Increasing rates of melanoma among nonwhites in Florida compared with the United States

Panta Rouhani, Paulo S. Pinheiro, Recinda Sherman, Kris Arheart, Lora E. Fleming, J. MacKinnon, Robert S. Kirsner

Research output: Contribution to journalArticle

30 Scopus citations

Abstract

Objective: To compare melanoma trends within Florida with national melanoma trends from 1992 through 2004. An analysis of state and national melanoma trends is critical for the identification of high-risk regions of the country. Design: Data from the Florida Cancer Data System (FCDS) and Surveillance, Epidemiology, and End Results (SEER) were evaluated to determine age-adjusted and race/ethnicity- and sex-specific invasive cutaneous melanoma incidence trends for 1992 through 2004 using joinpoint regression analysis. Standardized incidence rate ratios (SIRRs) were computed to compare Florida with the United States. Patients: A population of 109 633 patients with invasive melanoma was evaluated: 73 206 (66.8%) from SEER and 36 427 (33.2%) from FCDS. Main Outcome Measures: Melanoma incidence and change in melanoma rates over time. Results: The incidence of melanoma among male Hispanic patients residing in Florida was 20% higher than that of their male counterparts in the SEER catchment areas (SIRR, 1.2; 95% confidence interval [CI], 1.1-1.4). Conversely, the incidence of melanoma among female Hispanic patients residing in Florida was significantly lower than that in SEER (SIRR, 0.7; 95% CI, 0.7-0.8). Differences in melanoma incidence were identified in female non-Hispanic black (NHB) patients in Florida who had a 60% significantly higher incidence of melanoma compared with female NHB patients in SEER (SIRR, 1.6; 95% CI, 1.3-2.0). Conclusion: These findings suggest an emerging public health concern in race/ethnic subgroups that were previously understudied.

Original languageEnglish (US)
Pages (from-to)741-746
Number of pages6
JournalArchives of dermatology
Volume146
Issue number7
DOIs
StatePublished - Jul 2010

ASJC Scopus subject areas

  • Dermatology

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