Holiday taking and socio-economic status in Australia

Ternowetsky, Gordon

doi:10.1080/02614368300390031

Cited by 6 publications

(2 citation statements)

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“…Persons living in high SES neighborhoods may have more time to participate in outdoor leisure activities such as gardening or sports (20); may travel more frequently to high altitude or low latitude vacation destinations where UVR exposure is greater (21) or may have cultural preferences for tanned skin (22–24). This pattern of intermittent sun exposure may be different than those for persons living in low and middle SES neighborhoods who may have more consistent, cumulative UVR exposure without the vacation-related intense bursts of exposure.…”

Section: Discussionmentioning

confidence: 99%

Interaction of Area-Level Socioeconomic Status and UV Radiation on Melanoma Occurrence in California

Clarke

Moy

Swetter

et al. 2010

Cancer Epidemiology, Biomarkers &Amp; Prevention

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Background: Melanoma incidence has been correlated strongly and positively with both socioeconomic status (SES) and lower latitude and other measures of ambient UV radiation (UVR). However, because high-SES populations may be colocated in areas of high UVR, we assessed their joint influences on melanoma occurrence to better target subpopulations for melanoma education and screening.Methods: We obtained from the California Cancer Registry information regarding 23,564 incident cases of invasive cutaneous melanoma among non-Hispanic white residents between January 1, 1998, and December 31, 2002. We geocoded each case based on residence at diagnosis and linked previously tested neighborhood measures of SES and average annual UVR to calculate age-adjusted incidence rates, rate ratios, and the corresponding 95% confidence intervals. Poisson regression was used to calculate multivariately adjusted rate ratios.Results: UVR was significantly and positively associated with melanoma incidence only among persons living in the top 40% of California neighborhoods ranked by SES. People in neighborhoods of the highest SES and UVR categories had 60% higher rates of melanoma than those from neighborhoods in the lowest categories (rate ratio, 1.60; 95% confidence interval, 1.02-2.51).Conclusion: Our findings indicate that UVR and SES interact to influence melanoma occurrence and suggest that socioeconomic gradients in melanoma incidence are not explained entirely by UVR.Impact: Cancer prevention and early detection educational efforts should be targeted to high-SES groups in areas of high UVR exposure. Contextual measures of both SES and UVR should be considered important determinants of melanoma occurrence in future studies.

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Section: Discussionmentioning

confidence: 99%

Interaction of Area-Level Socioeconomic Status and UV Radiation on Melanoma Occurrence in California

Clarke

Moy

Swetter

et al. 2010

Cancer Epidemiology, Biomarkers &Amp; Prevention

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“…10,[12][13][14][15][16][17][18] Artificial and naturally occurring UV-R exposure may be linked to SES because affluence tends to affect leisure and vacation time, travel to regions where UV-R differs from that of the home area, and sunbathing attitudes and practices. [19][20][21][22][23] It remains unclear whether SES affects melanoma rates independently of or as a proxy for UV-R exposure.…”

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confidence: 99%