Associations of social vulnerability with truncal and extremity melanomas in the United States
Background Prior studies in social determinants (SDoH) of truncal‐extremity melanomas (TEM) have analyzed race, income, and environmental factors relative to their effect on health disparities. However, they are limited by the narrow scopes of SDoH and study population, while lacking analyses of int...
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Veröffentlicht in: | Journal of surgical oncology 2024-03, Vol.129 (3), p.544-555 |
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Format: | Artikel |
Sprache: | eng |
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Zusammenfassung: | Background
Prior studies in social determinants (SDoH) of truncal‐extremity melanomas (TEM) have analyzed race, income, and environmental factors relative to their effect on health disparities. However, they are limited by the narrow scopes of SDoH and study population, while lacking analyses of interrelational contribution of SDoH on TEM disparities.
Methods
This retrospective cohort study of adult TEM patients (1975–2017) assessed linear regression trends in months of survival, as well as logistic regression trends in advanced presenting stage, surgery, and chemotherapy receipt across TEM subtypes with increasing overall social vulnerability and vulnerability in 15 SDoH variables grouped into socioeconomic status (SES), minority‐language status (ML), household composition (HH), and housing‐transportation (HT) themes measured by the SVI. SVI measures are ranked/compared across all US counties for relative vulnerability in a specific SDH and their total composite while accounting for sociodemographic–regional differences.
Results
Across 325 760 TEM patients, increasing overall social vulnerability demonstrated significant decreases in the survival period for 7/13 TEM histology types (p |
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ISSN: | 0022-4790 1096-9098 |
DOI: | 10.1002/jso.27532 |