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Level of education and the risk of malignant melanoma
P Y Lee1, M K Silverman, D S Rigel
1Department of Dermatology, New York University (NYU) School of Medicine, New York.
Background:
The risk for the development of malignant melanoma has been reported to be higher in persons with more formal education than in individuals with less.
Objective:
To study whether those with more formal education are indeed at more risk for malignant melanoma than those with less formal education.
Methods:
This case-control study explores the relation between education and melanoma risk by analyzing data collected by the American Cancer Society. A total of 1.2 million people were surveyed for a history of cancer and followed up for 6 years for the development of any cancer. In total, 2780 white persons had a history of malignant melanoma or developed malignant melanoma during the study period. The controls were age-, sex-, and geographically matched white persons selected from the remaining people enrolled.
Results:
Both men and women were shown to have a statistically significant increase in the relative risk for malignant melanoma with increasing education level (p less than 0.001 and p = 0.001, respectively). This relation was more striking in men when the relative risk with 95% confidence interval was calculated by sex for each education level.
Conclusion:
Americans with more formal education are at greater risk for malignant melanoma than those with less education.