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.
Adjusted for age (continuous), sex.
Adjusted for age (continuous), sex, education.
Twelve missing values.
Statistically significant.
Nineteen missing values.
Seven missing values.
Eighteen missing values.