Trends by anatomic site in the incidence of cutaneous malignant melanoma in Canada, 1969-93.

Détails

ID Serval
serval:BIB_11262
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Trends by anatomic site in the incidence of cutaneous malignant melanoma in Canada, 1969-93.
Périodique
Cancer Causes and Control
Auteur(s)
Bulliard J.L., Cox B., Semenciw R.
ISSN
0957-5243 (Print)
ISSN-L
0957-5243
Statut éditorial
Publié
Date de publication
1999
Peer-reviewed
Oui
Volume
10
Numéro
5
Pages
407-416
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Résumé
Trends in melanoma incidence by anatomic site were examined in Canada where ascertainment of cancer has been of a high standard. The analysis included 41,239 malignant melanomas registered between 1969 and 1993 and used an age, period and cohort modeling approach. The estimated annual increase was 4.8% for males and 3.1% for females but slowed appreciably in the later years. The lifetime risk of melanoma appeared to have peaked with women born about 1934 and men born about 1944. The age-standardized rates have now stabilized for women and are expected to plateau for men in the near future. The largest relative increases occurred for the upper limbs followed by the trunk for both sexes. Comparable generation effects were observed for intermittently exposed sites but the patterns of trend differed between sites for men and women. This supports effects due to sex- and site-specific pattern of sun exposure. The evidence, for the first time, of more favorable trends among post-World War II generations is thought to reflect reduced exposure to UV rays. This may possibly be the earliest signs of the impact of primary prevention programs, particularly if UV radiation also acts as a tumor promoter.
Mots-clé
Adolescent, Adult, Aged, Canada/epidemiology, Cohort Studies, Female, Humans, Incidence, Male, Melanoma/epidemiology, Melanoma/pathology, Middle Aged, Preventive Medicine, Risk Assessment, Skin Neoplasms/epidemiology, Skin Neoplasms/pathology, Sunlight
Pubmed
Web of science
Création de la notice
19/11/2007 12:01
Dernière modification de la notice
20/08/2019 12:38
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