ArticleThe Journal of investigative dermatology2014
Predictors of neighborhood risk for late-stage melanoma: addressing disparities through spatial analysis and area-based measures.
Article in The Journal of investigative dermatology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Skin Cancer in People of Color: A Systematic Review.American journal of clinical dermatology · 2022Pooled it
- Challenges in Skin Cancer Screening and Access to Treatment Among Multiple U.S. Racial and Ethnic Population Groups: A Systematic review.Journal of racial and ethnic health disparities · 2026Review
- Article
- Examining Demographic, Geographic, and Temporal Patterns of Melanoma Incidence in Texas From 2000 to 2018: Retrospective Study.JMIR cancer · 2025Article
- Persistent poverty and incidence-based melanoma mortality in Texas.Cancer causes & control : CCC · 2024Article
- Geospatial Patterns of Non-Melanoma Skin Cancer in Relation to Climate Changes in Iran.Asian Pacific journal of cancer prevention : APJCP · 2024Article
- Disparities in geospatial patterns of cancer care within urban counties and structural inequities in access to oncology care.Health services research · 2023Article
- Impact of Medicaid Expansion Status and Race on Metastatic Disease at Diagnosis in Patients with Melanoma.Journal of racial and ethnic health disparities · 2022Article
- Melanoma in women of childbearing age and in pregnancy in California, 1994-2015: a population-based cohort study.Journal of the European Academy of Dermatology and Venereology : JEADV · 2022Article
- Racial and Ethnic Healthcare Disparities in Skin Cancer in the United States: A Review of Existing Inequities, Contributing Factors, and Potential Solutions.The Journal of clinical and aesthetic dermatology · 2022Review
- Skin Cancer Education Interventions for Primary Care Providers: A Scoping Review.Journal of general internal medicine · 2022Article
- Disparities in access for melanoma screening by region, specialty, and insurance: A cross-sectional audit study.JAAD international · 2022Article
- Intent to Change Sun-Protective Behaviors Among Hispanic People After a UV Photoaging Intervention: Cohort Study.JMIR dermatology · 2022Article
- Spatial epidemiology of skin cancer in Iran: separating sun-exposed and non-sun-exposed parts of the body.Archives of public health = Archives belges de sante publique · 2022Article
- Late-Stage Melanoma: Be Sure to Screen Uninsured, Unmarried Men.Southern medical journal · 2018Article
- Influence of socioeconomic factors and region of residence on cancer stage of malignant melanoma: a Danish nationwide population-based study.Clinical epidemiology · 2018Article
- The role of spatially-derived access-to-care characteristics in melanoma prevention and control in Los Angeles county.Health & place · 2017Article
- The Role of Neighborhood Characteristics in Late Stage Melanoma Diagnosis among Hispanic Men in California, Texas, and Florida, 1996-2012.Journal of cancer epidemiology · 2017Article
- Characteristics, rates, and trends of melanoma incidence among Hispanics in the USA.Cancer causes & control : CCC · 2016Article
- Melanoma Disparities among US Hispanics: Use of the Social Ecological Model to Contextualize Reasons for Inequitable Outcomes and Frame a Research Agenda.Journal of skin cancer · 2016Review
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Minority populations have disproportionately more advanced stage melanoma and worse survival. To clarify the impact of race and ethnicity on late-stage melanoma diagnosis, we performed spatial analysis of geocoded melanoma cases diagnosed in Florida, 1999-2008, to identify geographic clusters of higher-than-expected incidence of late-stage melanoma and developed predictive models for melanoma cases in high-risk neighborhoods accounting for area-based poverty, race/ethnicity, patient insurance status, age, and gender. In the adjusted model, Hispanic ethnicity and census tract-level poverty are the strongest predictors for clustering of late-stage melanoma. Hispanic whites were 43% more likely to live in neighborhoods with excessive late-stage melanoma (P<0.001) compared with non-Hispanic whites (NHW). For every 1% increase in population living in poverty, there is a 2% increase in late-stage melanoma clustering (P<0.001). Census tract-level poverty predicted late-stage melanoma similarly among NHW and Hispanic whites. The impact of insurance coverage varied among populations; the most consistent trend was that Medicaid coverage is associated with higher odds for late-stage melanoma. The finding that Hispanics are most likely to reside in high-risk neighborhoods, independent of poverty and insurance status, underscores the importance of addressing, and overcoming community-level barriers to melanoma care.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.