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Table 16.15

Melanoma of the Skin (Invasive)

Age-adjusted Rates and Trendsa by Race/Ethnicity and Sex

SEER Incidence, Age-Adjusted Rates and Trendsa By Race/Ethnicity and Sex

Race/Ethnicity SEER 18 Areasb
Rate 2011-2015
Rate per 100,000 persons
SEER 13 Areasb
Trend 2006-2015c
AAPC (%)
SEER 9 Areasb
Trend 2006-2015d
AAPC (%)
Both
Sexes
Males Females Both
Sexes
Males Females Both
Sexes
Males Females
All Races 22.8 29.8 17.7 1.7* 1.8* 1.7 1.5* 1.6* 1.9
White 27.3 35.2 21.5 1.7 1.4* 1.4 1.7* 1.7* 1.9*
White Hispanice 4.9 5.2 4.9 1.0* 1.2* 0.8 - - -
White Non-Hispanice 32.5 41.2 26.1 1.7* 1.7* 1.8* - - -
Black 1.1 1.1 1.0 -1.0 -2.5* 0.0 -0.2 -0.5 -0.1
Asian/Pacific Islander 1.4 1.7 1.3 0.6 1.1* 0.2 - - -
American Indian/
Alaska Nativef
5.2 5.0 5.5 2.9* 2.2 3.3* - - -
Hispanice 4.8 5.1 4.8 0.9* 1.3* 0.6 - - -

U.S. Mortalityg, Age-Adjusted Rates and Trendsa By Race/Ethnicity and Sex

Race/Ethnicity Rate 2011-2015b
Rate per 100,000 persons
Trend 2006-2015h
AAPC (%)
Both
Sexes
Males Females Both
Sexes
Males Females
All Races 2.6 3.9 1.6 -1.2* -1.2 -1.4*
White 3.0 4.5 1.9 -1.0 -1.0 -0.4*
White Hispanice 0.8 1.0 0.6 -0.4 -0.2 -0.6
White Non-Hispanice 3.3 4.8 2.0 -0.8 -0.8 -0.2
Black 0.4 0.5 0.3 -1.2* -0.2 -1.9*
Asian/Pacific Islander 0.3 0.4 0.3 -1.0 -1.7* -0.3
American Indian/
Alaska Native
Total U.S.
0.6 0.7 0.4 -0.5 0.2 -0.8
American Indian/
Alaska Native
CHSDA Counties
0.8 1.1 0.5 0.0 1.5 -
American Indian/
Alaska Native
Non-CHSDA Counties
0.4 - - -0.1 - -
Hispanice 0.7 1.0 0.6 -0.4 -0.3 -0.6

Footnotes:

The AAPC is the Average Annual Percent Change over the time interval. The AAPCs are calculated by the Joinpoint Regression Program Version 4.6, February 2018, National Cancer Institute.

- Statistic not shown. Rate based on less than 16 cases for the time interval. Trend based on less than 10 cases for at least one year within the time interval.

a Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130). Trends are based on rates age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130).

b The SEER 9 areas are San Francisco, Connecticut, Detroit, Hawaii, Iowa, New Mexico, Seattle, Utah, and Atlanta.
The SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey, Los Angeles, the Alaska Native Registry, and Rural Georgia.
The SEER 18 areas comprise the SEER 13 areas plus California excluding SF/SJM/LA, Kentucky, Louisiana, New Jersey, and Georgia excluding ATL/RG.

c The 2006-2015 AAPC estimates are based on a Joinpoint analysis with up to 4 Joinpoints over diagnosis years 1992-2015.

d The 2006-2015 AAPC estimates are based on a Joinpoint analysis with up to 5 Joinpoints over diagnosis years 1975-2015.

e Hispanic and Non-Hispanic are not mutually exclusive from whites, blacks, Asian/Pacific Islanders, and American Indians/Alaska Natives. Incidence data for Hispanics and Non-Hispanics are based on NHIA and exclude cases from the Alaska Native Registry. The 2006-2015 Hispanic and Non-Hispanic mortality trends exclude deaths from New Hampshire and Oklahoma.

f Incidence data for American Indian/Alaska Native are based on the CHSDA(Contract Health Service Delivery Area) counties.

g US Mortality Files, National Center for Health Statistics, CDC.

h The 2006-2015 mortality AAPCs are based on a Joinpoint analysis using years of death 1992-2015.

* The APC is significantly different from zero (p<.05).

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