Difference in Sun Exposure Habits Between Individuals with High and Low Risk of Skin Cancer

Karlsson, Oskar; Hagberg, Oskar; Nielsen, Kari; Paoli, John; Ingvar, Åsa

doi:10.5826/dpc.1104a90

Cited by 9 publications

(10 citation statements)

References 48 publications

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“…In contrast to previous findings ( 21 , 22 , 24 , 45 ), we did not observe a correlation between gender, Fitzpatrick skin type or a positive family history for melanoma and sun protective behavior. We assume that a comparison of our cohorts is generally difficult, since all were patients with an increased melanoma risk who voluntarily participated in the melanoma early detection study and might have had an increased awareness primarily.…”

Section: Discussioncontrasting

confidence: 99%

“…Despite observing suboptimal sun protection behavior in both at-risk and melanoma patients ( 21 , 23 – 25 , 27 , 29 , 45 ),, we found that compared to the general population ( 17 ), our study participants had already better sun protective behaviors before study enrollment. Nevertheless, we demonstrated that verbal education about sun protection during standard skin cancer screening by a dermatologist further improved sunscreen application frequency and SPF.…”

Section: Discussioncontrasting

confidence: 53%

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Educational level-dependent melanoma awareness in a high-risk population in Switzerland

et al. 2023

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IntroductionThe worldwide incidence of melanoma has been increasing rapidly in recent decades with Switzerland having one of the highest rates in Europe. Ultraviolet (UV) radiation is one of the main risk factors for skin cancer. Our objective was to investigate UV protective behavior and melanoma awareness in a high-risk cohort for melanoma.MethodsIn this prospective monocentric study, we assessed general melanoma awareness and UV protection habits in at-risk patients (≥100 nevi, ≥5 dysplastic nevi, known CDKN2A mutation, and/or positive family history) and melanoma patients using questionnaires. ResultsBetween 01/2021 and 03/ 2022, a total of 269 patients (53.5% at-risk patients, 46.5% melanoma patients) were included. We observed a significant trend toward using a higher sun protection factor (SPF) in melanoma patients compared with at-risk patients (SPF 50+: 48% [n=60] vs. 26% [n=37]; p=0.0016). Those with a college or university degree used a high SPF significantly more often than patients with lower education levels (p=0.0007). However, higher educational levels correlated with increased annual sun exposure (p=0.041). Neither a positive family history for melanoma, nor gender or Fitzpatrick skin type influenced sun protection behavior. An age of ≥ 50 years presented as a significant risk factor for melanoma development with an odd’s ratio of 2.32. Study participation resulted in improved sun protection behavior with 51% reporting more frequent sunscreen use after study inclusion. DiscussionUV protection remains a critical factor in melanoma prevention. We suggest that melanoma awareness should continue to be raised through public skin cancer prevention campaigns with a particular focus on individuals with low levels of education.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussioncontrasting

confidence: 53%

Educational level-dependent melanoma awareness in a high-risk population in Switzerland

et al. 2023

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“…[7] We might also have had some selection bias in which persons were more likely to bring the primary care physician's attention to a suspicious skin lesion. Alike prior studies investigating utilization of skin checks for skin cancer prevention, it is probable that there will be a higher proportion of young women, with a higher than average education level, as well as fair-skinned people attending these clinics [22]. However, we do not think this possible skewed selection of participants will have impacted the association between investigated risk factors and probability of performing a TBSE.…”

Section: Strengths and Limitationsmentioning

confidence: 90%

Factors for not performing total body skin examinations in primary care in association with teledermoscopy

2023

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Purpose To investigate factors related to omitted total body skin examination (TBSE) in skin cancer diagnostics while managing patients using teledermoscopy (TDS) in Swedish primary care. Methods 4,987 TDS referrals from primary care centers were analyzed to identify factors associated with failing to perform TBSE. Data collected included age, gender of patient and physician, and reason for a visit. Logistic regression was used to test the association between the variables and risk of failing to complete a TBSE. Results The risk for omitted TBSE is higher in older patients, females, patients whose primary reason for seeking care was not specifically for a complete skin check, and with female physician. Patients > 80 years had more than four times increased risk of not undergoing TBSE compared to the youngest (< 30 y). The strongest correlation to omitting TBSE was with other reasons for primary care visits than “skin check”. Male gender of the patient and being examined by male physicians decreased the risk of omitted TBSE by 20% and 30%, respectively. There was no evidence of interaction between the gender of the patient and the physician. Conclusion Since TDS reduces the opportunities to have a TBSE by dermatologists, the standard management of patients with suspicious skin lesions in primary care must be revised and evidence-based. TBSE is strongly recommended for patients with increased risk of skin cancer, for example old persons with fair skin and a history of skin cancer, when managing them with TDS.

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“…3. Prevención Terciaria: todos los procedimientos que se realizan en los pacientes con cáncer con el fin de evitar las complicaciones clínicas y las recaídas (Karlsson et al, 2021).…”

Section: Medidas Preventivas Para Evitar El Cáncer De Pielunclassified

Propuesta De Protocolo De Prevencion Del Cancer De Piel

Guerrero¹,

Alarcón²,

Mora³

et al. 2023

JHS

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Difference in Sun Exposure Habits Between Individuals with High and Low Risk of Skin Cancer

Cited by 9 publications

References 48 publications

Educational level-dependent melanoma awareness in a high-risk population in Switzerland

Educational level-dependent melanoma awareness in a high-risk population in Switzerland

Factors for not performing total body skin examinations in primary care in association with teledermoscopy

Propuesta De Protocolo De Prevencion Del Cancer De Piel

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