Health Indicator Report of Melanoma of the Skin Deaths
While melanoma is much less common than other skin cancers such as basal cell and squamous cell, it is far more dangerous. According to the American Cancer Society, there are several risk factors associated with melanoma. Risk factors that can be individually controlled or modified are excessive exposure to sunlight and UV radiation during work and recreation. A history of sunburns early in life significantly increases one's risk for melanoma. Risk for melanoma also increases with the increased severity of sunburn or blisters. Lifetime sun exposure, even if sunburn does not occur, is another risk factor for melanoma. Another risk factor for melanoma is geography. People who live of certain areas of the U.S. such as areas with a high elevation, warmer climate, and where sunlight can be reflected by sand, water, snow, and ice experience higher rates of melanoma. Utah is one such geographic location that provides these conditions. Risk for melanoma is greatly increased by the practice of tanning, both outside with oils and by using sunlamps and tanning booths. Even people who tan well without burning are at risk for melanoma. Tan skin is evidence of skin damaged by UV radiation. The risk of melanoma is greatly increased by using these artificial sources of UV radiation before age 30. Health care providers strongly encourage people, especially young people, to avoid tanning beds, booths, and sunlamps.
Melanoma of the Skin Deaths, Utah and U.S., 1999-2019
NotesICD-O3 Site C440-C449 and Histology 8720-8790: Melanoma of the Skin, which corresponds to ICD-10 code C43. [[br]][[br]] Age-adjusted to U.S. 2000 standard population.
- Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health
- Population Estimates: National Center for Health Statistics (NCHS) through a collaborative agreement with the U.S. Census Bureau, IBIS Version 2019
- U.S. Underlying Cause of Death Data: WONDER Online Database. Centers for Disease Control and Prevention, National Center for Health Statistics. Accessed at [http://wonder.cdc.gov/ucd-icd10.html]
DefinitionThe rate of death from melanoma of the skin (ICD-10: C43) per 100,000 population.
NumeratorThe number of deaths due to malignant melanoma of the skin for a given time period (ICD-10: C43).
DenominatorThe population of Utah for a given time period.
Healthy People Objective C-8:Reduce the melanoma cancer death rate
U.S. Target: 2.4 deaths per 100,000 population
State Target: 2.8 deaths per 100,000 population
Other ObjectivesCSTE Chronic Disease Indicators
How Are We Doing?Utah has consistently ranked as one of the highest states in terms of melanoma incidence and mortality nationwide, partially due to its geographic features such as high elevation and desert landscape that contribute to increased risk of developing melanoma. In Utah, melanoma death rates have decreased somewhat in the past decade, from 4.0 deaths per 100,000 persons in 2009 to 2.7 deaths per 100,000 persons in 2019. Skin cancer death rates in Utah vary based on geography, age, sex, and ethnicity. Age-adjusted mortality rates for combined years 2015-2019 show melanoma death rates vary across local health districts (LHDs), from a high of 4.9 deaths per 100,000 persons in Wasatch LHD to 2.0 deaths per 100,000 persons in TriCounty LHD, though caution should be used in interpreting these rates as these estimates have a high coefficient of variation. Rates of skin cancer deaths increase significantly with age. From 2017-2019 for all groups over the age of 45, males were significantly more likely to die from skin cancer than females (9.2 deaths per 100,000 males compared to 4.6 deaths per 100,000 females). Data from the last 10 years (2009-2019) show that those who ethnically identify as non-Hispanic have significantly higher rates of skin cancer death (3.3 deaths per 100,000 persons) compared to those who identify as Hispanic (0.6 deaths per 100,000 persons).
How Do We Compare With the U.S.?Trends in melanoma cancer mortality rate have remained fairly steady across the U.S. in recent decades. In Utah, melanoma death rates have decreased somewhat in the past decade, from 4.0 deaths per 100,000 persons in 2009 to 2.7 deaths per 100,000 persons in 2019. However, melanoma death rates in Utah still remain higher than the U.S. (the latest available national data from 2017 show a melanoma mortality rate of 2.1 deaths per 100,000 persons in the U.S. compared to 2.6 deaths per 100,000 persons in Utah). Utah has consistently ranked as one of the highest states in terms of melanoma incidence and mortality nationwide, partially due to its geographic features such as high elevation and desert landscape that contribute to increased risk of developing melanoma.
What Is Being Done?The Utah Department of Health initiated the Utah Cancer Action Network (UCAN), a statewide partnership whose goal is to reduce the burden of cancer. The mission of the UCAN is to lower cancer incidence and mortality in Utah through collaborative efforts directed toward cancer prevention and control. As a result of this planning process, objectives and strategies have been developed by community partners regarding the early detection of cervical, breast, and colorectal cancers as well as the promotion of physical activity, healthy eating habits, melanoma cancer prevention, and cancer survivorship advocacy.
Page Content Updated On 10/23/2020, Published on 01/04/2021