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Furthermore, the factors appear to differ for melanoma and non\u2010melanoma 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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Deaths from melanoma and NMSC in the period 2000\u20132019 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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>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\u2010wise study helps to elucidate the relationship between social and ambient exposure determinants and skin cancer mortality in Spain.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ijd.16618","type":"journal-article","created":{"date-parts":[[2023,2,20]],"date-time":"2023-02-20T12:20:07Z","timestamp":1676895607000},"page":"776-782","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Skin cancer mortality in Spain: adjusted mortality rates by province and related risk factors"],"prefix":"10.1111","volume":"62","author":[{"given":"Antonio","family":"Alcal\u00e1 Ram\u00edrez del Puerto","sequence":"first","affiliation":[{"name":"Dermatology Department Hospital Universitario Virgen del Roc\u00edo  Sevilla Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2525-4069","authenticated-orcid":false,"given":"Juan 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