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We studied the global patterns and time trends in incidence of melanoma by country and sex, with a focus on and age\u2010 and cohort\u2010specific variations. We analyzed the incidence data from 39 population\u2010based cancer registries, examining all\u2010ages and age\u2010truncated standardized incidence rates of melanoma, estimating the annual percentage change and incidence rate ratios from age\u2010period\u2010cohort models. Incidence rates of melanoma continue to rise in most European countries (primarily Southern and Eastern Europe), whereas in Australia, New Zealand, the U.S., Canada, Israel and Norway, rates have become rather stable in recent years. Indications of a stabilization or decreasing trend were observed mainly in the youngest age group (25\u201344 years). Rates have been rising steadily in generations born up to the end of the 1940s, followed by a stabilization or decline in rates for more recently born cohorts in Australia, New Zealand, the U.S., Canada and Norway. In addition to the birth cohort effect, there was a suggestion of a period\u2010related influence on melanoma trends in certain populations. Although our findings provide support that primary and secondary prevention can halt and reverse the observed increasing burden of melanoma, they also indicate that those prevention measures require further endorsement in many countries.<\/jats:p>","DOI":"10.1002\/ijc.27616","type":"journal-article","created":{"date-parts":[[2012,4,24]],"date-time":"2012-04-24T14:29:53Z","timestamp":1335277793000},"page":"385-400","source":"Crossref","is-referenced-by-count":547,"title":["International trends in the incidence of malignant melanoma 1953\u20132008\u2014are recent generations at higher or lower 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