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The Role of Neighborhood Characteristics in Late Stage Melanoma Diagnosis among Hispanic Men in California, Texas, and Florida, 1996-2012.


ABSTRACT:

Background

Hispanics diagnosed with cutaneous melanoma are more likely to present at advanced stages but the reasons for this are unknown. We identify census tracts at high risk for late stage melanoma diagnosis (LSMD) and examine the contextual predictors of LSMD in California, Texas, and Florida.

Methods

We conducted a cross-sectional study using geocoded state cancer registry data. Using hierarchical multilevel logistic regression models we estimated ORs and 95% confidence intervals for the impact of socioeconomic, Hispanic ethnic concentration, index of dissimilarity, and health resource availability measures on LSMD.

Results

We identified 12,493 cases. In California, late stage cases were significantly more likely to reside within census tracts composed mo

SUBMITTER: Harvey VM 

PROVIDER: S-EPMC5494113 | biostudies-literature | 2017

REPOSITORIES: biostudies-literature