As of 2022, non-Hispanic white people in the United States had the highest incidence rates of skin cancer among all races and ethnicities. Skin cancer is one of the most commonly occurring cancers in the world. Furthermore, the United States is among the countries with the highest rates of skin cancer worldwide. Skin cancer in the U.S. There are a few different types of skin cancer, and some are more deadly than others. Basal and squamous skin cancers are more common and less dangerous than melanomas. Among U.S. residents, skin cancer has been demonstrated to be more prevalent among men than women. Skin cancer is also more prevalent among older adults. With treatment and early detection, skin cancers have a high survival rate. Fortunately, in recent years the U.S. has seen a reduction in the rate of death from melanoma. Skin cancer prevention Avoiding and protecting exposed skin from the sun (and other sources of UV light) is the primary means of preventing skin cancer. However, a survey of U.S. adults from 2024 found that around ******* never used sunscreen.

In 2022, Australia had the fourth-highest total number of skin cancer cases worldwide and the highest age-standardized rate, with roughly 37 cases of skin cancer per 100,000 population. The graph illustrates the rate of skin cancer in the countries with the highest skin cancer rates worldwide in 2022.

This dataset provides insights into one-year survival rates from all cancers, serving as a key indicator of early cancer outcomes. It measures the proportion of individuals diagnosed with an invasive cancer who survive for at least one year following their diagnosis. The dataset includes all invasive tumours classified under ICD-10 codes C00 to C97, excluding non-melanoma skin cancer (C44). It supports analysis across different population groups and geographies, including ethnicity, deprivation levels, and the Birmingham and Solihull (BSol) area.

Rationale

Improving one-year survival rates is a critical goal in cancer care, as it reflects the effectiveness of early diagnosis and initial treatment. This indicator helps monitor progress in reducing early mortality from cancer and supports targeted interventions to improve outcomes.

Numerator

The numerator includes individuals who were diagnosed with a specific type of cancer and died from the same type of cancer within one year of diagnosis. Only invasive cancers are included, as defined by ICD-10 codes C00 to C97, excluding non-melanoma skin cancer (C44). Data is sourced from the National Cancer Registration and Analysis Service (NCRAS).

Denominator

The denominator comprises all individuals diagnosed with an invasive cancer (ICD-10 codes C00 to C97, excluding C44) within a five-year period. This data is also sourced from the National Cancer Registration and Analysis Service (NCRAS).

Caveats

This dataset uses a simplified methodology that differs from the national calculation of one-year cancer survival. As a result, the figures presented here may not align with nationally published statistics. However, this approach enables the provision of survival data disaggregated by ethnicity, deprivation, and local geographies such as BSol, which is not always possible with national data.

External references

For more information, visit the National Cancer Registration and Analysis Service (NCRAS).

Localities ExplainedThis dataset contains data based on either the resident locality or registered locality of the patient, a distinction is made between resident locality and registered locality populations:Resident Locality refers to individuals who live within the defined geographic boundaries of the locality. These boundaries are aligned with official administrative areas such as wards and Lower Layer Super Output Areas (LSOAs).Registered Locality refers to individuals who are registered with GP practices that are assigned to a locality based on the Primary Care Network (PCN) they belong to. These assignments are approximate—PCNs are mapped to a locality based on the location of most of their GP surgeries. As a result, locality-registered patients may live outside the locality, sometimes even in different towns or cities.This distinction is important because some health indicators are only available at GP practice level, without information on where patients actually reside. In such cases, data is attributed to the locality based on GP registration, not residential address.

Click here to explore more from the Birmingham and Solihull Integrated Care Partnerships Outcome Framework.

Population based cancer incidence rates were abstracted from National Cancer Institute, State Cancer Profiles for all available counties in the United States for which data were available. This is a national county-level database of cancer data that are collected by state public health surveillance systems. All-site cancer is defined as any type of cancer that is captured in the state registry data, though non-melanoma skin cancer is not included. All-site age-adjusted cancer incidence rates were abstracted separately for males and females. County-level annual age-adjusted all-site cancer incidence rates for years 2006–2010 were available for 2687 of 3142 (85.5%) counties in the U.S. Counties for which there are fewer than 16 reported cases in a specific area-sex-race category are suppressed to ensure confidentiality and stability of rate estimates; this accounted for 14 counties in our study. Two states, Kansas and Virginia, do not provide data because of state legislation and regulations which prohibit the release of county level data to outside entities. Data from Michigan does not include cases diagnosed in other states because data exchange agreements prohibit the release of data to third parties. Finally, state data is not available for three states, Minnesota, Ohio, and Washington. The age-adjusted average annual incidence rate for all counties was 453.7 per 100,000 persons. We selected 2006–2010 as it is subsequent in time to the EQI exposure data which was constructed to represent the years 2000–2005. We also gathered data for the three leading causes of cancer for males (lung, prostate, and colorectal) and females (lung, breast, and colorectal). The EQI was used as an exposure metric as an indicator of cumulative environmental exposures at the county-level representing the period 2000 to 2005. A complete description of the datasets used in the EQI are provided in Lobdell et al. and methods used for index construction are described by Messer et al. The EQI was developed for the period 2000– 2005 because it was the time period for which the most recent data were available when index construction was initiated. The EQI includes variables representing each of the environmental domains. The air domain includes 87 variables representing criteria and hazardous air pollutants. The water domain includes 80 variables representing overall water quality, general water contamination, recreational water quality, drinking water quality, atmospheric deposition, drought, and chemical contamination. The land domain includes 26 variables representing agriculture, pesticides, contaminants, facilities, and radon. The built domain includes 14 variables representing roads, highway/road safety, public transit behavior, business environment, and subsidized housing environment. The sociodemographic environment includes 12 variables representing socioeconomics and crime. This dataset is not publicly accessible because: EPA cannot release personally identifiable information regarding living individuals, according to the Privacy Act and the Freedom of Information Act (FOIA). This dataset contains information about human research subjects. Because there is potential to identify individual participants and disclose personal information, either alone or in combination with other datasets, individual level data are not appropriate to post for public access. Restricted access may be granted to authorized persons by contacting the party listed. It can be accessed through the following means: Human health data are not available publicly. EQI data are available at: https://edg.epa.gov/data/Public/ORD/NHEERL/EQI. Format: Data are stored as csv files. This dataset is associated with the following publication: Jagai, J., L. Messer, K. Rappazzo , C. Gray, S. Grabich , and D. Lobdell. County-level environmental quality and associations with cancer incidence#. Cancer. John Wiley & Sons Incorporated, New York, NY, USA, 123(15): 2901-2908, (2017).

Data by medical encounter for the following conditions by age, race/ethnicity, and sex (gender):

Acute Myocardial Infarction (AMI) Asthma Bladder Cancer Brain Cancer Coronary Heart Disease (CHD) Colorectal Cancer Chronic Kidney Disease (CKD) Chronic Obstructive Pulmonary Disease (COPD)/Chronic Lower Respiratory Diseases Diabetes Female Breast Cancer Female Reproductive Cancer Heart Failure Hyperlipidemia (High Blood Cholesterol) Kidney Cancer Leukemia Liver Cancer Lung Cancer Lupus and Connective Tissue Disorders Melanoma of the Skin Non-Hodgkin's Lymphoma Non-melanoma Skin Cancer Overall Cancer Overall Heart Disease Overall Hypertensive Diseases Pancreatic Cancer Prostate Cancer Stroke Thyroid Cancer

Rates per 100,000 population. Age-adjusted rates per 100,000 2000 US standard population. Blank Cells: Events less than 11 are suppressed. Starting with data year 2022, geographies with less than 20,000 population contain no age-adjusted rates and all rates based on events <20 are suppressed due to statistical instability. Rates not calculated in cases where zip code is unknown. SES: Is the median household income by Subregional Area (SRA) community. Data for SRA only.

Data sources: California Department of Public Health, Center for Health Statistics, Office of Health Information and Research, Vital Records Business Intelligence System (VRBIS), 2022. California Department of Health Care Access and Information (HCAI), Emergency Department Discharge Database and Patient Discharge Database, 2022. SANDAG Population Estimates, 2022 (v11/23). 2022 population estimates were derived from the 2020 decennial census. Comparison of rates to prior years may not be appropriate. Prepared by: County of San Diego, Health and Human Services Agency, Public Health Services, Community Health Statistics Unit, May 2024.

2022 Community Profile Data Guide and Data Dictionary Dashboard: https://public.tableau.com/app/profile/chsu/viz/2022COREDataGuideandDataDictionary/Home

Originally, the dataset come from the CDC and is a major part of the Behavioral Risk Factor Surveillance System (BRFSS), which conducts annual telephone surveys to gather data on the health status of U.S. residents. As the CDC describes: "Established in 1984 with 15 states, BRFSS now collects data in all 50 states as well as the District of Columbia and three U.S. territories. BRFSS completes more than 400,000 adult interviews each year, making it the largest continuously conducted health survey system in the world.". The most recent dataset (as of February 15, 2022) includes data from 2020. It consists of 401,958 rows and 279 columns. The vast majority of columns are questions asked to respondents about their health status, such as "Do you have serious difficulty walking or climbing stairs?" or "Have you smoked at least 100 cigarettes in your entire life? [Note: 5 packs = 100 cigarettes]".

To improve the efficiency and relevance of our analysis, we removed certain attributes from the original BRFSS dataset. Many of the 279 original attributes included administrative codes, metadata, or survey-specific variables that do not contribute meaningfully to heart disease prediction—such as respondent IDs, timestamps, state-level identifiers, and detailed lifestyle questions unrelated to cardiovascular health. By focusing on a carefully selected subset of 18 attributes directly linked to medical, behavioral, and demographic factors known to influence heart health, we streamlined the dataset. This not only reduced computational complexity but also improved model interpretability and performance by eliminating noise and irrelevant information. All predicting variables could be divided into 4 broad categories:

1. Demographic factors: sex, age category (14 levels), race, BMI (Body Mass Index)

2. Diseases: weather respondent ever had such diseases as asthma, skin cancer, diabetes, stroke or kidney disease (not including kidney stones, bladder infection or incontinence)

3. Unhealthy habits:

   • Smoking - respondents that smoked at least 100 cigarettes in their entire life (5 packs = 100 cigarettes)
   • Alcohol Drinking - heavy drinkers (adult men having more than 14 drinks per week and adult women having more than 7 drinks per week

4. General Health:

   • Difficulty Walking - weather respondent have serious difficulty walking or climbing stairs
   • Physical Activity - adults who reported doing physical activity or exercise during the past 30 days other than their regular job
   • Sleep Time - respondent’s reported average hours of sleep in a 24-hour period
   • Physical Health - number of days being physically ill or injured (0-30 days)
   • Mental Health - number of days having bad mental health (0-30 days)
   • General Health - respondents declared their health as ’Excellent’, ’Very good’, ’Good’ ,’Fair’ or ’Poor’

Below is a description of the features collected for each patient: