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Gaps in the understanding and treatment of skin cancer in people of color.

People of color are at significantly higher risk in mortality from skin cancers, such as melanoma, than Caucasians. Around 4,500,000 people of color are affected by skin cancer The five-year survival rates from melanoma are 81.1% for Hispanics, 80.2% for Asians, 72.2% for African- Americans, and 89.6% for Caucasians. For this reason, it is important to ensure the scientific literature reflects the most up to date recommendations and treatment for blacks regarding skin cancer. Therefore the authors conducted a "gap analysis" on the current treatment of skin cancer in people of color. Three major areas of deficiency were identified. The first major gap identified is the lack of a clear definition of people of color in the literature. The vast majority of current studies utilize the terms Hispanic, Asian, and African-American as if they were all-inclusive, homogenous groups. The second gap identified is the widespread false assumption among dermatologists that people of color do not participate in tanning activities or at risk for UV induced skin cancer. The third gap identified is the false belief among people of color that darker pigmentation confers a "total immunity" against skin cancer. Hopefully raising awareness for these issues will eventually lead to appropriate research and solutions from the medical community as well as the population at risk to lead to the closure of these gaps.