Disparities in melanoma incidence and mortality in rural versus urban Michigan

Abstract Introduction We sought to identifying the possible existence of disparities between rural and urban residents of Michigan for the incidence by stage of disease and disease‐specific mortality for cutaneous melanoma (CM). Methods Incidence rates for stage of disease and disease‐specific morta...

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Main Authors: Richard A. Shellenberger, Timothy M. Johnson, Fatima Fayyaz, Bhanu Swamy, Jeremy Albright, Alan C. Geller
Format: Article
Language:English
Published: Wiley 2023-02-01
Series:Cancer Reports
Subjects:
Online Access:https://doi.org/10.1002/cnr2.1713
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author Richard A. Shellenberger
Timothy M. Johnson
Fatima Fayyaz
Bhanu Swamy
Jeremy Albright
Alan C. Geller
author_facet Richard A. Shellenberger
Timothy M. Johnson
Fatima Fayyaz
Bhanu Swamy
Jeremy Albright
Alan C. Geller
author_sort Richard A. Shellenberger
collection DOAJ
description Abstract Introduction We sought to identifying the possible existence of disparities between rural and urban residents of Michigan for the incidence by stage of disease and disease‐specific mortality for cutaneous melanoma (CM). Methods Incidence rates for stage of disease and disease‐specific mortality of cutaneous melanoma were calculated and controlled for gender, age, and area of residence from January 1, 2014, to December 31, 2018, from data collected form the Michigan Department of Health and Human Services and the Centers for Disease Control and Prevention. Results The incidence rates for CM were significantly higher in rural Michigan counties, from 2014–2018, for all patients, both age groups, both genders and all stages. Melanoma‐specific mortality rates were also significantly higher for all patients, both age groups and both genders in rural Michigan counties. Using logistic regression analysis, while controlling for age and gender, rural Michigan counties continued to have a higher melanoma‐specific morality rate during our study period (OR = 1.491; 95% CI, 1.27–1.74; p = <.001). Conclusion We found significant disparities in the incidence rates and disease specific mortality for cutaneous melanoma in rural compared to urban Michigan from 2014–2018.
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spelling doaj.art-63bdba3dad5c44f99e96d7f5a24264a62023-02-20T10:23:21ZengWileyCancer Reports2573-83482023-02-0162n/an/a10.1002/cnr2.1713Disparities in melanoma incidence and mortality in rural versus urban MichiganRichard A. Shellenberger0Timothy M. Johnson1Fatima Fayyaz2Bhanu Swamy3Jeremy Albright4Alan C. Geller5St. Joseph Mercy Ann Arbor Hospital Ypsilanti Michigan USAGanger Dermatology and Departments of Dermatology, Otolaryngology, and Surgery Michigan Medicine Ann Arbor Michigan USANorthwell Health Cancer Institute Zucker School of Medicine New Hyde Park New York USASt. Joseph Mercy Ann Arbor Hospital Ypsilanti Michigan USAMethods Consultants of Ann Arbor Ypsilanti Michigan USAHarvard TH Chen School of Public Health Cambridge Massachusetts USAAbstract Introduction We sought to identifying the possible existence of disparities between rural and urban residents of Michigan for the incidence by stage of disease and disease‐specific mortality for cutaneous melanoma (CM). Methods Incidence rates for stage of disease and disease‐specific mortality of cutaneous melanoma were calculated and controlled for gender, age, and area of residence from January 1, 2014, to December 31, 2018, from data collected form the Michigan Department of Health and Human Services and the Centers for Disease Control and Prevention. Results The incidence rates for CM were significantly higher in rural Michigan counties, from 2014–2018, for all patients, both age groups, both genders and all stages. Melanoma‐specific mortality rates were also significantly higher for all patients, both age groups and both genders in rural Michigan counties. Using logistic regression analysis, while controlling for age and gender, rural Michigan counties continued to have a higher melanoma‐specific morality rate during our study period (OR = 1.491; 95% CI, 1.27–1.74; p = <.001). Conclusion We found significant disparities in the incidence rates and disease specific mortality for cutaneous melanoma in rural compared to urban Michigan from 2014–2018.https://doi.org/10.1002/cnr2.1713cutaneous melanomamelanoma incidencemelanoma‐specific mortalityrural disparitiesrural healthcare
spellingShingle Richard A. Shellenberger
Timothy M. Johnson
Fatima Fayyaz
Bhanu Swamy
Jeremy Albright
Alan C. Geller
Disparities in melanoma incidence and mortality in rural versus urban Michigan
Cancer Reports
cutaneous melanoma
melanoma incidence
melanoma‐specific mortality
rural disparities
rural healthcare
title Disparities in melanoma incidence and mortality in rural versus urban Michigan
title_full Disparities in melanoma incidence and mortality in rural versus urban Michigan
title_fullStr Disparities in melanoma incidence and mortality in rural versus urban Michigan
title_full_unstemmed Disparities in melanoma incidence and mortality in rural versus urban Michigan
title_short Disparities in melanoma incidence and mortality in rural versus urban Michigan
title_sort disparities in melanoma incidence and mortality in rural versus urban michigan
topic cutaneous melanoma
melanoma incidence
melanoma‐specific mortality
rural disparities
rural healthcare
url https://doi.org/10.1002/cnr2.1713
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AT fatimafayyaz disparitiesinmelanomaincidenceandmortalityinruralversusurbanmichigan
AT bhanuswamy disparitiesinmelanomaincidenceandmortalityinruralversusurbanmichigan
AT jeremyalbright disparitiesinmelanomaincidenceandmortalityinruralversusurbanmichigan
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