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dc.contributor.authorPerez-Gomez, Beatriz 
dc.contributor.authorAragones, Nuria 
dc.contributor.authorGustavsson, Per
dc.contributor.authorLope Carvajal, Virginia 
dc.contributor.authorLopez-Abente, Gonzalo 
dc.contributor.authorPollan-Santamaria, Marina
dc.identifier.citationBMC Public Health. 2008 Jan 25;8:33.es_ES
dc.description.abstractBACKGROUND: Cutaneous melanoma (CM) is a cancer usually associated with high socio-economic level in the literature. Few studies have, however, assessed this relationship by gender and site or the association between CM and rurality. METHODS: A major-sized historical occupational Swedish cohort comprising 2,992,166 workers was used to estimate relative risk of cutaneous melanoma, broken down by gender and anatomical site, for occupational sectors (as a proxy of socio-economic class) and rurality. To this end, Poisson models were fitted for each site in men and women, including occupational sector and town size, with adjustment for age, period of diagnosis and geographical area as possible confounding factors. RESULTS: White collar workers presented a marked increased of risk in men in all melanoma cases, as well as in trunk, upper and lower limbs. This pattern was less clear for women, in which some heterogeneity appeared, as low risks in lower socioeconomic sectors in trunk, or risk excesses in white collar workers in lower limbs did not achieve statistical significance. Males also showed significant differences in risk by rural/urban distribution, but in women this association was limited to CM of lower limb. Risk of CM of head/neck did not vary by occupational sector or town size, thus depicting a specific epidemiological profile, which proved common to both sexes. CONCLUSION: While differences in risk between men and women could suggest greater homogeneity in UV-exposure behaviour among women, the uniform risk pattern in head and neck melanoma, present in both sexes, might support the coexistence of different aetiological pathways, related to anatomical site.es_ES
dc.publisherBioMed Central (BMC) es_ES
dc.subject.meshAdult es_ES
dc.subject.meshFemale es_ES
dc.subject.meshHumans es_ES
dc.subject.meshLinear Models es_ES
dc.subject.meshMale es_ES
dc.subject.meshMelanoma es_ES
dc.subject.meshMiddle Aged es_ES
dc.subject.meshOccupations es_ES
dc.subject.meshRisk Factors es_ES
dc.subject.meshSex Factors es_ES
dc.subject.meshSweden es_ES
dc.subject.meshRural Population es_ES
dc.subject.meshSocial Class es_ES
dc.titleSocio-economic class, rurality and risk of cutaneous melanoma by site and gender in Swedenes_ES
dc.typejournal articlees_ES
dc.rights.licenseAtribución 4.0 Internacional*
dc.identifier.journalBMC public healthes_ES
dc.repisalud.centroISCIII::Centro Nacional de Epidemiologíaes_ES
dc.rights.accessRightsopen accesses_ES

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