Racial and ethnic trends in the skin cancer melanoma appear different in Florida than from national estimates, with higher incidence rates among Hispanic men and non-Hispanic black women but lower rates among Hispanic women, according to a report in the July issue of Archives of Dermatology, one of the JAMA/Archives journals.
"In the past several decades, melanoma incidence has increased more rapidly than that of any other cancer," the authors write as background information in the article. An estimated one in 58 Americans will develop melanoma in their lifetime, with lighter-skinned populations more likely to develop melanoma. However, melanoma is more likely to be diagnosed at more advanced stages among Hispanic and non-Hispanic black individuals than among non-Hispanic white men and women, resulting in higher mortality rates.
Melanoma incidence also varies by region, most likely because of differences in exposure to UV radiation. "An analysis of state and national melanoma trends is critical for the identification of high-risk regions of the country," write Panta Rouhani, Ph.D., M.P.H., of the University of Miami Miller School of Medicine, and colleagues. The researchers compared melanoma incidence in the Florida Cancer Data System to national estimates from the Surveillance, Epidemiology and End Results (SEER) databases between 1992 and 2004.
A total of 109,633 patients with melanoma were evaluated, including 36,427 from Florida and 73,206 from the SEER registries. The incidence of melanoma among male Hispanics was 20 percent higher in Florida than in the SEER registries, and female non-Hispanic black individuals in Florida had a 60 percent higher incidence of the disease than the same population in the SEER registries. However, female Hispanic patients living in Florida were 30 percent less likely to develop melanoma than those in the SEER database.
"Although causation of melanoma among non-whites cannot be i
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