{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T03:52:52Z","timestamp":1782359572076,"version":"3.54.5"},"reference-count":33,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2013,8,22]],"date-time":"2013-08-22T00:00:00Z","timestamp":1377129600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Dermatology"],"published-print":{"date-parts":[[2014,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The incidence of melanoma is increasing in <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>aucasians and in <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ispanic subgroups in <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>alifornia and <jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>lorida. There is a paucity of information regarding melanoma incidence, stage at diagnosis, and other patient and tumor factors among minority subgroups in the northeast <jats:styled-content style=\"fixed-case\">USA<\/jats:styled-content>. This report examines melanoma in non\u2010<jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ispanic white, non\u2010<jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ispanic black, and <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ispanic residents of Connecticut.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Trends in age\u2010adjusted melanoma incidence rates (1992\u20132007) and the corresponding annual percentage changes in rates were calculated for <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>onnecticut residents by race and <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ispanic ethnicity. The racial\/ethnic variation was evaluated for a number of patient and tumor characteristics: gender, age at diagnosis, marital status, anatomic site, histology, ulceration, Breslow thickness, and stage at diagnosis. Statistical significance at the 95% level was assessed using confidence intervals (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>s) and Pearson's chi\u2010squared tests.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Between 1992 and 2007, melanoma incidence increased by 4.1% per year in non\u2010Hispanic whites in Connecticut (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 3.1\u20135.1%; <jats:italic>P\u00a0<\/jats:italic>&lt;\u00a00.05). Melanoma incidence remained relatively stable for <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ispanics and non\u2010<jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ispanic blacks over the same period. A significantly higher proportion of advanced (regional and distant) melanomas were diagnosed in non\u2010Hispanic blacks (19.1%) and Hispanics (17.1%) than in non\u2010Hispanic whites (8.7%) (<jats:italic>P\u00a0<\/jats:italic>&lt;\u00a00.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>A significantly higher proportion of advanced melanomas were diagnosed in non\u2010Hispanic blacks and Hispanics than in non\u2010Hispanic whites. There is a growing need to educate patients and healthcare providers of the necessity for skin cancer surveillance regardless of the race of the patient.<\/jats:p><\/jats:sec>","DOI":"10.1111\/j.1365-4632.2012.05713.x","type":"journal-article","created":{"date-parts":[[2013,8,23]],"date-time":"2013-08-23T03:38:27Z","timestamp":1377229107000},"page":"425-433","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":39,"title":["Melanoma in skin of color in <scp>C<\/scp>onnecticut: an analysis of melanoma incidence and stage at diagnosis in non\u2010Hispanic blacks, non\u2010Hispanic whites, and Hispanics"],"prefix":"10.1111","volume":"53","author":[{"given":"MariMeg","family":"Clairwood","sequence":"first","affiliation":[{"name":"Department of Dermatology University of Connecticut School of Medicine CT USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janelle","family":"Ricketts","sequence":"additional","affiliation":[{"name":"Department of Dermatology University of Connecticut School of Medicine CT USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane","family":"Grant\u2010Kels","sequence":"additional","affiliation":[{"name":"Department of Dermatology University of Connecticut School of Medicine CT USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lou","family":"Gonsalves","sequence":"additional","affiliation":[{"name":"Connecticut Tumor Registry State of Connecticut Department of Public Health CT USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,8,22]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.27514"},{"key":"e_1_2_5_3_1","unstructured":"HowladerN NooneAM KrapchoM et\u00a0al.SEER Cancer Statistics Review 1975\u20102009 (Vintage 2009 Populations)[WWW document]. 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