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[瑞士抗癌联盟2003年“Solmobile”皮肤癌预防运动:结果与风险]

[The 2003 "Solmobile" prevention campaign for skin cancers of the Swiss League against Cancer: results and stakes].

作者信息

Bulliard Jean-Luc, Levi Fabio, Panizzon Renato G

机构信息

Unité d'épidémiologie du cancer, Institut Universitaire de Médecine Sociale et Préventive, Lausanne.

出版信息

Rev Med Suisse Romande. 2004 Apr;124(4):237-40.

Abstract

As part of the national skin cancer prevention programme coordinated by the Swiss League against Cancer, a mobile unit visited 29 Swiss towns to inform people on skin type, skin cancer risk and sun protection behaviour. In the summer of 2003, among 6725 visitors, 3662 took the offered possibility of having a cutaneous lesion checked free of charge by a dermatologist present in the mobile unit. The campaign satisfactorily covered, albeit to various degrees, its 3 fields of activity, i.e. (1) primary prevention, (2) secondary prevention and (3) clinical examination. Participants were predominantly females (60%), except for visits on work sites (firms and universities), half were aged 15-44 years, and 40% were considered at increased risk for skin cancer. Sociodemographic and regional differences in the profile of visitors were observed and could largely be attributed to variations in daily availability of the mobile unit. 108 malignant lesions were observed, including 21 cutaneous melanomas. Relative to the number of examinations performed, more cancers were detected in men, those aged 65 or over, and visitors who experienced a prior skin screening and severe sunburns during childhood. Limitations and prospects of this type of preventive campaigns are briefly discussed.

摘要

作为瑞士抗癌联盟协调开展的全国皮肤癌预防项目的一部分,一个流动小组走访了瑞士的29个城镇,向人们宣传皮肤类型、皮肤癌风险和防晒行为。2003年夏天,在6725名访客中,有3662人利用了这一机会,让流动小组中的皮肤科医生免费检查皮肤损伤情况。该活动在不同程度上令人满意地覆盖了其三个活动领域,即:(1)一级预防,(2)二级预防,以及(3)临床检查。参与者以女性为主(60%),在工作场所(公司和大学)进行走访时除外,一半参与者年龄在15至44岁之间,40%的人被认为皮肤癌风险较高。观察到访客在社会人口统计学和地区方面存在差异,这在很大程度上可归因于流动小组每日可及性的变化。观察到108个恶性病变,其中包括21例皮肤黑色素瘤。相对于所进行的检查数量而言,在男性、65岁及以上的人群以及童年时期曾接受过皮肤筛查和严重晒伤的访客中,检测到的癌症病例更多。本文简要讨论了这类预防活动的局限性和前景。

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