Opportunities for Skin Cancer Prevention Education among Individuals Attending a Community Skin Cancer Screening in a High-Risk Catchment Area
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Despite the highly preventable nature of skin cancer, it remains the most commonly diagnosed form of cancer in the United States. Recommendations for a complete skin cancer prevention regimen include engaging in photoprotection (e.g., sunscreen use), avoiding skin cancer risk behaviors (e.g., tanning), and receiving total body skin exams from a health care provider. The current study examined reported engagement in these behaviors among participants attending a community skin cancer screening (N = 319) in a high-risk catchment area to assess the need for increased health education on skin cancer prevention. Participants’ responses indicate a history of suboptimal avoidance of skin cancer risk behaviors. Over half of participants (52%) reported four or more blistering sunburns before age 20, and 46% reported indoor tanning at least one during their lifetime. There is a need among this population for education regarding a complete skin cancer prevention regimen, which could improve adherence to photoprotection and avoidance of skin cancer risk behaviors, thereby reducing morbidity and mortality due to skin cancer.
KeywordsSkin cancer Prevention Health education Community screening
We thank John J. Zone, MD, Karen Newman, and the physicians from the Department of Dermatology at the University of Utah who conducted the skin cancer screening.
We acknowledge the support of the Huntsman Cancer Foundation and the National Cancer Institute (K07CA196985) to Yelena P. Wu. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH.
Compliance with Ethical Standards
Conflict of interest
All authors declare that they have no conflict of interest.
- 1.American Academy of Dermatology. (2015). Skin cancer. Washington, D.C.: American Academy of Dermatology. Retrieved from https://www.aad.org/media/stats/conditions/skin-cancer.
- 2.American Cancer Society. (2015). Cancer facts & figures. Atlanta, GA: American Cancer Society. Retrieved from https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/annual-cancer-facts-and-figures/2015/cancer-facts-and-figures-2015.pdf.
- 3.American Cancer Society. (2015). What is melanoma skin cancer? Atlanta, GA: American Cancer Society. Retrieved from https://www.cancer.org/cancer/melanoma-skin-cancer/about/what-is-melanoma.html.
- 4.American Cancer Society. (2016). Risk factors for melanoma skin cancer. Atlanta, GA: American Cancer Society. Retrieved from https://www.cancer.org/cancer/melanoma-skin-cancer/causes-risks-prevention/risk-factors.html.
- 5.Bandi, P., Cokkinides, V. E., Weinstock, M. A., & Ward, E. (2010). Sunburns, sun protection and indoor tanning behaviors, and attitudes regarding sun protection benefits and tan appeal among parents of US adolescents—1998 compared to 2004. Pediatric Dermatology, 27(1), 9–18. doi: 10.1111/j.1525-1470.2009.01074.x.CrossRefPubMedGoogle Scholar
- 10.Centers for Disease Control and Prevention. (2016). Skin cancer. Washington, D.C: U.S. Department of Health and Human Sevices. Retrieved from https://www.cdc.gov/cancer/skin/index.htm.
- 12.Division of Cancer Prevention and Control, Centers for Disease Control and Prevention. (2015). Indoor tanning is not safe. Atlanta, GA: Centers for Disease Control and Prevention.Google Scholar
- 14.Geller, A. C., Zhang, Z., Sober, A. J., Halpern, A. C., Weinstock, M. A., Daniels, S., ... Gilchrest, B. A. (2003). The first 15 years of the American Academy of Dermatology skin cancer screening programs: 1985–1999. Journal of the American Academy of Dermatology, 48(1), 34–41. doi: 10.1067/mjd.2003.9.CrossRefPubMedGoogle Scholar
- 15.Goldberg, M. S., Doucette, J. T., Lim, H. W., Spencer, J., Carucci, J. A., & Rigel, D. S. (2007). Risk factors for presumptive melanoma in skin cancer screening: American Academy of Dermatology National Melanoma/Skin Cancer Screening Program experience 2001–2005. Journal of the American Academy of Dermatology, 57(1), 60–66. doi: 10.1016/j.jaad.2007.02.010.CrossRefPubMedGoogle Scholar
- 17.Hall, H. I., Saraiya, M., Thompson, T., Hartman, A., Glanz, K., & Rimer, B. (2003). Correlates of sunburn experiences among US adults: Results of the 2000 National Health Interview Survey. Public Health Reports, 118(6), 540. doi: 10.1016/s0033-3549(04)50290-x.CrossRefPubMedPubMedCentralGoogle Scholar
- 19.Koh, H. K., Geller, A. C., Miller, D. R., Caruso, A., Gage, I., & Lew, R. A. (1991). Who is being screened for melanoma/skin cancer?: Characteristics of persons screened in Massachusetts. Journal of the American Academy of Dermatology, 24(2), 271–277. doi: 10.1016/0190-9622(91)70041-Y.CrossRefPubMedGoogle Scholar
- 20.Koh, H. K., Norton, L. A., Geller, A. C., Sun, T., Rigel, D. S., Miller, D. R., ... Menon, P. A. (1996). Evaluation of the American Academy of Dermatology’s national skin cancer early detection and screening program. Journal of the American Academy of Dermatology, 34(6), 971–978. doi: 10.1016/S0190-9622(96)90274-1.CrossRefPubMedGoogle Scholar
- 23.National Cancer Institute. (2016). SEER Stat Fact Sheets: Melanoma of the skin. New York: National Institutes of Health. Retrieved from https://seer.cancer.gov/statfacts/html/melan.html.
- 24.Santmyire, B. R., Feldman, S. R., & Fleischer, A. B. (2001). Lifestyle high-risk behaviors and demographics may predict the level of participation in sun-protection behaviors and skin cancer primary prevention in the united states. Cancer, 92(5), 1315–1324. doi: 10.1002/1097-0142(20010901)92:5<1315::AID-CNCR1453>3.0.CO;2-I.CrossRefPubMedGoogle Scholar
- 26.Skin Cancer Foundation. (2015). Skin cancer facts and statistics: New York: Skin Cancer Foundation. Retrieved from http://www.skincancer.org/skin-cancer-information/skin-cancer-facts.
- 27.Skin Cancer Foundation. (2015). Melanoma prevention guidelines. New York: Skin Cancer Foundation. Retrieved from http://www.skincancer.org/skin-cancer-information/melanoma/melanoma-prevention-guidelines.
- 28.Skin Cancer Foundation. (2015). What is melanoma? New York: Skin Cancer Foundation. Retrieved from http://www.skincancer.org/skin-cancer-information/melanoma.
- 29.Stryker, J. E., Yaroch, A. L., Moser, R. P., Atienza, A., & Glanz, K. (2007). Prevalence of sunless tanning product use and related behaviors among adults in the United States: Results from a national survey. Journal of the American Academy of Dermatology, 56(3), 387–390. doi: 10.1016/j.jaad.2006.08.051.CrossRefPubMedGoogle Scholar
- 30.Green, A., Autier, P., Boniol, M., Boyle, P., Dore, J. F., Gandini, S., ... & Westerdahl, J. (2007). The International Agency for Research on Cancer Working Group on artificial ultraviolet (UV) light and skin cancer. The association of use of sunbeds with cutaneous malignant melanoma and other skin cancers: A systematic review. International Journal of Cancer 120, 1116–1122. doi: 10.1002/ijc.22453.
- 31.U. S. Cancer Statistics Working Group. (2015). United States Cancer Statistics: 1999–2012 Incidence and Mortality Web-based Report. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. Retrieved from https://nccd.cdc.gov/uscs/.
- 32.U.S. Department of Health and Human Services.(2014). The Surgeon General’s Call to Action to Prevent Skin Cancer. Washington, D.C.: U.S. Departemt of Health and Human Services, Office of the Surgeon General. Retrieved from https://www.surgeongeneral.gov/library/calls/prevent-skin-cancer/call-to-action-prevent-skin-cancer.pdf.
- 33.U.S. Preventive Services Task Force. (2015). Skin cancer: Screening recommendation summary. Rockville, MD: U.S. Preventive Services Task Force. Retrieved from https://www.uspreventiveservicestaskforce.org/Page/Document/RecommendationStatementFinal/skin-cancer-screening.
- 34.Waldmann, A., Nolte, S., Weinstock, M. A., Breitbart, E. W., Eisemann, N., Geller, A. C., ... Katalinic, A (2012). Skin cancer screening participation and impact on melanoma incidence in Germany—An observational study on incidence trends in regions with and without population-based screening. British Journal of Cancer, 106(5), 970–974. doi: 10.1038/bjc.2012.22.CrossRefPubMedPubMedCentralGoogle Scholar
- 37.World Health Organization. (2015). Sun protection. Geneva: World Health Organization. Retrieved from http://www.who.int/uv/sun_protection/en/.