Skin cancer mortality in Spain: adjusted mortality rates by province and related risk factors

Background Ultraviolet radiation is the main environmental risk factor responsible for the development of skin cancer. Other occupational, socioeconomic, and environmental factors appear to be related to the risk of skin cancer. Furthermore, the factors appear to differ for melanoma and non‐melanoma...

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Veröffentlicht in:International journal of dermatology 2023-06, Vol.62 (6), p.776-782
Hauptverfasser: Alcalá Ramírez del Puerto, Antonio, Hernández‐Rodriguez, Juan Carlos, Sendín‐Martín, Mercedes, Ortiz‐Alvarez, Juan, Conejo‐Mir Sánchez, Julián, Pereyra‐Rodriguez, José Juan
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container_issue 6
container_start_page 776
container_title International journal of dermatology
container_volume 62
creator Alcalá Ramírez del Puerto, Antonio
Hernández‐Rodriguez, Juan Carlos
Sendín‐Martín, Mercedes
Ortiz‐Alvarez, Juan
Conejo‐Mir Sánchez, Julián
Pereyra‐Rodriguez, José Juan
description Background Ultraviolet radiation is the main environmental risk factor responsible for the development of skin cancer. Other occupational, socioeconomic, and environmental factors appear to be related to the risk of skin cancer. Furthermore, the factors appear to differ for melanoma and non‐melanoma skin cancer (NMSC). The purpose of this study is to analyze mortality rates of skin cancer in the different provinces of Spain and to determine the influence of socioeconomic conditions and other environmental and demographic factors in rates. Methods Deaths from melanoma and NMSC in the period 2000–2019 were obtained as well as socioeconomic and environmental variables. Annual standardized mortality rates (SMR) were calculated for all Spanish provinces. The Pearson correlation coefficient was calculated. Results The SMR of melanoma was 2.10/100,000 inhabitants, while that of NMSC was 1.28/100,000. At the provincial level, a great variability is confirmed. Gross domestic product showed a positive correlation with melanoma mortality but a negative correlation with NMSC. Other environmental and socioeconomic variables also showed correlation, as a positive correlation between tobacco sales and melanoma and between agricultural development and the NMSC. Conclusions There are still important differences between each province that must be taken into account when planning health care and resource distribution. This ecological and province‐wise study helps to elucidate the relationship between social and ambient exposure determinants and skin cancer mortality in Spain.
doi_str_mv 10.1111/ijd.16618
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Other occupational, socioeconomic, and environmental factors appear to be related to the risk of skin cancer. Furthermore, the factors appear to differ for melanoma and non‐melanoma skin cancer (NMSC). The purpose of this study is to analyze mortality rates of skin cancer in the different provinces of Spain and to determine the influence of socioeconomic conditions and other environmental and demographic factors in rates. Methods Deaths from melanoma and NMSC in the period 2000–2019 were obtained as well as socioeconomic and environmental variables. Annual standardized mortality rates (SMR) were calculated for all Spanish provinces. The Pearson correlation coefficient was calculated. Results The SMR of melanoma was 2.10/100,000 inhabitants, while that of NMSC was 1.28/100,000. At the provincial level, a great variability is confirmed. Gross domestic product showed a positive correlation with melanoma mortality but a negative correlation with NMSC. Other environmental and socioeconomic variables also showed correlation, as a positive correlation between tobacco sales and melanoma and between agricultural development and the NMSC. Conclusions There are still important differences between each province that must be taken into account when planning health care and resource distribution. This ecological and province‐wise study helps to elucidate the relationship between social and ambient exposure determinants and skin cancer mortality in Spain.</description><identifier>ISSN: 0011-9059</identifier><identifier>EISSN: 1365-4632</identifier><identifier>DOI: 10.1111/ijd.16618</identifier><identifier>PMID: 36807202</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Agricultural development ; Cancer ; Correlation coefficient ; Correlation coefficients ; Environmental factors ; Environmental risk ; Health risks ; Humans ; Mathematical analysis ; Melanoma ; Mortality ; Risk Factors ; Skin cancer ; Skin Neoplasms ; Social factors ; Socioeconomic factors ; Socioeconomics ; Spain - epidemiology ; Tobacco ; Ultraviolet radiation ; Ultraviolet Rays - adverse effects</subject><ispartof>International journal of dermatology, 2023-06, Vol.62 (6), p.776-782</ispartof><rights>2023 The Authors. published by Wiley Periodicals LLC on behalf of the International Society of Dermatology.</rights><rights>2023 The Authors. International Journal of Dermatology published by Wiley Periodicals LLC on behalf of the International Society of Dermatology.</rights><rights>2023. This article is published under http://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3888-48ffb821d7ff43c44ce9e792d1d3e1125537f6ffe4fe6020d47f4e4d804b9c453</citedby><cites>FETCH-LOGICAL-c3888-48ffb821d7ff43c44ce9e792d1d3e1125537f6ffe4fe6020d47f4e4d804b9c453</cites><orcidid>0000-0001-9108-9538 ; 0000-0003-2525-4069 ; 0000-0001-6843-5877 ; 0000-0003-2134-3902 ; 0000-0003-0156-381X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fijd.16618$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fijd.16618$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>315,781,785,1418,27929,27930,45579,45580</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36807202$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Alcalá Ramírez del Puerto, Antonio</creatorcontrib><creatorcontrib>Hernández‐Rodriguez, Juan Carlos</creatorcontrib><creatorcontrib>Sendín‐Martín, Mercedes</creatorcontrib><creatorcontrib>Ortiz‐Alvarez, Juan</creatorcontrib><creatorcontrib>Conejo‐Mir Sánchez, Julián</creatorcontrib><creatorcontrib>Pereyra‐Rodriguez, José Juan</creatorcontrib><title>Skin cancer mortality in Spain: adjusted mortality rates by province and related risk factors</title><title>International journal of dermatology</title><addtitle>Int J Dermatol</addtitle><description>Background Ultraviolet radiation is the main environmental risk factor responsible for the development of skin cancer. Other occupational, socioeconomic, and environmental factors appear to be related to the risk of skin cancer. Furthermore, the factors appear to differ for melanoma and non‐melanoma skin cancer (NMSC). The purpose of this study is to analyze mortality rates of skin cancer in the different provinces of Spain and to determine the influence of socioeconomic conditions and other environmental and demographic factors in rates. Methods Deaths from melanoma and NMSC in the period 2000–2019 were obtained as well as socioeconomic and environmental variables. Annual standardized mortality rates (SMR) were calculated for all Spanish provinces. The Pearson correlation coefficient was calculated. Results The SMR of melanoma was 2.10/100,000 inhabitants, while that of NMSC was 1.28/100,000. At the provincial level, a great variability is confirmed. Gross domestic product showed a positive correlation with melanoma mortality but a negative correlation with NMSC. Other environmental and socioeconomic variables also showed correlation, as a positive correlation between tobacco sales and melanoma and between agricultural development and the NMSC. Conclusions There are still important differences between each province that must be taken into account when planning health care and resource distribution. 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Hernández‐Rodriguez, Juan Carlos ; Sendín‐Martín, Mercedes ; Ortiz‐Alvarez, Juan ; Conejo‐Mir Sánchez, Julián ; Pereyra‐Rodriguez, José Juan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3888-48ffb821d7ff43c44ce9e792d1d3e1125537f6ffe4fe6020d47f4e4d804b9c453</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Agricultural development</topic><topic>Cancer</topic><topic>Correlation coefficient</topic><topic>Correlation coefficients</topic><topic>Environmental factors</topic><topic>Environmental risk</topic><topic>Health risks</topic><topic>Humans</topic><topic>Mathematical analysis</topic><topic>Melanoma</topic><topic>Mortality</topic><topic>Risk Factors</topic><topic>Skin cancer</topic><topic>Skin Neoplasms</topic><topic>Social factors</topic><topic>Socioeconomic factors</topic><topic>Socioeconomics</topic><topic>Spain - epidemiology</topic><topic>Tobacco</topic><topic>Ultraviolet radiation</topic><topic>Ultraviolet Rays - adverse effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Alcalá Ramírez del Puerto, Antonio</creatorcontrib><creatorcontrib>Hernández‐Rodriguez, Juan Carlos</creatorcontrib><creatorcontrib>Sendín‐Martín, Mercedes</creatorcontrib><creatorcontrib>Ortiz‐Alvarez, Juan</creatorcontrib><creatorcontrib>Conejo‐Mir Sánchez, Julián</creatorcontrib><creatorcontrib>Pereyra‐Rodriguez, José Juan</creatorcontrib><collection>Wiley Online Library (Open Access Collection)</collection><collection>Wiley Online Library (Open Access Collection)</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of dermatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Alcalá Ramírez del Puerto, Antonio</au><au>Hernández‐Rodriguez, Juan Carlos</au><au>Sendín‐Martín, Mercedes</au><au>Ortiz‐Alvarez, Juan</au><au>Conejo‐Mir Sánchez, Julián</au><au>Pereyra‐Rodriguez, José Juan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Skin cancer mortality in Spain: adjusted mortality rates by province and related risk factors</atitle><jtitle>International journal of dermatology</jtitle><addtitle>Int J Dermatol</addtitle><date>2023-06</date><risdate>2023</risdate><volume>62</volume><issue>6</issue><spage>776</spage><epage>782</epage><pages>776-782</pages><issn>0011-9059</issn><eissn>1365-4632</eissn><abstract>Background Ultraviolet radiation is the main environmental risk factor responsible for the development of skin cancer. Other occupational, socioeconomic, and environmental factors appear to be related to the risk of skin cancer. Furthermore, the factors appear to differ for melanoma and non‐melanoma skin cancer (NMSC). The purpose of this study is to analyze mortality rates of skin cancer in the different provinces of Spain and to determine the influence of socioeconomic conditions and other environmental and demographic factors in rates. Methods Deaths from melanoma and NMSC in the period 2000–2019 were obtained as well as socioeconomic and environmental variables. Annual standardized mortality rates (SMR) were calculated for all Spanish provinces. The Pearson correlation coefficient was calculated. Results The SMR of melanoma was 2.10/100,000 inhabitants, while that of NMSC was 1.28/100,000. At the provincial level, a great variability is confirmed. Gross domestic product showed a positive correlation with melanoma mortality but a negative correlation with NMSC. Other environmental and socioeconomic variables also showed correlation, as a positive correlation between tobacco sales and melanoma and between agricultural development and the NMSC. Conclusions There are still important differences between each province that must be taken into account when planning health care and resource distribution. This ecological and province‐wise study helps to elucidate the relationship between social and ambient exposure determinants and skin cancer mortality in Spain.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>36807202</pmid><doi>10.1111/ijd.16618</doi><tpages>782</tpages><orcidid>https://orcid.org/0000-0001-9108-9538</orcidid><orcidid>https://orcid.org/0000-0003-2525-4069</orcidid><orcidid>https://orcid.org/0000-0001-6843-5877</orcidid><orcidid>https://orcid.org/0000-0003-2134-3902</orcidid><orcidid>https://orcid.org/0000-0003-0156-381X</orcidid><oa>free_for_read</oa></addata></record>
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subjects Agricultural development
Cancer
Correlation coefficient
Correlation coefficients
Environmental factors
Environmental risk
Health risks
Humans
Mathematical analysis
Melanoma
Mortality
Risk Factors
Skin cancer
Skin Neoplasms
Social factors
Socioeconomic factors
Socioeconomics
Spain - epidemiology
Tobacco
Ultraviolet radiation
Ultraviolet Rays - adverse effects
title Skin cancer mortality in Spain: adjusted mortality rates by province and related risk factors
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