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Table 2 Univariate and multivariate analyses on the primary outcome variable of “ever had skin checked by a dermatologist”

From: Low rate of dermatology outpatient visits in Asian-Americans: an initial survey study for associated patient-related factors

Demographic and socioeconomic factors

Univariate OR (95% CI)

P

Multivariate OR (95% CI)

P

Age (1 year)

1.02 (1.01 - 1.04)

<0.0001

1.00 (0.97 - 1.03)

0.89

Gender (Female (ref = Male))

1.63 (1.09 - 2.43)

0.02

1.17 (0.62 - 2.21)

0.64

Marital status

Single

Ref

<0.001

Ref

0.09

Married

2.02 (1.37 - 2.97)

2.52 (1.06 - 5.99)

Separated, Divorced, Widowed

3.90 (1.65 - 9.22)

3.05 (0.65 - 14.3)

Education

High School

Ref

0.83

Ref

0.60

College

1.12 (0.55 - 2.31)

1.84 (0.55 - 6.11)

Graduate/Professional School

1.00 (0.48 - 2.10)

1.62 (0.46 - 5.72)

Annual household income

< $25,000

Ref

0.004

Ref

0.21

$25,001-50,000

1.61 (0.79 - 3.28)

1.83 (0.65 - 5.14)

$50,001-75,000

3.24 (1.59 - 6.61)

3.01 (1.03 - 8.79)

$75,001-100,000

2.98 (1.43 - 6.23)

3.33 (1.10 - 10.07)

> $100,000

2.68 (1.44 - 4.99)

2.19 (0.86 - 5.62)

Has health insurance

0.77 (0.38 - 1.57)

0.47

0.62 (0.21 - 1.84)

0.39

Acculturation

Generation in the United States

First Generation (born outside US)

Ref

<0.0001

Ref

 

Second Generation

1.92 (1.23 - 2.99)

1.83 (0.92 - 3.61)

0.40

Third Generation

3.68 (1.77 - 7.65)

1.52 (0.45 - 5.15)

 

Fourth or more Generation

2.99 (1.37 - 6.52)

1.63 (0.52 - 5.04)

 

Self-rated acculturation

Very Asian

Ref

0.001

Ref

0.44

Mostly Asian

2.52 (1.12 - 5.67)

0.94 (0.34 - 2.56)

Bicultural

2.15 (1.03 - 4.47)

1.09 (0.37 - 3.22)

Mostly Westernized

4.82 (2.17 - 10.67)

1.81 (0.59 - 5.58)

Very Westernized

3.76 (1.52 - 9.34)

1.83 (0.48 - 6.92)

Additional parameters

Personal history of skin cancer

7.71 (0.94 - 63.11)

0.06

NR*

Family history of skin cancer

3.92 (1.27 - 12.05)

0.02

5.67 (0.94 - 34.08)

0.06

Co-worker or friend with history of skin cancer

2.37 (1.52 - 3.69)

0.001

1.05 (0.54 - 2.05)

0.89

Has heard of ABCDEs of melanoma

1.78 (1.08 - 2.94)

0.03

1.20 (0.57 - 2.53)

0.64

Belief in SSE

Disagree

Ref

<0.0001

Ref

0.23

Agree

2.44 (1.45 - 4.12)

1.29 (0.50 - 3.32)

Neutral

1.05 (0.56 - 1.97)

1.98 (0.84 - 4.67)

Ever performed SSE

4.28 (2.79 - 6.59)

<0.0001

2.99 (1.54 - 5.80)

0.0012

Self-assessed risk for getting skin cancer during lifetime, n = 465

Strongly disagree

Ref

0.0099

Ref

0.13

Mildly agree

1.34 (0.54 - 3.35)

1.18 (0.28 - 5.00)

Mildly disagree

1.58 (0.54 - 4.61)

1.72 (0.33 - 8.98)

Neither agree nor disagree

1.17 (0.43 - 3.15)

0.60 (0.13 - 2.76)

Strongly agree

2.69 (1.06 - 6.82)

1.99 (0.45 - 8.73)

Skin burns when exposed to strong sunshine without protection

Not at all

Ref

0.54

Ref

0.05

Somewhat

1.46 (0.67 - 3.17)

1.37 (0.43 - 4.40)

Very little

1.70 (0.76 - 3.81)

2.53 (0.76 - 8.46)

Yes (red, painful burn)

1.52 (0.67 - 3.45)

0.77 (0.22 - 2.74)

Skin tans when exposed to strong sunshine without protection

Not tan at all - I just burn

Ref

0.20

Ref

0.13

Tan Slightly

1.61 (0.51 - 5.12)

0.37 (0.06 - 2.25)

Tan deeply

2.45 (0.80 - 7.55)

0.85 (0.15 - 4.84)

Tan moderately

1.76 (0.58 - 5.34)

0.57 (0.10 - 3.15)

Number of blistering sunburns in lifetime

0

Ref

0.78

Ref

0.73

1 - 2

1.13 (0.75 - 1.71)

1.28 (0.67 - 2.43)

3 - 4

1.30 (0.74 - 2.28)

1.32 (0.58 - 3.01)

5 or more

1.28 (0.57 - 2.85)

1.92 (0.49 - 7.49)

  1. *Not included in multivariate analysis due to small number of skin cancers (n = 8).
  2. Multivariate analysis was based on n = 324 unless otherwise indicated.
  3. Bolded numbers indicate significance at a level P<0.05.