Objective
Skin cancer is common among older adults. Some national organizations recommend total cutaneous examination (TCE) and skin self-examinations (SSE) for skin cancer detection. Although the spousal relationship is a known influence on health behavior, little is known about the level of correspondence in skin screening among couples. The study objective was to investigate correspondence of TCE and SSE among older couples, demographic correlates of correspondence, and correspondence among barriers to skin exams.
Design
Cross-sectional survey
Setting
Online via the nationally-representative GfK Internet Panel
Participants
Cohabitating partners 50 years of age and older
Main Outcome Measures
TCE in the past three years and SSE in the past year
Results
Correspondence among partners was high. With regard to TCE, in 24% of the sample, both partners completed TCE, and in 48% of the sample, both partners had not completed TCE. With regard to SSE, in 40% of the sample, both partners completed SSE, and in 40% of the sample, both partners had not completed SSE. Correlates of both partners not doing TCE include lower household income, larger household size, non-metropolitan residence, living in the Midwest, and being in a same-sex relationship. Correlates of both members not doing SSE included larger household size and being in a same-sex relationship. Barriers to screening that members of couples reported were similar to one another.
Conclusions
Couples were mostly concordant with regard to engagement in skin exams. Therefore, dyadic interventions to increase screening rates could be useful. Certain socio-demographic groups should especially be targeted.