Prevalence of Whole-Body Skin Self-Examination in a Population at High Risk for Skin Cancer (Australia)
- Joanne F. AitkenAffiliated withSchool of Population Health, University of QueenslandDepartment of Epidemiology, Queensland Cancer Fund Email author
- , Monika JandaAffiliated withDepartment of Epidemiology, Queensland Cancer Fund
- , John B. LoweAffiliated withDepartment of Community and Behavioral Health, University of Iowa
- , Mark ElwoodAffiliated withNational Cancer Control Initiative
- , Ian T. RingAffiliated withHealth Information Centre, Queensland Health
- , Philippa H. YoulAffiliated withOffice of Economic and Statistical Research, Queensland Treasury
- , David W. Firman
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Objective: Whole-body skin self-examination (SSE) with presentation of suspicious lesions to a physician may improve early detection of melanoma. The aim of this study was to establish the prevalence and determinants of SSE in a high-risk population in preparation for a community-based randomised controlled trial of screening for melanoma.
Methods: A telephone survey reached 3110 residents older than 30 years (overall response rate of 66.9%) randomly selected from 18 regional communities in Queensland, Australia.
Results: Overall, 804 (25.9%) participants reported whole-body SSE within the past 12 months and 1055 (33.9%) within the past three years. Whole-body SSE was associated in multivariate logistic regression analysis with younger age ( <50 years); higher education; having received either a whole-body skin examination, recommendation or instruction on SSE by a primary care physician; giving skin checks a high priority; concern about skin cancer and a personal history of skin cancer.
Conclusion: Overall, the prevalence of SSE in the present study is among the highest yet observed in Australia, with about one-third of the adult population reporting whole-body SSE in the past threeyears. People over 50 years, who are at relatively higher risk for skin cancer, currently perform SSE less frequently than younger people.
- Prevalence of Whole-Body Skin Self-Examination in a Population at High Risk for Skin Cancer (Australia)
Cancer Causes & Control
Volume 15, Issue 5 , pp 453-463
- Cover Date
- Print ISSN
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- Kluwer Academic Publishers
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- randomised-controlled trial
- skin self-examination
- Industry Sectors
- Author Affiliations
- 1. School of Population Health, University of Queensland, Brisbane, Queensland, Australia
- 2. Department of Epidemiology, Queensland Cancer Fund, P.O. Box 201, Spring Hill, Brisbane, QLD, 4004, Austalia
- 3. Department of Epidemiology, Queensland Cancer Fund, Brisbane, Queensland, Australia
- 4. Department of Community and Behavioral Health, University of Iowa, Iowa City, Iowa, USA
- 5. National Cancer Control Initiative, Carlton, Victoria, Australia
- 6. Health Information Centre, Queensland Health, Brisbane, Queensland, Australia
- 7. Office of Economic and Statistical Research, Queensland Treasury, Brisbane, Queensland, Australia