Skin cancer in skin of color: A cross-sectional study investigating gaps in prevention campaigns on social media

Grewal, Sungat K.; Reddy, Vidhatha; Tomz, Anna; Lester, Jonathan; Linos, Eleni; Lee, Patrick K.

doi:10.1016/j.jaad.2020.08.121

Cited by 10 publications

(16 citation statements)

References 3 publications

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Section: Discussionmentioning

confidence: 99%

“…19 The fact melanoma could occur on non-sun-exposed sites was surprising to many participants, and this salient feature of melanoma in black people is seldom addressed in skin cancer awareness programmes; only 2 of 62 skin cancers depicted were on non-sun-exposed sites in a recent study of skin cancer prevention campaigns. 6 The majority of participants did not feel that public health information on skin cancer applied to them, due to lack of representation of diverse skin types. Previous research suggests that melanoma educational material referencing skin of colour has a larger impact on attitudes toward melanoma risk in people of colour.…”

Section: Discussionmentioning

confidence: 99%

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Qualitative exploration of melanoma awareness in black people in the USA

et al. 2023

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ObjectiveAlthough black patients are more likely to have advanced melanomas at diagnosis, with a 5-year survival rate among black patients of 70% compared with 92% for white patients, black people are generally not the focus of melanoma public health campaigns. We sought to explore awareness and perspectives of melanoma among black people to inform the development of relevant and valued public health messages to promote early detection of melanoma.DesignInductive thematic analysis of in-depth semistructured interviews.SettingInterviews were conducted with participants via video software or telephone in the USA.ParticipantsParticipants were adults from the USA who self-identified as African American or black. Recruitment flyers were posted around the San Francisco Bay Area and shared on our team Facebook page, with further participants identified through snowball sampling.ResultsWe interviewed 26 participants from 10 different states. Overall, 12 were men and 14 were women, with a mean age of 43 years (range 18–85). We identified five key themes regarding melanoma awareness in black people: (1) lack of understanding of term ‘melanoma’ and features of skin cancer; (2) do not feel at risk of melanoma skin cancer; (3) surprise that melanoma can occur on palms, soles and nails; (4) skin cancer awareness messages do not apply to or include black people; and (5) Importance of relationship with healthcare and habits of utilisation.ConclusionsAnalysis of these in-depth semistructured interviews illuminate the pressing need for health information on melanoma designed specifically for black people. We highlight two key points for focused public health messaging: (1) melanoma skin cancer does occur in black people and (2) high-risk sites for melanoma in black people include the palms, soles and nail beds. Therefore, public health messages for black people and their healthcare providers may involve productively checking these body surface areas.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Qualitative exploration of melanoma awareness in black people in the USA

et al. 2023

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“…32 This can be attributed to several factors: misconceptions regarding immunity to skin cancer among people of colour; unfamiliarity among both patients and clinicians regarding the appearance of skin cancer in SOC; and a lack of diversity in public health skin cancer campaigns. 31,33,34 Skin cancer can be broadly classified into melanoma and non-melanoma skin cancer. Melanoma is the deadliest form of skin cancer in all racial groups.…”

Section: Skin Cancermentioning

confidence: 99%

Skin of colour: essentials for the non-dermatologist

2023

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Doctors-in-training often receive an inadequate dermatology education. Furthermore, studies have highlighted the underrepresentation of skin of colour (SOC) in dermatological teaching, learning resources and research. Our image-based questionnaire, distributed to all internal medicine trainees in southwest England, highlighted knowledge gaps regarding SOC among training physicians. It is intrinsically more challenging for clinicians to confidently formulate dermatological diagnoses in SOC.In this review, we provide guidance for physicians to help make the diagnostic process more straightforward. First, we outline how skin colour is determined and classified. We discuss how inflammation presents in SOC, with the typical 'erythema' that physicians often associate with inflammation being a less prominent feature in darker skin tones. We then summarise nine important conditions that we believe physicians working in all specialties should be able to identify in patients with SOC, covering both conditions encountered on the medical take and conditions disproportionately affecting individuals with SOC. The population of the UK is rapidly diversifying; thus, as physicians, we have a professional duty to educate ourselves on dermatological conditions in SOC to provide the best quality of care for all our patients, regardless of their skin type.

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“…The rise of social media and widespread accessibility to social media platforms provide ample opportunity for educating the public. Skin cancer awareness campaigns have shown a strong correlation with increased online information-seeking; these campaigns have been shown to lack diversity and overlook people of color [ 122 , 123 ]. One study of these campaigns revealed 100% of posted skin cancer lesions and 72.9% of posts targeting at-risk groups were the FST I/II skin type, while the skin cancer risk in people of color was referenced textually 1.7% of the time [ 123 ].…”

Section: Socioeconomic Risk Factors For Melanoma Developmentmentioning

confidence: 99%

“…Skin cancer awareness campaigns have shown a strong correlation with increased online information-seeking; these campaigns have been shown to lack diversity and overlook people of color [ 122 , 123 ]. One study of these campaigns revealed 100% of posted skin cancer lesions and 72.9% of posts targeting at-risk groups were the FST I/II skin type, while the skin cancer risk in people of color was referenced textually 1.7% of the time [ 123 ]. Underrepresentation is a major limitation of otherwise effective melanoma awareness campaigns in the media.…”

Section: Socioeconomic Risk Factors For Melanoma Developmentmentioning

confidence: 99%

Etiologies of Melanoma Development and Prevention Measures: A Review of the Current Evidence

Djavid

Stonesifer

Fullerton

et al. 2021

Cancers

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(1) Melanoma is the most aggressive dermatologic malignancy, with an estimated 106,110 new cases to be diagnosed in 2021. The annual incidence rates continue to climb, which underscores the critical importance of improving the methods to prevent this disease. The interventions to assist with melanoma prevention vary and typically include measures such as UV avoidance and the use of protective clothing, sunscreen, and other chemopreventive agents. However, the evidence is mixed surrounding the use of these and other interventions. This review discusses the heritable etiologies underlying melanoma development before delving into the data surrounding the preventive methods highlighted above. (2) A comprehensive literature review was performed to identify the clinical trials, observational studies, and meta-analyses pertinent to melanoma prevention and incidence. Online resources were queried to identify epidemiologic and clinical trial information. (3) Evidence exists to support population-wide screening programs, the proper use of sunscreen, and community-targeted measures in the prevention of melanoma. Clinical evidence for the majority of the proposed preventive chemotherapeutics is presently minimal but continues to evolve. (4) Further study of these chemotherapeutics, as well as improvement of techniques in artificial intelligence and imaging techniques for melanoma screening, is warranted for continued improvement of melanoma prevention.

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Skin cancer in skin of color: A cross-sectional study investigating gaps in prevention campaigns on social media

Cited by 10 publications

References 3 publications

Qualitative exploration of melanoma awareness in black people in the USA

Qualitative exploration of melanoma awareness in black people in the USA

Skin of colour: essentials for the non-dermatologist

Etiologies of Melanoma Development and Prevention Measures: A Review of the Current Evidence

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