title: Increasing rates of melanoma among nonwhites in Florida compared with the United States.
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.
  
  
  METHODS
  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.
  
  
  METHODS
  A population of 109 633 patients with invasive melanoma was evaluated: 73 206 (66.8%) from SEER and 36 427 (33.2%) from FCDS.
  
  
  METHODS
  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).
  
  
  CONCLUSIONS
  These findings suggest an emerging public health concern in race/ethnic subgroups that were previously understudied.
authors.affiliation: Department of Dermatology, University of Miami, Miller School of Medicine, 1600 NW 10th Avenue, Miami, FL 33136, USA.
authors.forename: Panta
authors.initials: P
authors.lastname: Rouhani
authors.forename: Paulo S
authors.initials: PS
authors.lastname: Pinheiro
authors.forename: Recinda
authors.initials: R
authors.lastname: Sherman
authors.forename: Kris
authors.initials: K
authors.lastname: Arheart
authors.forename: Lora E
authors.initials: LE
authors.lastname: Fleming
authors.forename: J
authors.initials: J
authors.lastname: Mackinnon
authors.forename: Robert S
authors.initials: RS
authors.lastname: Kirsner
mesh_terms: D001741:Black or African American; D005260:Female; D005431:Florida / Q000453:epidemiology; D006630:Hispanic or Latino; D006801:Humans; D015994:Incidence; D008297:Male; D008545:Melanoma / Q000208:ethnology*; D011634:Public Health / Q000639:trends*; D012042:Registries; D012307:Risk Factors; D018426:SEER Program / Q000706:statistics & numerical data*; D012878:Skin Neoplasms / Q000208:ethnology*; D014481:United States / Q000453:epidemiology