with high socio-economic level in the literature. Few studies have, however, assessed this relationship by gender and site or the association between CM and rurality. Methods A major-sized historical occupational Swedish cohort comprising 2,992,166 workers was used to estimate relative risk of cutaneous melanoma, broken down by gender and anatomical site, for occupational sectors (as a proxy of socio-economic class) and rurality. To this end, Poisson models were fitted for each site in men and women, including occupational sector and town size, with adjustment for age, period of diagnosis and geographical area as possible confounding factors. Results White collar workers presented a marked increased of risk in men in all melanoma cases, as well as in trunk, upper and lower limbs. This pattern was less clear for women, in which some heterogeneity appeared, as low risks in lower socioeconomic sectors in trunk, or risk excesses in white collar workers in lower limbs did not achieve statistical significance. Males also showed significant differences in risk by rural/urban distribution, but in women this association was limited to CM of lower limb. Risk of CM of head/neck did not vary by occupational sector or town size, thus depicting a specific epidemiological profile, which proved common to both sexes. Conclusion While differences in risk between men and women could suggest greater homogeneity in UV-exposure behaviour among women, the uniform risk pattern in head and neck melanoma, present in both sexes, might support the coexistence of different aetiological pathways, related to anatomical site. Melanoma (dpeaa)DE-He213 Cutaneous Melanoma (dpeaa)DE-He213 Melanoma Risk (dpeaa)DE-He213 Melanoma Incidence (dpeaa)DE-He213 Occupational Sector (dpeaa)DE-He213 Aragonés, Nuria aut Gustavsson, Per aut Lope, Virginia aut López-Abente, Gonzalo aut Pollán, Marina aut Enthalten in BMC public health London : BioMed Central, 2001 8(2008), 1 vom: 25. Jan. (DE-627)326643583 (DE-600)2041338-5 1471-2458 nnns volume:8 year:2008 number:1 day:25 month:01 https://dx.doi.org/10.1186/1471-2458-8-33 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2008 1 25 01
allfieldsGer	10.1186/1471-2458-8-33 doi (DE-627)SPR027832449 (SPR)1471-2458-8-33-e DE-627 ger DE-627 rakwb eng Pérez-Gómez, Beatriz verfasserin aut Socio-economic class, rurality and risk of cutaneous melanoma by site and gender in Sweden 2008 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Pérez-Gómez et al; licensee BioMed Central Ltd. 2008 Background Cutaneous melanoma (CM) is a cancer usually associated with high socio-economic level in the literature. Few studies have, however, assessed this relationship by gender and site or the association between CM and rurality. Methods A major-sized historical occupational Swedish cohort comprising 2,992,166 workers was used to estimate relative risk of cutaneous melanoma, broken down by gender and anatomical site, for occupational sectors (as a proxy of socio-economic class) and rurality. To this end, Poisson models were fitted for each site in men and women, including occupational sector and town size, with adjustment for age, period of diagnosis and geographical area as possible confounding factors. Results White collar workers presented a marked increased of risk in men in all melanoma cases, as well as in trunk, upper and lower limbs. This pattern was less clear for women, in which some heterogeneity appeared, as low risks in lower socioeconomic sectors in trunk, or risk excesses in white collar workers in lower limbs did not achieve statistical significance. Males also showed significant differences in risk by rural/urban distribution, but in women this association was limited to CM of lower limb. Risk of CM of head/neck did not vary by occupational sector or town size, thus depicting a specific epidemiological profile, which proved common to both sexes. Conclusion While differences in risk between men and women could suggest greater homogeneity in UV-exposure behaviour among women, the uniform risk pattern in head and neck melanoma, present in both sexes, might support the coexistence of different aetiological pathways, related to anatomical site. Melanoma (dpeaa)DE-He213 Cutaneous Melanoma (dpeaa)DE-He213 Melanoma Risk (dpeaa)DE-He213 Melanoma Incidence (dpeaa)DE-He213 Occupational Sector (dpeaa)DE-He213 Aragonés, Nuria aut Gustavsson, Per aut Lope, Virginia aut López-Abente, Gonzalo aut Pollán, Marina aut Enthalten in BMC public health London : BioMed Central, 2001 8(2008), 1 vom: 25. Jan. (DE-627)326643583 (DE-600)2041338-5 1471-2458 nnns volume:8 year:2008 number:1 day:25 month:01 https://dx.doi.org/10.1186/1471-2458-8-33 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2008 1 25 01
allfieldsSound	10.1186/1471-2458-8-33 doi (DE-627)SPR027832449 (SPR)1471-2458-8-33-e DE-627 ger DE-627 rakwb eng Pérez-Gómez, Beatriz verfasserin aut Socio-economic class, rurality and risk of cutaneous melanoma by site and gender in Sweden 2008 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Pérez-Gómez et al; licensee BioMed Central Ltd. 2008 Background Cutaneous melanoma (CM) is a cancer usually associated with high socio-economic level in the literature. Few studies have, however, assessed this relationship by gender and site or the association between CM and rurality. Methods A major-sized historical occupational Swedish cohort comprising 2,992,166 workers was used to estimate relative risk of cutaneous melanoma, broken down by gender and anatomical site, for occupational sectors (as a proxy of socio-economic class) and rurality. To this end, Poisson models were fitted for each site in men and women, including occupational sector and town size, with adjustment for age, period of diagnosis and geographical area as possible confounding factors. Results White collar workers presented a marked increased of risk in men in all melanoma cases, as well as in trunk, upper and lower limbs. This pattern was less clear for women, in which some heterogeneity appeared, as low risks in lower socioeconomic sectors in trunk, or risk excesses in white collar workers in lower limbs did not achieve statistical significance. Males also showed significant differences in risk by rural/urban distribution, but in women this association was limited to CM of lower limb. Risk of CM of head/neck did not vary by occupational sector or town size, thus depicting a specific epidemiological profile, which proved common to both sexes. Conclusion While differences in risk between men and women could suggest greater homogeneity in UV-exposure behaviour among women, the uniform risk pattern in head and neck melanoma, present in both sexes, might support the coexistence of different aetiological pathways, related to anatomical site. Melanoma (dpeaa)DE-He213 Cutaneous Melanoma (dpeaa)DE-He213 Melanoma Risk (dpeaa)DE-He213 Melanoma Incidence (dpeaa)DE-He213 Occupational Sector (dpeaa)DE-He213 Aragonés, Nuria aut Gustavsson, Per aut Lope, Virginia aut López-Abente, Gonzalo aut Pollán, Marina aut Enthalten in BMC public health London : BioMed Central, 2001 8(2008), 1 vom: 25. Jan. (DE-627)326643583 (DE-600)2041338-5 1471-2458 nnns volume:8 year:2008 number:1 day:25 month:01 https://dx.doi.org/10.1186/1471-2458-8-33 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2008 1 25 01
language	English
source	Enthalten in BMC public health 8(2008), 1 vom: 25. Jan. volume:8 year:2008 number:1 day:25 month:01
sourceStr	Enthalten in BMC public health 8(2008), 1 vom: 25. Jan. volume:8 year:2008 number:1 day:25 month:01
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Melanoma Cutaneous Melanoma Melanoma Risk Melanoma Incidence Occupational Sector
isfreeaccess_bool	true
container_title	BMC public health
authorswithroles_txt_mv	Pérez-Gómez, Beatriz @@aut@@ Aragonés, Nuria @@aut@@ Gustavsson, Per @@aut@@ Lope, Virginia @@aut@@ López-Abente, Gonzalo @@aut@@ Pollán, Marina @@aut@@
publishDateDaySort_date	2008-01-25T00:00:00Z
hierarchy_top_id	326643583
id	SPR027832449
language_de	englisch
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author	Pérez-Gómez, Beatriz
spellingShingle	Pérez-Gómez, Beatriz misc Melanoma misc Cutaneous Melanoma misc Melanoma Risk misc Melanoma Incidence misc Occupational Sector Socio-economic class, rurality and risk of cutaneous melanoma by site and gender in Sweden
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topic_title	Socio-economic class, rurality and risk of cutaneous melanoma by site and gender in Sweden Melanoma (dpeaa)DE-He213 Cutaneous Melanoma (dpeaa)DE-He213 Melanoma Risk (dpeaa)DE-He213 Melanoma Incidence (dpeaa)DE-He213 Occupational Sector (dpeaa)DE-He213
topic	misc Melanoma misc Cutaneous Melanoma misc Melanoma Risk misc Melanoma Incidence misc Occupational Sector
topic_unstemmed	misc Melanoma misc Cutaneous Melanoma misc Melanoma Risk misc Melanoma Incidence misc Occupational Sector
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title	Socio-economic class, rurality and risk of cutaneous melanoma by site and gender in Sweden
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title_full	Socio-economic class, rurality and risk of cutaneous melanoma by site and gender in Sweden
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author_browse	Pérez-Gómez, Beatriz Aragonés, Nuria Gustavsson, Per Lope, Virginia López-Abente, Gonzalo Pollán, Marina
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title_sort	socio-economic class, rurality and risk of cutaneous melanoma by site and gender in sweden
title_auth	Socio-economic class, rurality and risk of cutaneous melanoma by site and gender in Sweden
abstract	Background Cutaneous melanoma (CM) is a cancer usually associated with high socio-economic level in the literature. Few studies have, however, assessed this relationship by gender and site or the association between CM and rurality. Methods A major-sized historical occupational Swedish cohort comprising 2,992,166 workers was used to estimate relative risk of cutaneous melanoma, broken down by gender and anatomical site, for occupational sectors (as a proxy of socio-economic class) and rurality. To this end, Poisson models were fitted for each site in men and women, including occupational sector and town size, with adjustment for age, period of diagnosis and geographical area as possible confounding factors. Results White collar workers presented a marked increased of risk in men in all melanoma cases, as well as in trunk, upper and lower limbs. This pattern was less clear for women, in which some heterogeneity appeared, as low risks in lower socioeconomic sectors in trunk, or risk excesses in white collar workers in lower limbs did not achieve statistical significance. Males also showed significant differences in risk by rural/urban distribution, but in women this association was limited to CM of lower limb. Risk of CM of head/neck did not vary by occupational sector or town size, thus depicting a specific epidemiological profile, which proved common to both sexes. Conclusion While differences in risk between men and women could suggest greater homogeneity in UV-exposure behaviour among women, the uniform risk pattern in head and neck melanoma, present in both sexes, might support the coexistence of different aetiological pathways, related to anatomical site. © Pérez-Gómez et al; licensee BioMed Central Ltd. 2008
abstractGer	Background Cutaneous melanoma (CM) is a cancer usually associated with high socio-economic level in the literature. Few studies have, however, assessed this relationship by gender and site or the association between CM and rurality. Methods A major-sized historical occupational Swedish cohort comprising 2,992,166 workers was used to estimate relative risk of cutaneous melanoma, broken down by gender and anatomical site, for occupational sectors (as a proxy of socio-economic class) and rurality. To this end, Poisson models were fitted for each site in men and women, including occupational sector and town size, with adjustment for age, period of diagnosis and geographical area as possible confounding factors. Results White collar workers presented a marked increased of risk in men in all melanoma cases, as well as in trunk, upper and lower limbs. This pattern was less clear for women, in which some heterogeneity appeared, as low risks in lower socioeconomic sectors in trunk, or risk excesses in white collar workers in lower limbs did not achieve statistical significance. Males also showed significant differences in risk by rural/urban distribution, but in women this association was limited to CM of lower limb. Risk of CM of head/neck did not vary by occupational sector or town size, thus depicting a specific epidemiological profile, which proved common to both sexes. Conclusion While differences in risk between men and women could suggest greater homogeneity in UV-exposure behaviour among women, the uniform risk pattern in head and neck melanoma, present in both sexes, might support the coexistence of different aetiological pathways, related to anatomical site. © Pérez-Gómez et al; licensee BioMed Central Ltd. 2008
abstract_unstemmed	Background Cutaneous melanoma (CM) is a cancer usually associated with high socio-economic level in the literature. Few studies have, however, assessed this relationship by gender and site or the association between CM and rurality. Methods A major-sized historical occupational Swedish cohort comprising 2,992,166 workers was used to estimate relative risk of cutaneous melanoma, broken down by gender and anatomical site, for occupational sectors (as a proxy of socio-economic class) and rurality. To this end, Poisson models were fitted for each site in men and women, including occupational sector and town size, with adjustment for age, period of diagnosis and geographical area as possible confounding factors. Results White collar workers presented a marked increased of risk in men in all melanoma cases, as well as in trunk, upper and lower limbs. This pattern was less clear for women, in which some heterogeneity appeared, as low risks in lower socioeconomic sectors in trunk, or risk excesses in white collar workers in lower limbs did not achieve statistical significance. Males also showed significant differences in risk by rural/urban distribution, but in women this association was limited to CM of lower limb. Risk of CM of head/neck did not vary by occupational sector or town size, thus depicting a specific epidemiological profile, which proved common to both sexes. Conclusion While differences in risk between men and women could suggest greater homogeneity in UV-exposure behaviour among women, the uniform risk pattern in head and neck melanoma, present in both sexes, might support the coexistence of different aetiological pathways, related to anatomical site. © Pérez-Gómez et al; licensee BioMed Central Ltd. 2008
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title_short	Socio-economic class, rurality and risk of cutaneous melanoma by site and gender in Sweden
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Socio-economic class, rurality and risk of cutaneous melanoma by site and gender in Sweden

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