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Published on: September 7, 2013
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Persistent poverty and incidence-based melanoma mortality in Texas
Karla Madrigal1, Lillian Morris1, Kehe Zhang2,3
1John P. and Kathrine G. McGovern Medical School, The University of Texas Health Science Center, Houston, TX, USA.
Cancer Causes & Control : CCC
|February 29, 2024
Summary
Melanoma patients in persistent poverty (PP) counties have higher mortality rates. Addressing socioeconomic factors in these areas is crucial for improving melanoma outcomes and early diagnosis.
Area of Science:
- Oncology
- Public Health
- Socioeconomic Determinants of Health
Background:
- Persistent poverty (PP) is linked to poorer cancer outcomes.
- The impact of PP on melanoma outcomes is not well understood.
- Melanoma patients in PP areas may face unique challenges.
Purpose of the Study:
- To investigate the association between persistent poverty (PP) and melanoma incidence-based mortality (IMM).
- To test the hypothesis that melanoma patients in PP counties have higher IMM rates.
- To inform targeted interventions for high-risk populations.
Main Methods:
- Utilized Texas Cancer Registry data (2000-2018) for 82,458 melanoma patients.
- Classified patients' residence into persistent poverty (PP) or non-persistent poverty (nPP) counties.
- Employed logistic regression analysis adjusted for demographic variables.
Main Results:
- Melanoma patients in PP counties exhibited significantly higher IMM (17.4%) compared to nPP counties (11.3%).
- An adjusted odds ratio of 1.35 (95% CI 1.25-1.47) indicated increased mortality risk in PP areas.
- Statistical significance was maintained after controlling for demographic factors.
Conclusions:
- Persistent poverty is a significant risk factor for melanoma-specific mortality.
- Melanoma patients in PP counties experience disproportionately higher mortality rates.
- Place-based interventions considering socioeconomic status are vital for improving melanoma care and outcomes.
Keywords:
Cutaneous melanomaHealthcare disparitiesIncidence-based mortalityPersistent povertySecondary preventionTexas Cancer RegistryMore Related Videos
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