LATITUDE GRADIENTS IN MELANOMA INCIDENCE AND MORTALITY IN THE NON-MAORI POPULATION OF NEW-ZEALAND

被引:39
作者
BULLIARD, JL
COX, B
ELWOOD, JM
机构
[1] Hugh Adam Cancer Epidemiology Unit, Department of Preventive and Social Medicine, Otago University Medical School, Dunedin
关键词
INCIDENCE; LATITUDE; MELANOMA; MORTALITY; NEW-ZEALAND;
D O I
10.1007/BF01830242
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The variation with latitude of incidence and mortality for cutaneous malignant melanoma (CMM) in the non-Maori population of New Zealand was assessed. For those aged 20 to 74 years, the effects of age, time period, birth-cohort, gender, and region (latitude), and some interactions between them were evaluated by loglinear regression methods. Increasing age-standardized incidence and mortality rates with increasing proximity to the equator were found for men and women. These latitude gradients were greater for males than females. The relative risk of melanoma in the most southern part of New Zealand (latitude 44-degrees-S) compared with the most northern region (latitude 36-degrees-S) was 0.63 (95 percent confidence interval [CI] = 0.60-0.67) for incidence and 0.76 (CI = 0.68-0.86) for mortality, both genders combined. The mean percentage change in CMM rates per degree of latitude for males was greater than those reported in other published studies. Differences between men and women in melanoma risk with latitude suggest that regional sun-behavior patterns or other risk factors may contribute to the latitude gradient observed.
引用
收藏
页码:234 / 240
页数:7
相关论文
共 33 条
[11]  
Holman C.D.J., James I.R., Gattey P.H., Artrong B.K., An analysis of trends in mortality from malignant melanoma of the skin in Australia, Int J Cancer, 26, pp. 703-9, (1980)
[12]  
Scotto J., Fears T.R., The association of solar ultraviolet and skin melanoma incidence among Caucasians in the United States, Cancer Invest, 5, pp. 275-83, (1987)
[13]  
Giles G., Dwyer T., Coates M., Et al., Trends in skin cancer in Australia. An overview of the available data, Trans Menzies Found, 15, pp. 143-7, (1989)
[14]  
Moan J., Dahlback A., The relationship between skin cancers, solar radiation and ozone depletion, Br J Cancer, 65, pp. 916-21, (1992)
[15]  
Lee J.A.H., Scotto J., Melanoma: linked temporal and latitude changes in the United States, Cancer Causes Control, 4, pp. 413-8, (1993)
[16]  
Hakulinen T., Teppo L., Saxen E., Cancer of the eye, a review of trends and differentials, Wld Hlth Statist Quart, 31, pp. 143-58, (1978)
[17]  
Crombie I.K., Variation of melanoma incidence with latitude in North America and Europe, Br J Cancer, 40, pp. 774-81, (1979)
[18]  
International Classification of Diseases, Eighth Revision, (1967)
[19]  
Cooke K.R., Gray A.J., Burry A.F., Stewart R.J., Cancer Registration in New Zealand, (1988)
[20]  
Clayton D., Schifflers E., Model for temporal variation in cancer rates. II: age-period-cohort models, Stat Med, 6, pp. 469-81, (1987)