Identificador persistente para citar o vincular este elemento: http://hdl.handle.net/10553/70000
Título: Low educational attainment is still associated with late melanoma diagnosis: A cross-sectional study from a European setting with universal healthcare
Autores/as: Grau Pérez, Merce 
Cabello Castaño, Camila
González-Martín, Jesús María
Borrego Hernando, Leopoldo 
Carretero Hernández, Gregorio
Clasificación UNESCO: 320106 Dermatología
320101 Oncología
Palabras clave: Early/Late Diagnosis
Education
Melanoma
Risk Factors
Socioeconomic
Fecha de publicación: 2019
Publicación seriada: Cancer Epidemiology 
Resumen: Background: An early diagnosis of cutaneous melanoma remains determinant for improved survival. Low educational attainment has been associated with a late-stage diagnosis in settings where access to healthcare is restricted. Little evidence is available from regions with universal healthcare. We aimed at analysing whether educational attainment was associated with Breslow thickness at diagnosis in a peripheral European region with universal healthcare (in the Canary Islands, Spain). Methods: We conducted a cross-sectional study with prospectively collected data (2010–2017). Patients were recruited at diagnosis, and information about Breslow thickness, age at diagnosis, gender, highest educational attainment and site of melanoma were registered. Univariate and multivariate linear regression analyses were performed. Results: Low educational attainment was associated with thicker tumours at diagnosis. The association remained true after adjustment for age, gender and site of melanoma. In the multivariate analysis, tumours diagnosed in patients with low educational attainment were on average 1.08 mm thicker (95% confidence interval: 0.36–1.81; p = 0.003) than those diagnosed in patients with high educational attainment. Conclusion: Public health strategies targeting this vulnerable group are currently needed in the Canary Islands (Spain).
URI: http://hdl.handle.net/10553/70000
ISSN: 1877-7821
DOI: 10.1016/j.canep.2019.101576
Fuente: Cancer Epidemiology [ISSN 1877-7821], v. 62
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