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. 2018 Apr 18;154(5):544–553. doi: 10.1001/jamadermatol.2018.0288

Table 3. Multivariate Logistic Regression Analysis of Health Care Behaviors Associated With Melanoma Thickness in Patients With NM or SSM .

Variable Patients With NM (n = 147) Patients With SSM (n = 538)
Patients, No. Tumor ≤2 mm, OR (95% CI)a P Value Patients, No. Tumor ≤2 mm, OR (95% CI)b P Value
Had a usual place to go when sick/needed health advicec
No usual place to go for care 116 1 [Reference] 65 1 [Reference]
Doctor’s office/clinic/health center/urgent care center/emergency department/other 30 1.03 (0.41-2.57) .95 464 2.20 (1.15-4.19) .02d
Had a physician for routine caree
No 54 1 [Reference] 392 1 [Reference]
Yes 93 1.34 (0.61-2.93) .47 137 1.71 (1.01-2.89) .04d
Visits to physician in the year before patient was diagnosed with melanomac
0 22 1 [Reference] 63 1 [Reference]
1 38 1.42 (0.38-5.32) .60 136 0.88 (0.40-1.95) .76
2-3 44 2.70 (0.77-9.45) .12 174 1.35 (0.61-3.01) .46
>3 42 1.63 (0.44-5.95) .46 156 1.51 (0.67-3.41) .33
Patient received a physician skin examination for cancerf
No/don’t know 83 1 [Reference] 266 1 [Reference]
Yes 59 2.21 (1.04-4.69) .04d 252 1.53 (0.96-2.46) .08
If patient had a physician examine skin for cancer, what was the reason for examination?f
Part of physician’s routine physical examination
No 122 1 [Reference] 419 1 [Reference]
Yes 19 2.26 (0.81-6.30) .12 98 1.18 (0.65-2.15) .58
Physician told patient he or she should be screened for skin cancer
No 132 1 [Reference] 480 1 [Reference]
Yes 9 6.27 (1.46-26.88) .01d 37 1.42 (0.52-3.85) .49
Patient was concerned about skin cancer
No 130 1 [Reference] 471 1 [Reference]
Yes 11 3.86 (1.05-14.23) .04d 46 0.91 (0.40-2.08) .82
Patient’s spouse, partner, or other person thought patient should be screened
No 133 1 [Reference] 485 1 [Reference]
Yes 8 5.08 (1.13-22.73) .03d 32 0.89 (0.34-2.31) .81
Type of skin examination performed by physiciang
None 86 1 [Reference] 269 1 [Reference]
Whole skin 26 2.67 (1.05-6.82) .04d 125 2.25 (1.16-4.35) .02d
Particular lesion 28 1.73 (0.67-4.49) .26 112 1.17 (0.66-2.10) .59
Don’t know 2 4.23 (0.25-72.67) .32 13 0.46 (0.13-1.54) .21
Did physician tell patient he or she was at risk for skin cancer?
No 117 1 [Reference] 402 1 [Reference]
Yes 30 5.32 (2.26-12.53) <.001d 127 1.98 (1.06-3.71) .03d

Abbreviations: NM, nodular melanoma; OR, odds ratio; SSM, superficial spreading melanoma.

a

Adjusted for age (continuous), sex.

b

Adjusted for age (continuous), sex, education.

c

Twelve missing values.

d

Statistically significant.

e

Nineteen missing values.

f

Seven missing values.

g

Eighteen missing values.