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社会经济因素对皮肤黑色素瘤发病率、诊断分期及生存率的影响。

The effect of socioeconomic factors on incidence, stage at diagnosis and survival of cutaneous melanoma.

作者信息

Ortiz Carlos A Reyes, Goodwin James S, Freeman Jean L

机构信息

Division of Geriatric Medicine, Sealy Center on Aging, University of Texas Medical Branch, Galveston, 77555, USA.

出版信息

Med Sci Monit. 2005 May;11(5):RA163-172. Epub 2005 Apr 28.

Abstract

Melanoma represents a significant and growing public health burden worldwide, especially in Caucasian populations. The purpose of this review is to summarize the literature on the relationship between socioeconomic status (SES) and incidence, stage at diagnosis and survival from melanoma. Although differences across countries exist on the relationship of SES to specific behaviors or risk factors, our principal findings are: melanoma is more common in high SES than in low SES populations; and low SES populations present with later stages at diagnosis and experience worse survival rates from melanoma than high SES populations. Potential explanations for these findings are that high SES individuals may have a higher susceptibility and exposure (e.g., risk behaviors) for developing melanoma, and low SES individuals may have less access to educational campaigns and screening examinations and effective treatment. These differences reflect a disparity in melanoma outcomes across diverse SES populations in many countries.

摘要

黑色素瘤在全球范围内是一个重大且日益加重的公共卫生负担,在白种人群中尤为如此。本综述的目的是总结关于社会经济地位(SES)与黑色素瘤发病率、诊断时分期及生存率之间关系的文献。尽管不同国家在SES与特定行为或风险因素的关系上存在差异,但我们的主要发现是:黑色素瘤在高SES人群中比在低SES人群中更常见;低SES人群在诊断时处于较晚阶段,且黑色素瘤的生存率比高SES人群更差。这些发现的潜在解释是,高SES个体可能对患黑色素瘤具有更高的易感性和暴露程度(如风险行为),而低SES个体可能较少有机会参与教育活动、筛查检查和获得有效治疗。这些差异反映了许多国家不同SES人群在黑色素瘤治疗结果上的差异。

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