The geography of melanoma in South Australia

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Publisher: John Wiley & Sons, Inc.
Document Type: Author abstract; Report
Length: 225 words

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Abstract :

Objective: We sought to determine the distribution of melanoma in South Australia with respect to the relative incidence and mortality in coastal/river versus inland areas and metropolitan versus regional/ remote areas, and to outline the public health implications of this distribution. Methods: All melanoma cases and deaths for the period 1985-2004 for Adelaide and 11 regional centres were geo-coded and then allocated to ABS collection districts. Collection districts with a centroid within 2 km of the coast or River Murray were determined using mapping software. Results: Melanoma incidence is higher in coastal South Australia (OR=1.19) and near the River Murray (OR=1.25) than in inland South Australia. This geographical effect remains after adjustment for age and socio-economic status. Incidence is also higher in metropolitan Adelaide than in regional areas (OR=1.10). For melanoma mortality there is no significant effect of living near the coast or river, and no effect of living in regional areas. Conclusion: Living near the coast or River Murray in South Australia is associated with an increased risk of being diagnosed with melanoma. Implications: Melanoma prevention and acute care programs can be usefully targeted at persons living in coastal and riverine areas, where there is a significant excess of melanoma incidence. This target population is older than inland populations and will require interventions appropriate for aged communities. Key words: cancer, epidemiology, GIS, rural health.

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Source Citation   

Gale Document Number: GALE|A198995155