来自1992年、1998年和2000年美国国家健康访谈调查的美国成年人皮肤癌筛查情况。

Skin cancer screening among U.S. adults from 1992, 1998, and 2000 National Health Interview Surveys.

作者信息

Saraiya Mona, Hall H Irene, Thompson Trevor, Hartman Anne, Glanz Karen, Rimer Barbara, Rose Deborah

机构信息

Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA 30341, USA.

出版信息

Prev Med. 2004 Aug;39(2):308-14. doi: 10.1016/j.ypmed.2004.04.022.

DOI:10.1016/j.ypmed.2004.04.022

PMID:15226039

Abstract

BACKGROUND

Relatively little is known about the prevalence of skin cancer screening in the context of inconsistent skin cancer screening recommendations.

METHODS

To determine the prevalence and predictors of skin cancer screening rates in the U.S. adult population, we used self-reported data from the 1992, 1998, and 2000 National Health Interview Surveys, a nationally representative survey of civilian noninstitutionalized adults.

RESULTS

The percentage of the U.S. adult population who had ever had a skin examination conducted by a doctor was 20.6% in 1992, 20.9% in 1998, and 14.5% in 2000. The percentage with a recent skin examination was 10.3% in 1992, 11.0% in 1998, and 8.0% in 2000. White non-Hispanics reported being screened more frequently than persons in other racial or ethnic groups. Recent skin cancer screening exams were more common among white persons who had a family history of melanoma, had higher education, had usual place of care, and were older (> or =50 years). Frequent use of sunscreen and hats was associated with a recent skin cancer exam.

CONCLUSIONS

In the past decade, skin cancer screening rates have been consistently low. Continued monitoring of skin cancer examination is important given conflicting current research results and potentially evolving science.

摘要

背景

在皮肤癌筛查建议不一致的情况下，人们对皮肤癌筛查的普及率了解相对较少。

方法

为了确定美国成年人群皮肤癌筛查率及其预测因素，我们使用了1992年、1998年和2000年全国健康访谈调查的自我报告数据，该调查是对非机构化成年平民的全国代表性调查。

结果

1992年、1998年和2000年，曾接受医生皮肤检查的美国成年人口比例分别为20.6%、20.9%和14.5%。近期接受皮肤检查的比例在1992年为10.3%，1998年为11.0%，2000年为8.0%。非西班牙裔白人报告的筛查频率高于其他种族或族裔群体的人。近期皮肤癌筛查检查在有黑色素瘤家族史、受过高等教育、有固定就医地点且年龄较大（≥50岁）的白人中更为常见。经常使用防晒霜和帽子与近期的皮肤癌检查有关。