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Journal of Cancer Research and Clinical Oncology

, Volume 142, Issue 6, pp 1273–1283 | Cite as

Skin cancer prevention practices among malignant melanoma survivors: a systematic review

  • Vinayak K. Nahar
  • M. Allison Ford
  • Robert T. Brodell
  • Javier F. Boyas
  • Stephanie K. Jacks
  • Rizwana Biviji-Sharma
  • Mary A. Haskins
  • Martha A. Bass
Review – Clinical Oncology

Abstract

Purpose

This systematic review was conducted to evaluate and summarize the existing literature on prevalence of ultraviolet radiation (UVR) exposure, sun protection, and screening behaviors among individuals diagnosed with malignant melanoma (MM).

Methods

The search was performed in PubMed, CINAHL, PsycINFO, ScienceDirect, EMBASE, and ERIC from inception of each database through July 2014. Studies were included if (1) individuals diagnosed with MM were the primary sample, (2) measured UVR exposure, primary and secondary preventive behaviors, (3) original research communication that constitutes an entire set of empirical data, (4) observational design, and (5) English peer-reviewed. Studies were excluded if (1) all of the inclusion criteria were not met and (2) duplicates, conference abstracts, editorials, news, letters to the editor, comments, reviews, feature articles, white papers, and guidelines.

Results

The search resulted in 255 articles that were screened for relevance; however, only 15 articles met all of the inclusion criteria. Most of the studies were cross-sectional (n = 10), used self-administered surveys (n = 8), and were conducted in North America (n = 10). The sample sizes ranged considerably, but were mostly Caucasian (n = 6) and included a higher proportion of women (n = 8). Evidence demonstrated that individuals with MM still engaged in sunbathing, indoor tanning, and reported sunburns. Moreover, survivors reported inadequate levels of both sun protection and skin self-examinations.

Conclusions

The findings highlight the need for intensifying intervention strategies to reduce the risk of new primary MMs in this group. Future research should increase in rigor and include more diverse populations and regions.

Keywords

MM survivors UVR exposure Sun protection behaviors Skin self-examinations 

Notes

Compliance with ethical standards

Conflict of interest

None of the researchers will be benefitting financially from the study or the publication. Vinayak K. Nahar, M. Allison Ford, Javier F. Boyas, Stephanie K. Jacks, Rizwana Biviji-Sharma, Mary A. Haskins, and Martha A. Bass have no conflict of interests to report. Robert T. Brodell discloses the following potential conflicts of interest: Honoraria have been received from presentations for Allergan, Galderma, and PharmaDerm, a division of Nycomed US Inc. Consultant fees have been received from Galderma Laboratories, L.P. Clinical trials have been performed for Genentech and Janssen Biotech Inc. The material in this article is not believed to be relevant to any of these reported conflicts.

Informed consent

Since this was a systematic review, informed consent was not required.

Ethical approval

We have observed appropriate ethical guidelines and legislation in conducting the study. Since this was a systematic review, approval was not required by the IRB at the University of Mississippi.

References

  1. Aitken JF, Janda M, Lowe JB, Elwood M, Ring IT, Youl PH, Firman DW (2004) Prevalence of whole-body skin self-examination in a population at high risk for skin cancer (Australia). Cancer Causes Control 15(5):453–463CrossRefPubMedGoogle Scholar
  2. American Academy of Dermatology (2014) How to perform a self-exam. https://www.aad.org/spot-skin-cancer/understanding-skin-cancer/how-do-i-check-my-skin/how-to-perform-a-self-exam. Accessed 1 Dec 2014
  3. American Cancer Society (2014a) Cancer facts and figures. http://www.cancer.org/research/cancerfactsstatistics/cancerfactsfigures2014/index\. Accessed 22 Aug 2014
  4. Autier P, Dore JF, Negrier S, Lienard D, Panizzon R, Lejeune FJ, Guggisberg D, Eggermont AM (1999) Sunscreen use and duration of sun exposure: a double-blind, randomized trial. J Natl Cancer Inst 91(15):1304–1309. doi: 10.1093/jnci/91.15.1304 CrossRefPubMedGoogle Scholar
  5. Berwick M, Begg CB, Fine JA, Roush GC, Barnhill RL (1996) Screening for cutaneous melanoma by skin self-examination. J Natl Cancer Inst 88(1):17–23. doi: 10.1093/jnci/88.1.17 CrossRefPubMedGoogle Scholar
  6. Borland R, Hill D, Noy S (1990) Being sunsmart: changes in community awareness and reported behavior following a primary prevention program for skin cancer control. Behav Change 7(3):126–135Google Scholar
  7. Borland RM, Hocking B, Godkin GA, Gibbs AF, Hill DJ (1991) The impact of a skin cancer control education package for outdoor workers. Med J Aust 154(10):686–688PubMedGoogle Scholar
  8. Bowen D, Jabson J, Haddock N, Hay J, Edwards K (2012) Skin care behaviors among melanoma survivors. Psychooncology 21(12):1285–1291. doi: 10.1002/pon.2017 CrossRefPubMedGoogle Scholar
  9. Bradford PT, Freedman DM, Goldstein AM, Tucker MA (2010) Increased risk of second primary cancers after a diagnosis of melanoma. Arch Dermatol 146(3):265–272. doi: 10.1001/archdermatol.2010.2 CrossRefPubMedPubMedCentralGoogle Scholar
  10. Bränström R, Kasparian NA, Chang YM, Affleck P, Tibben A, Aspinwall LG, Azizi E, Baron-Epel O, Battistuzzi L, Bergman W, Bruno W, Chan M, Cuellar F, Debniak T, Pjanova D, Ertmanski S, Figl A, Gonzalez M, Hayward NK, Hocevar M, Kanetsky PA, Leachman SA, Heisele O, Palmer J, Peric B, Puig S, Schadendorf D, Gruis NA, Newton-Bishop J, Brandberg Y (2010) Predictors of sun protection behaviors and severe sunburn in an international online study. Cancer Epidemiol Biomarkers Prev 19(9):2199–2210. doi: 10.1158/1055-9965 CrossRefPubMedPubMedCentralGoogle Scholar
  11. Cho H, Hall JG, Kosmoski C, Fox RL, Mastin T (2010) Tanning, skin cancer risk, and prevention: a content analysis of eight popular magazines that target female readers, 1997–2006. Health Commun 25(1):1–10. doi: 10.1080/10410230903265938 CrossRefPubMedPubMedCentralGoogle Scholar
  12. Detweiler JB, Bedell BT, Salovey P, Pronin E, Rothman AJ (1999) Message framing and sunscreen use: gain-framed messages motivate beach-goers. Health Psychol 18(2):189–196. doi: 10.1037/0278-6133.18.2.189 CrossRefPubMedGoogle Scholar
  13. Estabrooks CA, Cummings GG, Olivo SA, Squires JE, Giblin C, Simpson N (2009) Effects of shift length on quality of patient care and health provider outcomes: systematic review. Qual Saf Health Care 18(3):181–188. doi: 10.1136/qshc.2007.024232 CrossRefPubMedGoogle Scholar
  14. Freiman A, Yu J, Loutfi A, Wang B (2004) Impact of melanoma diagnosis on sun-awareness and protection: efficacy of education campaigns in a high-risk population. J Cutan Med Surg 8(5):303–309. doi: 10.1007/s10227-005-0009-3 CrossRefPubMedGoogle Scholar
  15. Glanz K, McCarty F, Neh EJ, O’Riordan DL, Gies P, Bundy L, Locke AE, Hall DM (2009) Validity of self-reported sunscreen use by parents, children, and lifeguards. Am J Prev Med 36(1):63–69. doi: 10.1016/j.amepre.2008.09.012 CrossRefPubMedPubMedCentralGoogle Scholar
  16. Gómez-Moyano E, de Ramón E, Martínez-García S, Gómez R, Crespo-Erchiga V, Crespo A, Ojeda A (2010) Impact of melanoma diagnosis on sun protection. Actas Dermosifiliogr 101(6):506–516. doi: 10.1016/S1578-2190(10)70835-0 CrossRefPubMedGoogle Scholar
  17. Hamidi R, Cockburn MG, Peng DH (2008) Prevalence and predictors of skin self-examination: prospects for melanoma prevention and early detection. Int J Dermatol 47(10):993–1003. doi: 10.1111/j.1365-4632.2008.03780.x CrossRefPubMedGoogle Scholar
  18. Idorn LW, Datta P, Heydenreich J, Philipsen PA, Wulf HC (2013) Sun behavior after cutaneous malignant melanoma: a study based on ultraviolet radiation measurements and sun diary data. Br J Dermatol 168(2):367–373. doi: 10.1111/bjd.12066 CrossRefPubMedGoogle Scholar
  19. Idorn LW, Datta P, Heydenreich J, Philipsen PA, Wulf HC (2014) A 3-year follow-up of sun behavior in patients with cutaneous malignant melanoma. JAMA Dermatol 150(2):163–168. doi: 10.1001/jamadermatol.2013.5098 CrossRefPubMedGoogle Scholar
  20. Kajermo KN, Boström AM, Thompson DS, Hutchinson AM, Estabrooks CA, Wallin L (2010) The BARRIERS scale–the barriers to research utilization scale: a systematic review. Implement Sci 5:32. doi: 10.1186/1748-5908-5-32 CrossRefPubMedPubMedCentralGoogle Scholar
  21. Kasparian NA, McLoone JK, Meiser B (2009) Skin cancer-related prevention and screening behaviors: a review of the literature. J Behav Med 32(5):406–428. doi: 10.1007/s10865-009-9219-2 CrossRefPubMedGoogle Scholar
  22. Körner A, Coroiu A, Martins C, Wang B (2013) Predictors of skin self-examination before and after a melanoma diagnosis: the role of medical advice and patient’s level of education. Int Arch Med 6(1):8. doi: 10.1186/1755-7682-6-8 CrossRefPubMedPubMedCentralGoogle Scholar
  23. Lee TK, Brazier AS, Shoveller JA, Gallagher RP (2007) Sun-related behavior after a diagnosis of cutaneous malignant melanoma. Melanoma Res 17(1):51–55. doi: 10.1097/CMR.0b013e3280112b98 CrossRefPubMedGoogle Scholar
  24. Loescher LJ, Harris RB, Lim KH, Su Y (2006) Thorough skin self-examination in patients with melanoma. Oncol Nurs Forum 33(3):633–637. doi: 10.1188/06.ONF.633-637 CrossRefPubMedGoogle Scholar
  25. Manne S, Lessin S (2006) Prevalence and correlates of sun protection and skin self-examination practices among cutaneous malignant melanoma survivors. J Behav Med 29(5):419–434. doi: 10.1007/s10865-006-9064-5 CrossRefPubMedGoogle Scholar
  26. Martire LM, Schulz R, Helgeson VS, Small BJ, Saghafi EM (2010) Review and meta-analysis of couple-oriented interventions for chronic illness. Ann Behav Med 40(3):325–342. doi: 10.1007/s12160-010-9216-2 CrossRefPubMedPubMedCentralGoogle Scholar
  27. Mayer D, Layman A, Carlson J (2012) Sun protection behaviors of melanoma survivors. J Am Acad Dermatol 66(1):e9–e10. doi: 10.1016/j.jaad.2010.10.002 CrossRefPubMedPubMedCentralGoogle Scholar
  28. McCarthy EM, Ethridge KP, Wagner RF Jr (1999) Beach holiday sunburn: the sunscreen paradox and gender differences. Cutis 64(1):37–42PubMedGoogle Scholar
  29. McMeniman E, De’Ambrosis K, De’Ambrosis B (2010) Risk factors in a cohort of patients with multiple primary melanoma. Australas J Dermatol 51(4):254–257. doi: 10.1111/j.1440-0960.2010.00674.x CrossRefPubMedGoogle Scholar
  30. Moher D, Liberati A, Tetzlaff J, Altman DG, The PRISMA Group (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med 6(7):e1000097. doi: 10.1371/journal.pmed.1000097 CrossRefPubMedPubMedCentralGoogle Scholar
  31. Mujumdar UJ, Hay JL, Monroe-Hinds YC, Hummer AJ, Begg CB, Wilcox HB, Oliveria SA, Berwick M (2009) Sun protection and skin self-examination in melanoma survivors. Psychooncology 18(10):1106–1115. doi: 10.1002/pon.1510 CrossRefPubMedPubMedCentralGoogle Scholar
  32. Oh SS, Mayer JA, Lewis EC, Slymen DJ, Sallis JF, Elder JP, Eckhardt L, Achter A, Weinstock M, Eichenfield L, Pichon LC, Galindo GR (2004) Validating outdoor workers’ self-report of sun protection. Prev Med 39(4):798–803. doi: 10.1016/j.ypmed.2004.03.011 CrossRefPubMedGoogle Scholar
  33. Pagoto SL, Schneider KL, Oleski J, Bodenlos JS, Merriam P, Ma Y (2009) Design and methods for a cluster randomized trial of the Sunless Study: a skin cancer prevention intervention promoting sunless tanning among beach visitors. BMC Public Health 9:50. doi: 10.1186/1471-2458-9-50 CrossRefPubMedPubMedCentralGoogle Scholar
  34. Palesh O, Aldridge-Gerry A, Bugos K, Pickham D, Chen JJ, Greco R, Swetter SM (2014) Health behaviors and needs of melanoma survivors. Support Care Cancer 22(11):2973–2980. doi: 10.1007/s00520-014-2286-0 CrossRefPubMedGoogle Scholar
  35. Parkin DM, Mesher D, Sasieni P (2011) Cancers attributable to solar (ultraviolet) radiation exposure in the UK in 2010. Br J Cancer 105:S66–S69. doi: 10.1038/bjc.2011.486 CrossRefPubMedPubMedCentralGoogle Scholar
  36. Pfahlberg A, Kölmel KF, Gefeller O (2001) Timing of excessive ultraviolet radiation and melanoma: epidemiology does not support the existence of a critical period of high susceptibility to solar ultraviolet radiation-induced melanoma. Br J Dermatol 144(3):471–475. doi: 10.1046/j.1365-2133.2001.04070.x CrossRefPubMedGoogle Scholar
  37. Rhainds M, De Guire L, Claveau J (1999) A population-based survey on the use of artificial tanning devices in the Province of Quebec, Canada. J Am Acad Dermatol 40(4):572–576. doi: 10.1016/S0190-9622(99)70439-1 CrossRefPubMedGoogle Scholar
  38. Robinson JK, Rigel DS, Amonette RA (1997) Trends in sun exposure knowledge, attitudes, and behaviors: 1986 to 1996. J Am Acad Dermatol 37(2 Pt1):179–186. doi: 10.1016/S0190-9622(97)80122-3 CrossRefPubMedGoogle Scholar
  39. Robinson JK, Turrisi R, Stapleton J (2007) Efficacy of a partner assistance intervention designed to increase skin self-examination performance. Arch Dermatol 143(1):37–41. doi: 10.1001/archderm.143.1.37 CrossRefPubMedGoogle Scholar
  40. Saraiya M, Hall HI, Uhler RJ (2002) Sunburn prevalence among adults in the United States (1999). Am J Prev Med 23(2):91–97. doi: 10.1016/S0749-3797(02)00461-0 CrossRefPubMedGoogle Scholar
  41. Skin Cancer Foundation (2014) Step by step self-examination. http://www.skincancer.org/skin-cancer-information/early-detection/step-by-step-self-examination. Accessed 1 Dec 2014
  42. Soto E, Lee H, Saladi RN, Gerson Y, Manginani S, Lam K, Persaud AN, Wong R, Alexandrescu DT, Fox JL (2010) Behavioral factors of patients before and after diagnosis with melanoma: a cohort study-are sun-protection measures being implemented? Melanoma Res 20(2):147–152. doi: 10.1097/CMR.0b013e328328f802 CrossRefPubMedGoogle Scholar
  43. Stanton WR, Janda M, Baade PD, Anderson P (2004) Primary prevention of skin cancer: a review of sun protection in Australia and internationally. Health Promot Int 19(3):369–378. doi: 10.1093/heapro/dah310 CrossRefPubMedGoogle Scholar
  44. Weinstock MA, Martin RA, Risica PM, Berwick M, Lasater T, Rakowski W, Goldstein MG, Dubé CE (1999) Thorough skin examination for the early detection of melanoma. Am J Prev Med 17(3):169–175. doi: 10.1016/S0749-3797(99)00077-X CrossRefPubMedGoogle Scholar
  45. Weinstock MA, Risica PM, Martin RA, Rakowski W, Smith KJ, Berwick M, Goldstein MG, Upegui D, Lasater T (2004) Reliability of assessment and circumstances of performance of thorough skin self-examination for the early detection of melanoma in the Check-It-Out Project. Prev Med 38(6):761–765. doi: 10.1016/j.ypmed.2004.01.020 CrossRefPubMedGoogle Scholar
  46. Williams AL, Grogan S, Clark-Carter D, Buckley E (2013) Appearance-based interventions to reduce ultraviolet exposure and/or increase sun protection intentions and behaviours: a systematic review and meta-analyses. Br J Health Psychol 18(1):182–217. doi: 10.1111/j.2044-8287.2012.02089.x CrossRefPubMedGoogle Scholar
  47. Wright RW, Brand RA, Dunn W, Spindler KP (2007) How to write a systematic review. Clin Orthop Relat Res 455:23–29CrossRefPubMedGoogle Scholar
  48. Živković MV, Dediol I, Ljubičić I, Šitum M (2012) Sun behaviour patterns and perception of illness among melanoma patients. J Eur Acad Dermatol Venereol 26(6):724–729. doi: 10.1111/j.1468-3083.2011.04154.x CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  • Vinayak K. Nahar
    • 1
    • 2
  • M. Allison Ford
    • 1
  • Robert T. Brodell
    • 2
    • 3
    • 4
  • Javier F. Boyas
    • 5
  • Stephanie K. Jacks
    • 2
  • Rizwana Biviji-Sharma
    • 6
  • Mary A. Haskins
    • 1
  • Martha A. Bass
    • 1
  1. 1.Department of Health, Exercise Science and Recreation ManagementThe University of MississippiUniversityUSA
  2. 2.Department of DermatologyUniversity of Mississippi Medical CenterJacksonUSA
  3. 3.Department of PathologyUniversity of Mississippi Medical CenterJacksonUSA
  4. 4.Department of DermatologyUniversity of Rochester School of Medicine and DentistryRochesterUSA
  5. 5.Department of Social WorkUniversity of MississippiOxfordUSA
  6. 6.Department of Health Policy and Management, Richard M. Fairbanks School of Public HealthIndiana University, IUPUIIndianapolisUSA

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