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. 2018 Nov 21;155(1):39–49. doi: 10.1001/jamadermatol.2018.3964

Table 2. Risk of Melanoma Overall and Site-Specific Risk of Melanoma According to Phenotypic Characteristics Among 161 540 Women.

Characteristic RR (95% CI)a P Value for Heterogeneityb
Total (N = 1310) Trunk (n = 461) Lower Limb (n = 520) Upper Limb (n = 219) Head and Neck (n = 110)
Skin color
Dark 1 [Reference] 1 [Reference] 1 [Reference] 1 [Reference] 1 [Reference] .84
Medium 1.44 (1.26-2.02) 1.78 (1.16-2.75) 1.23 (0.87-1.75) 1.96 (1.02-3.77) 0.86 (0.41-1.79)
Light 1.89 (1.49-2.39) 2.32 (1.50-3.58) 1.61 (1.14-2.30) 2.22 (1.14-4.31) 1.53 (0.75-3.11)
P value for trend <.001 <.001 .002 .03 .04 NA
Hair color
Black or dark brown 1 [Reference] 1 [Reference] 1 [Reference] 1 [Reference] 1 [Reference] .62
Brown 1.25 (1.03-1.52) 1.20 (0.87-1.66) 1.42 (1.03-1.95) 1.48 (0.91-2.41) 0.70 (0.39-1.25)
Blond or yellow 1.97 (1.64-2.37) 2.01 (1.48-2.72) 2.20 (1.63-3.00) 2.05 (1.29-3.28) 1.20 (0.71-2.01)
Red 3.94 (3.03-5.10) 3.30 (2.09-5.21) 4.70 (3.11-7.11) 4.97 (2.65-9.30) 2.50 (1.09-5.73)
P value for trend <.001 <.001 <.001 <.001 .06 NA
Freckling after sunbathing
No 1 [Reference] 1 [Reference] 1 [Reference] 1 [Reference] 1 [Reference] .35
Yes 1.31 (1.15-1.48) 1.22 (0.99-1.51) 1.42 (1.17-1.73) 1.43 (1.05-1.96) 0.98 (0.63-1.52)
Large asymmetric nevi on legs, No.
0 1 [Reference] 1 [Reference] 1 [Reference] 1 [Reference] 1 [Reference] .02
1 1.77 (1.47-2.13) 1.19 (0.81-1.76) 2.72 (2.11-3.50) 1.28 (0.77-2.14) 0.84 (0.34-2.08)
≥2 2.83 (2.38-3.35) 2.67 (1.96-3.63) 3.38 (2.62-4.38) 1.96 (1.22-3.17) 2.85 (1.57-5.18)
P value for trend <.001 <.001 <.001 .005 .008 NA
Small symmetric nevi on arms and legs, No.
0 0.63 (0.48-0.85) 0.56 (0.33-0.97) 0.56 (0.35-0.89) 0.61 (0.33-1.14) 0.72 (0.33-1.59) .31
1-10 1 [Reference] 1 [Reference] 1 [Reference] 1 [Reference] 1 [Reference]
11-50 1.51 (1.26-1.80) 1.96 (1.43-2.70) 1.39 (1.04-1.86) 1.58 (1.03-2.42) 1.38 (0.75-2.55)
≥51 2.50 (2.04-3.08) 3.48 (2.42-5.00) 2.49 (1.80-3.45) 2.19 (1.28-3.74) 2.56 (1.24-5.29)
P value for trend <.001 <.001 <.001 <.001 .004 NA

Abbreviations: NA, not applicable; RR, relative risk.

a

Poison regression analysis adjusted for attained age, birth cohort, skin color, hair color, large asymmetric nevi on legs, freckling after sunbathing, and residential ambient UV radiation exposure.

b

Test for difference by body site.