Changing trends in the epidemiology of malignant melanoma : gender differences and their implications for public health.
Skin cancer has been identified as a key area in the English health strategy.
Review of trends in the epidemiology of melanoma by age, sex and social class can contribute to ensuring that preventive efforts are targeted appropriately and subsequently to monitoring the effects of campaigns.
Registration rates of new cases of malignant melanoma increased sharply in both sexes between 1971 and 1989 by 190% in men and 137% in women.
Between 1970/1972 and 1990/1992 age-standardized mortality rates increased by 92% in men and 43% in women.
In the 15-34 age group mortality rates have declined in women since the late 1970s whilst remaining level in men.
The pattern of significantly higher mortality for both men and women in non-manual occupational groups had by the early 1980s diminished in women although it remained in men.
In non-manual groups the mortality rate was higher in men than in women whilst for manual groups the opposite was true.
A difference in trends in mortality from malignant melanoma between the sexes was demonstrated.
Men are an important target group for preventive efforts despite their lower incidence of melanoma.
They have a higher mortality rate which is increasing, less knowledge about appropriate primary and secondary preventive measures, present later with disease and respond less to traditional health education approaches.
The findings have implications for the planning of primary and secondary prevention programmes.
Mots-clés Pascal : Mélanome malin, Tumeur maligne, Peau pathologie, Homme, Epidémiologie, Royaume Uni, Europe, Age, Sexe, Mortalité, Prévention, Programme sanitaire, Etude longitudinale
Mots-clés Pascal anglais : Malignant melanoma, Malignant tumor, Skin disease, Human, Epidemiology, United Kingdom, Europe, Age, Sex, Mortality, Prevention, Sanitary program, Follow up study
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0554445
Code Inist : 002B08A. Création : 01/03/1996.