Koh H K, Geller A C, Miller D R, Caruso A, Gage I, Lew R A
Department of Dermatology, Boston University School of Medicine, MA 02118.
J Am Acad Dermatol. 1991 Feb;24(2 Pt 1):271-7. doi: 10.1016/0190-9622(91)70041-y.
We conducted a survey of persons who voluntarily attended melanoma/skin cancer screenings in Massachusetts in 1987. Of 1219 persons asked to fill out a questionnaire, 1116 (92%) completed it. Our study demonstrates that persons attending the melanoma/skin cancer screening program were, for the most part, at risk for the disease and appropriately selected themselves to be screened. Most were women, well educated (with college or advanced degrees), and white. More than 86% had at least one risk factor for melanoma/skin cancer whereas 78% had at least two risk factors. Future studies are necessary to determine whether our experience can be verified. Additional efforts should try to attract those who are at risk but perhaps are less willing to attend screening programs--men and those of lower socioeconomic status. These efforts can help target screening to those at highest risk and maximize the yield of these public health efforts.
1987年，我们对在马萨诸塞州自愿参加黑色素瘤/皮肤癌筛查的人员进行了一项调查。在1219名被要求填写问卷的人员中，1116人（92%）完成了问卷。我们的研究表明，参加黑色素瘤/皮肤癌筛查项目的人员在很大程度上属于该疾病的高危人群，并且他们是自行选择进行筛查的，这一选择是恰当的。大多数是女性，受过良好教育（拥有大学或更高学位），且为白人。超过86%的人至少有一个黑色素瘤/皮肤癌的风险因素，而78%的人至少有两个风险因素。有必要开展进一步研究以确定我们的经验是否能得到验证。还应做出额外努力，吸引那些有风险但可能不太愿意参加筛查项目的人群——男性以及社会经济地位较低的人群。这些努力有助于将筛查目标对准风险最高的人群，并使这些公共卫生工作的收益最大化。
