Skin Cancer Screening Among Hispanic Adults in the United States: Results From the 2010 National Health Interview Survey

Coups, Elliot J.; Stapleton, Jerod L.; Hudson, Shawna V.; Medina-Forrester, Amanda; Goydos, James S.; Natale-Pereira, Ana

doi:10.1001/archdermatol.2012.615

Cited by 17 publications

(21 citation statements)

References 4 publications

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“…69 Several studies have reported that the rates of skin self-examinations 9–11,61,70,71 among minority populations and physician-assisted skin examinations 49,71,72 are significantly lower than those of non-Hispanic whites. Among Hispanics, factors associated with higher rates of skin self-examinations and physician-assisted skin examinations include greater US acculturation, older age, an increased number of melanoma risk factors, physician recommendations, 62,73,74 fewer skin self-examination barriers, 74 country of origin, 73 tanning indoors, a higher level of knowledge about skin cancer, a high level of perceived skin cancer severity, a low worry of skin cancer, and added physician-assisted skin examination benefits. 74 The primary reasons Hispanics cited for not performing skin self-examinations were lack of awareness regarding the necessity of skin self-examinations and lack of knowledge about how to conduct such an examination.…”

Section: Barriers Related To Culturementioning

confidence: 99%

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Social Determinants of Racial and Ethnic Disparities in Cutaneous Melanoma Outcomes

et al. 2014

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Background This article sought to elucidate how aspects of poverty and culture may contribute to race- and ethnicity-based disparities in cutaneous melanoma outcomes. Methods We identified published studies addressing the social determinants of melanoma. Selected review articles included US-based studies comprised of patients representing adults, children, and adolescents. Results African Americans and Hispanics diagnosed with cutaneous melanoma are more likely to present with more advanced stages of disease at diagnosis and have higher rates of mortality than their nonminority counterparts. These disparities may be a consequence of economic, social, and cultural barriers such as low income, public forms of health insurance, lower levels of education, lower levels of melanoma awareness and knowledge, and lower rates of participation in melanoma screening. No studies in the literature examined the potential impact of social injustice, English proficiency, immigrant status, and health literacy. Conclusions Substantial gaps exist in our knowledge of the pathways linking social determinants and race- and ethnicity-based disparities in melanoma. More studies are warranted to inform the development of effective interventions aimed at narrowing inequities and improving cutaneous melanoma outcomes among minority populations.

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Section: Barriers Related To Culturementioning

confidence: 99%

“…The Table illustrates our current knowledge on this topic organized along the cancer continuum. 2–4,6–13,27,29,33,37,38,40,46–55,59–62,65,68,70,71,73,74 …”

Section: Gaps In Knowledgementioning

confidence: 99%

Social Determinants of Racial and Ethnic Disparities in Cutaneous Melanoma Outcomes

et al. 2014

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“…1,4 Hispanic individuals are not only less likely to engage in skin cancer surveillance behaviors themselves but also are less likely to have a skin examination performed by a physician. [5][6][7] Hispanic patients have been reported to perform poorer in recognizing suspicious features of melanoma, demonstrating a concerning knowledge gap. 1 In addition, there is a need for more educational materials tailored to the Hispanic population as most available health information is fragmented and not primarily from physicians.…”

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confidence: 99%

A Trial Online Educational Melanoma Program Aimed at the Hispanic Population Improves Knowledge and Behaviors

Roman

Guan

Barnholtz‐Sloan

et al. 2016

Dermatologic Surgery

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“…In a recent study, we used data from the nationally representative 2010 National Health Interview Survey to examine correlates of ever having a TCE in a sample of 4766 Hispanic adults. 19 Only 7.2% of the sample reported ever having a TCE (compared to 25.4% among non-Hispanic whites). Factors associated with a higher rate of TCE included greater acculturation to U.S. cultural norms, being female, older age, higher educational level, having healthcare coverage, and having more sun sensitive skin.…”

mentioning

confidence: 97%

“…In a review of nine studies of skin cancer screening among Hispanics, rates of SSE and TCE varied from 13–50% and 7–17%, respectively, 16 which are lower than those found in the U.S. population in general as well as among non-Hispanic white individuals, specifically. 14,17–19 The majority of these studies focused on convenience samples and little consideration has been given to identifying potential correlates of Hispanics’ skin cancer surveillance behaviors. In a recent study, we used data from the nationally representative 2010 National Health Interview Survey to examine correlates of ever having a TCE in a sample of 4766 Hispanic adults.…”

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confidence: 99%

Skin cancer surveillance behaviors among US Hispanic adults

Coups¹,

Stapleton²,

Hudson³

et al. 2013

Journal of the American Academy of Dermatology

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Background Little skin cancer prevention research has focused on the U.S. Hispanic population. Objective This study examined the prevalence and correlates of skin cancer surveillance behaviors among Hispanic adults. Methods A population-based sample of 788 Hispanic adults residing in five southern and western states completed an online survey in English or Spanish in September 2011. The outcomes were ever having conducted a skin self-examination (SSE) and having received a total cutaneous examination (TCE) from a health professional. The correlates included sociodemographic, skin cancer-related, and psychosocial factors. Results The rates of ever conducting a SSE or having a TCE were 17.6% and 9.2%, respectively. Based on the results of multivariable logistic regressions, factors associated with ever conducting a SSE included older age, English linguistic acculturation, a greater number of melanoma risk factors, more frequent sunscreen use, sunbathing, job-related sun exposure, higher perceived skin cancer risk, physician recommendation, more SSE benefits, and fewer SSE barriers. Factors associated with ever having a TCE were older age, English linguistic acculturation, a greater number of melanoma risk factors, ever having tanned indoors, greater skin cancer knowledge, higher perceived skin cancer severity, lower skin cancer worry, physician recommendation, more TCE benefits, and fewer SSE barriers. Limitations The cross-sectional design limits conclusions regarding the causal nature of observed associations. Conclusions Few Hispanic adults engage in skin cancer surveillance behaviors. The study highlights Hispanic subpopulations that are least likely to engage in skin cancer surveillance behaviors and informs the development of culturally appropriate interventions to promote these behaviors.

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Skin Cancer Screening Among Hispanic Adults in the United States: Results From the 2010 National Health Interview Survey

Cited by 17 publications

References 4 publications

Social Determinants of Racial and Ethnic Disparities in Cutaneous Melanoma Outcomes

Social Determinants of Racial and Ethnic Disparities in Cutaneous Melanoma Outcomes

A Trial Online Educational Melanoma Program Aimed at the Hispanic Population Improves Knowledge and Behaviors

Skin cancer surveillance behaviors among US Hispanic adults

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