Melanoma
Sun and the rest: melanoma death risk
Sun and the rest: melanoma death risk
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Where you sit
0 of 10 answered
Answer the 10 factors above to see which ones raise your own risk, which sit at the reference, and which the studies have no number for.
Relative risk versus each factor’s reference group; above the line is lower risk, below it higher.
Sources (13)Gandini et al., Eur J Cancer 2005 · Gandini et al., Eur J Cancer 2005 · Dennis et al., Ann Epidemiol 2008 and 10 moreShow allHide
- [1]S. Gandini et al. Meta-analysis of risk factors for cutaneous melanoma: II. Sun exposure. Eur J Cancer, 41(1):45-60, 2005. doi:10.1016/j.ejca.2004.10.016 Evidence: Moderate
- [2]M. Boniol et al. Cutaneous melanoma attributable to sunbed use: systematic review and meta-analysis. BMJ, 345:e4757, 2012. doi:10.1136/bmj.e4757 Evidence: High
- [3]S. Gandini et al. Meta-analysis of risk factors for cutaneous melanoma: III. Family history, actinic damage and phenotypic factors. Eur J Cancer, 41(14):2040-59, 2005. doi:10.1016/j.ejca.2005.03.034 Evidence: High
- [4]N. K. W. Tan et al. The association of obstructive sleep apnea with melanoma incidence and mortality: a meta-analysis of 5,276,451 patients. Sleep Med, 88:213-220, 2021. doi:10.1016/j.sleep.2021.10.027 Evidence: Low
- [5]M. Berwick et al. Screening for cutaneous melanoma by skin self-examination. J Natl Cancer Inst, 88(1):17-23, 1996. doi:10.1093/jnci/88.1.17 Evidence: Low
- [6]A. C. Green et al. Reduced melanoma after regular sunscreen use: randomized trial follow-up. J Clin Oncol, 29(3):257-63, 2011. doi:10.1200/JCO.2010.28.7078 Evidence: Low
- [7]E. B. Friedman et al. Outcomes for smokers who develop melanoma: a systematic review and meta-analysis. EClinicalMedicine, 77:102872, 2024. doi:10.1016/j.eclinm.2024.102872 Evidence: High
- [8]T. N. Sergentanis et al. Obesity and risk of malignant melanoma: a meta-analysis of cohort and case-control studies. Eur J Cancer, 49(3):642-57, 2013. doi:10.1016/j.ejca.2012.08.028 Evidence: Moderate
- [9]S. C. Moore et al. Association of Leisure-Time Physical Activity With Risk of 26 Types of Cancer in 1.44 Million Adults. JAMA Intern Med, 176(6):816-25, 2016. doi:10.1001/jamainternmed.2016.1548 Evidence: High
- [10]M. Rota et al. Alcohol drinking and cutaneous melanoma risk: a systematic review and dose-risk meta-analysis. Br J Dermatol, 170(5):1021-8, 2014. doi:10.1111/bjd.12856 Evidence: Low
- [11]A. Katalinic et al. Does skin cancer screening save lives?: an observational study comparing trends in melanoma mortality in regions with and without screening. Cancer, 118(21):5395-402, 2012. doi:10.1002/cncr.27566 Evidence: Low
- [12]A. Stang and K. H. Jöckel. Does skin cancer screening save lives? A detailed analysis of mortality time trends in Schleswig-Holstein and Germany. Cancer, 122(3):432-7, 2016. doi:10.1002/cncr.29755 Evidence: Very low
- [13]L. K. Dennis et al. Sunburns and risk of cutaneous melanoma: does age matter? A comprehensive meta-analysis. Ann Epidemiol, 18(8):614-27, 2008. doi:10.1016/j.annepidem.2008.04.006 Evidence: High
Every factor, one by one
One quick question each. The charts above follow your answers, and so does every other What Matters page that asks the same question.
#1Blistering sunburns[1]+103%
Pooling 57 studies of melanoma and sun exposure, a history of sunburns roughly doubled the odds of the disease: pooled relative risk 2.03 for ever having been sunburned versus never.
How many blistering sunburns have you had in your life?
Not answered yet. Tap an option to save your answer. Saved to your quiz answers, so the quiz shows it too.
#2Indoor tanning[2]+87%
A 2012 meta-analysis of 27 studies found any use of a sunbed raised melanoma risk by 20%, and starting before age 35 raised it by 87%, each extra session adding about 1.8% more.
Have you ever used indoor tanning beds?
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#3Family history[3]+74%
Pooling 60 studies of melanoma risk factors, a family history of the disease raised the odds by 74%.
Any strong family history of cancer?
Not answered yet. Tap an option to save your answer. Saved to your quiz answers, so the quiz shows it too.
#4Sleep apnea[4]+71%
The shakiest link on this page.
Do you snore loudly or wake up gasping?
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#5Skin self-exams[5]−63%
In a Connecticut case-control study, people who examined their own skin were 63% less likely to be among the lethal melanoma cases — advanced disease or death — than the general population, and 34% less likely to be diagnosed with melanoma at all.
Do you check your skin for changing moles?
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#6Sun protection habits[6]−50%
In the Nambour trial, 1,621 Australian adults were randomized to daily sunscreen or their own, discretionary habits and followed for another ten years after the trial ended.
How do you typically handle sun exposure?
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#7Smoking[7]+33%
This one runs backwards from every other cancer page here.
Do you smoke?
Same number, 2 answers: The review measured survival after a melanoma diagnosis, current smoking at any amount versus never, not split by cigarettes a day. Current smokers are diagnosed with melanoma less often in the first place, a separate and poorly understood finding this pill does not capture.
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#8Body weight[8]+31%
Pooling 21 studies and 6.4 million people, overweight and obese men had 31% more melanoma than normal-weight men — the meta-regression found no further increase past overweight, a flat effect rather than a dose-response.
How would you describe your weight?
Same number, 2 answers: The meta-analysis pooled everyone with a BMI of 30 or over as one obese group and found no further increase past overweight — a flat effect, not a dose-response — and, again, no association at all in women.
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#9Physical inactivity[9]+27%
This one runs backwards too: in 1.44 million adults, the most active tenth developed 27% MORE melanoma than the least active tenth — the only one of 26 cancers in that study where activity raised risk.
How many days a week do you get 30+ minutes of exercise?
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#10Alcohol[10]+18%
Across 16 studies and 6,251 cases, any regular drinking went with 20% more melanoma than not drinking.
How much alcohol do you drink?
Same number, 2 answers: The meta-analysis pooled moderate and heavy drinking into one “moderate-to-heavy” band; it did not report heavy drinking on its own.
Not answered yet. Tap an option to save your answer. Saved to your quiz answers, so the quiz shows it too.
Cancer, site by site
Share of cancer deaths by site, SEER/NCHS (National Cancer Institute SEER Program, National Cancer Institute Evidence: Not graded (statistics)). Most sites have their own pills chart now — tap one — the smallest are still listed with their share alone.
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