Document Detail


Country of origin, age at migration and risk of cutaneous melanoma: a migrant cohort study of 1,100,000 Israeli men.
MedLine Citation:
PMID:  23319364     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Cutaneous melanoma (CM) is a common cancer with increasing incidence in many parts of the world where light-skinned populations live. We conducted a large-scale nationally representative migrant cohort study to assess country of origin and age at migration as predictors of CM, controlling for possible confounders. Data on 1,086,569 Israeli Jewish males, who underwent a general health examination before compulsory military service at ages 16-19 between the years 1967-2005, were linked to Israel National Cancer Registry to obtain incident CM up to 2006. Cox proportional hazards was used to model time to event. Overall, 1562 incident cases were detected during 19.3 million person-years of follow-up. Origin was a strong independent predictor of CM. Incidence was higher for European (hazard ratio [HR] = 4.08, 95% confidence interval [CI]: 3.55-4.67) and Israeli origin (HR = 2.92, 95% CI: 2.25-3.79) compared to N. African/Asian origin, adjusted for year of birth, years of education, residential socio-economic position, rural residence and body surface area (or height). Among those of European origin, the adjusted risk was significantly lower for those who immigrated after the age of 10 years (HR = 0.58, 95% CI: 0.45-0.73) but not for younger ages (HR = 1.02, 95% CI 0.84-1.23) compared to Israeli born. The high rates of CM among men of European origin and the almost twofold lower risk among those immigrating after age 10 provide solid support for the deleterious role of childhood sun exposure as a risk factor for melanoma. These findings will serve in directing public health and research efforts.
Authors:
Hagai Levine; Arnon Afek; Ari Shamiss; Estela Derazne; Dorit Tzur; Nadav Astman; Lital Keinan-Boker; Daniel Mimouni; Jeremy D Kark
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2013-02-15
Journal Detail:
Title:  International journal of cancer. Journal international du cancer     Volume:  133     ISSN:  1097-0215     ISO Abbreviation:  Int. J. Cancer     Publication Date:  2013 Jul 
Date Detail:
Created Date:  2013-05-15     Completed Date:  2013-07-11     Revised Date:  2014-01-28    
Medline Journal Info:
Nlm Unique ID:  0042124     Medline TA:  Int J Cancer     Country:  United States    
Other Details:
Languages:  eng     Pagination:  486-94     Citation Subset:  IM    
Copyright Information:
Copyright © 2013 UICC.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Age Factors
Cohort Studies
Humans
Israel / epidemiology
Male
Melanoma / epidemiology*,  ethnology
Neoplasms, Radiation-Induced / epidemiology*,  ethnology
Proportional Hazards Models
ROC Curve
Risk Factors
Skin Neoplasms / epidemiology*,  ethnology
Sunlight / adverse effects
Transients and Migrants
Treatment Outcome
Young Adult
Comments/Corrections
Erratum In:
Int J Cancer. 2014 Feb 15;134(4):E2

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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