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In this serial population\u2010based study, the National Vital Statistics System dataset was queried for mortality data. Excess CM\u2010related mortality rates were estimated by calculating the difference between observed and projected mortality rates during the pandemic. Totally there were 108,853 CM\u2010associated deaths in 2012\u20132022. CM\u2010associated mortality saw a declining trend from 2012 to 2019 overall. However, it increased sharply in 2020 (ASMR 3.73 per 100,000 persons, 5.95% excess mortality), and remained high in 2021 and 2022, with the ASMRs of 3.82 and 3.81, corresponding to 11.17% and 13.20% excess mortality, respectively. The nonmetro areas had the most pronounced rise in mortality with 12.20% excess death in 2020, 15.33% in 2021 and 20.52% in 2022, corresponding to a 4\u20136 times excess mortality risk compared to large metro areas during the pandemic. The elderly had the most pronounced rise in mortality, but the mortality in the younger population was reduced.<\/jats:p>","DOI":"10.1111\/pcmr.13181","type":"journal-article","created":{"date-parts":[[2024,6,13]],"date-time":"2024-06-13T08:46:20Z","timestamp":1718268380000},"page":"783-792","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Age and urban\u2013rural disparities in cutaneous melanoma mortality rates in the United States during the <scp>COVID<\/scp>\u201019 pandemic"],"prefix":"10.1111","volume":"37","author":[{"given":"Ting","family":"Hu","sequence":"first","affiliation":[{"name":"Department of Dermatology The Second Affiliated Hospital of Xi'an Jiaotong University  Xi'an Shaanxi China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhimiao","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Dermatology The Second Affiliated Hospital of Xi'an Jiaotong University  Xi'an Shaanxi China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuxin","family":"Guo","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases The Second Affiliated Hospital of Xi'an Jiaotong University  Xi'an Shaanxi China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sikai","family":"Qiu","sequence":"additional","affiliation":[{"name":"The Second Affiliated Hospital of Xi'an Jiaotong University  Xi'an Shaanxi China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fan","family":"Lv","sequence":"additional","affiliation":[{"name":"School of Mathematics and Statistics Xi'an Jiaotong University  Xi'an Shaanxi China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ying","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Dermatology The Second Affiliated Hospital of Xi'an Jiaotong University  Xi'an Shaanxi China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wee Han","family":"Ng","sequence":"additional","affiliation":[{"name":"Bristol Medical School University of Bristol  Bristol UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jian","family":"Zu","sequence":"additional","affiliation":[{"name":"School of Mathematics and Statistics Xi'an Jiaotong University  Xi'an Shaanxi China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yee Hui","family":"Yeo","sequence":"additional","affiliation":[{"name":"Karsh Division of Gastroenterology and Hepatology Cedars\u2010Sinai Medical Center  Los Angeles USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fanpu","family":"Ji","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases The Second Affiliated Hospital of Xi'an Jiaotong University  Xi'an Shaanxi China"},{"name":"National &amp; Local Joint Engineering Research Center of Biodiagnosis and Biotherapy The Second Affiliated Hospital of Xi'an Jiaotong University  Xi'an China"},{"name":"Shaanxi Provincial Clinical Medical Research Center of Infectious Diseases  Xi'an China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5144-2552","authenticated-orcid":false,"given":"Ernest Y.","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Dermatology University of California  San Francisco California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhengxiao","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Dermatology The Second Affiliated Hospital of Xi'an Jiaotong University  Xi'an Shaanxi China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,6,13]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsps.2020.12.014"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocp.2020.05.014"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.29325"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamadermatol.2022.0160"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1158\/1078-0432.CCR-20-4092"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/gbaa068"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.3390\/cancers12071819"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2020.305567"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/cvr\/cvaa284"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.lana.2022.100220"},{"key":"e_1_2_11_12_1","unstructured":"CDC. 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