Melanoma Perception in People of Color: A Targeted Educational Intervention

Chao, Lucy X.; Patterson, Stavonnie; Rademaker, Alfred; Liu, Dachao; Kundu, Roopal V.

doi:10.1007/s40257-016-0244-y

Cited by 29 publications

(34 citation statements)

References 13 publications

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“…Melanoma is disproportionally reported among fair-skinned Caucasian populations (6,9,36,37). This variation is partly attributable to decreased photoprotection from reduced melanin (38).…”

Section: Ethnicitymentioning

confidence: 99%

Epidemiology of Melanoma

Matthews

Qureshi

et al. 2017

Cutaneous Melanoma: Etiology and Therapy

274

321

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Melanoma is a potentially lethal cancer that is most commonly cutaneous. The worldwide incidence of melanoma has risen rapidly over the course of the last 50 years. Its incidence is greatest among fair-skinned populations, and in regions of lower latitude. Incidence is greater among geriatric populations, but melanoma is also among the most common cancers found in adolescent and young adult populations. In fact, it is one of the leading cancers in average years of life lost per death from disease. Melanoma incidence varies by sex, which is also associated with differences in melanoma anatomic site. Similar differences by region, ethnicity, age, and sex are observed in mortality rates of melanoma. In the setting of rising incidence and mortality, melanoma bears a heavy health and economic burden. Attributable costs are several billion in nations with greater melanoma incidence. Preventative strategies have been implemented in multiple high-risk regions with variable success. It is imperative that research efforts Epidemiology of Melanoma 4 achieve better understanding of the risk factors and etiology of disease, with the goal to halt and reverse the progressive trend of rising incidence and mortality from melanoma.

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“…Melanoma is disproportionally reported among fair-skinned Caucasian populations (6,9,36,37). This variation is partly attributable to decreased photoprotection from reduced melanin (38).…”

Section: Ethnicitymentioning

confidence: 99%

Epidemiology of Melanoma

Matthews

Qureshi

et al. 2017

Cutaneous Melanoma: Etiology and Therapy

274

321

View full text Add to dashboard Cite

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“…). From 22 included papers, detailed in Table S1 (see Supporting Information), we identified 18 included studies, as three papers reported on the same set of studies, with some reporting additional outcomes.…”

Section: Resultsmentioning

confidence: 99%

“…More intervention studies ( n = 10) engaged in surveillance SSE practices were targeted at those of known risk due to their prior medical history or being older men, compared with focusing on screening SSE practice ( n = 8), for people at no increased risk of skin cancer, including healthy volunteers . Most studies ( n = 11) focused on SSE to detect melanoma, with the remaining ones not differentiating between melanoma and NMSC, but focusing on the detection of skin cancer or not.…”

Section: Resultsmentioning

confidence: 99%

“…They reveal high risk of bias and several reporting issues. Comparing the outcome of both quality assessment methods, only one study had a global rating of ‘strong’ (5%, n = 1); six studies (33%) were rated ‘moderate’ quality; and most studies were rated as ‘weak’ quality (61%, n = 11) …”

Section: Resultsmentioning

confidence: 99%

“…The literature on skin cancer prevention, including empirical evaluation studies, focuses on primary prevention interventions. Secondary prevention research has addressed SSE behaviour to assist in early detection, using educational interventions, although knowledge may not be the only relevant behaviour‐related factor operating. Furthermore, many interventions employ digital technology strategies to facilitate the SSE process .…”

mentioning

confidence: 99%

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Effectiveness of interventions to support the early detection of skin cancer through skin self‐examination: a systematic review and meta‐analysis

et al. 2019

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Summary Background As skin cancer incidence rises, there is a need to evaluate early detection interventions by the public using skin self‐examination (SSE); however, the literature focuses on primary prevention. No systematic reviews have evaluated the effectiveness of such SSE interventions. Objectives To systematically examine, map, appraise and synthesize, qualitatively and quantitatively, studies evaluating the early detection of skin cancer, using SSE interventions. Methods This is a systematic review (narrative synthesis and meta‐analysis) examining randomized controlled trials (RCTs) and quasiexperimental, observational and qualitative studies, published in English, using PRISMA and National Institute for Health and Care Excellence guidance. The MEDLINE, Embase and PsycINFO databases were searched through to April 2015 (updated in April 2018 using MEDLINE). Risk‐of‐bias assessment was conducted. Results Included studies (n = 18), totalling 6836 participants, were derived from 22 papers; these included 12 RCTs and five quasiexperiments and one complex‐intervention development. More studies (n = 10) focused on targeting high‐risk groups (surveillance) than those at no higher risk (screening) (n = 8). Ten (45%) study interventions were theoretically underpinned. All of the study outcomes were self‐reported, behaviour related and nonclinical in nature. Meta‐analysis demonstrated the impact of the intervention on the degree of SSE activity from five studies, especially in the short term (up to 4 months) (odds ratio 2·31, 95% confidence interval 1·90–2·82), but with small effect sizes. Risk‐of‐bias assessment indicated that 61% of the studies (n = 11) were of weak quality. Conclusions Four RCTs and a quasiexperimental study indicate that some interventions can enhance SSE activity and so are more likely to aid early detection of skin cancer. However, the actual clinical impact remains unclear, and this is based on overall weak study (evidence) quality.

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