Skin Cancer in Hispanic and Latino Communities
Hispanic and Latino individuals can and do get skin cancer. While melanoma rates are lower than in non-Hispanic white populations, survival rates are also lower — because the cancer is caught later. Understanding where skin cancer tends to appear and what barriers exist is the first step toward closing this gap.
The disparity in numbers
Hispanic patients are 26% more likely to be diagnosed with late-stage melanoma compared to non-Hispanic white patients. The 5-year melanoma survival rate for Hispanic patients is lower than for non-Hispanic white patients across all stages. This gap is driven by delayed detection, not biology.
Incidence of melanoma is increasing in Hispanic populations, particularly in those born in the US compared to those born in Latin America — suggesting that acculturation and changing sun exposure patterns play a role.
Where skin cancer appears
In Hispanic patients, melanoma is more commonly found on the legs (especially lower legs), palms, soles, and under nails — acral sites. Basal cell carcinoma is actually the most common skin cancer in Hispanic individuals and occurs on sun-exposed areas, primarily the head and neck.
Non-melanoma skin cancers can also develop in areas of chronic scarring, prior radiation, or chronic ulcers.
Risk factors specific to Hispanic populations
Fair-skinned Hispanic individuals have melanoma rates approaching those of non-Hispanic whites. The Fitzpatrick skin type within Hispanic populations ranges from II to V — a wide spectrum. Having darker skin does not eliminate risk.
Additional risk factors: outdoor occupations (agriculture, construction) with prolonged UV exposure, less access to dermatological care, lower rates of sunscreen use, and lower awareness that skin cancer can affect people with brown skin.
Barriers to early detection
Language barriers limit access to dermatological information. Cultural perceptions that skin cancer is a disease of white people create a false sense of security. Cost of dermatologist visits and lack of insurance disproportionately affect Hispanic communities. Fewer dermatologists practice in communities with high Hispanic populations.
Free screening events during Melanoma Awareness Month (May) and community health center dermatology services can help bridge these gaps.
What to do
Monthly self-exam including palms, soles, nails, and mucous membranes. Use the ABCDE criteria and the ugly duckling sign. Apply sunscreen daily regardless of skin tone — especially if you work outdoors. Seek a dermatologist evaluation if anything is new, changing, or non-healing.
If English is not your primary language, look for dermatologists who speak Spanish or clinics with interpretation services. Your skin health deserves the same attention as anyone else's.
Concerned about a mole or spot? Our ABCDE checker is available in Spanish — try it now.
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