School of Public Health, Boston University, Boston, MA, USA.
Psychooncology. 2012 Dec;21(12):1285-91. doi: 10.1002/pon.2017. Epub 2011 Jul 21.
Clinical recommendations for survivors of melanoma generally include skin care behaviors, including regular physician and skin self-examination to identify any recurrences or second primary disease early, as well as sun protection. We measured skin care behaviors in a population-based sample of melanoma survivors.
Melanoma survivors were approached through the regional National Cancer Institute-funded cancer registry (Surveillance, Epidemiology, and End Results) and recruited to this study with a response rate of approximately 75%, for a total sample of n = 313.
The sample was 99% Caucasian, 56% female, 44% male, 81% married, 62% college educated, and 48% with an income over 70 K annually, with an average age of 56 years. Over the last 7 days, a total of 45% reported wearing sunscreen, 59% reported wearing long sleeves, 80% reported wearing pants, 35% reported wearing something on the head, and 36% stayed in available shade. Skin self-examination behaviors were reported at relatively low frequencies, with only 22% performing a thorough check on skin. A total of 88% of survivors reported that their physician checked their skin in the past few years by having all clothes removed. A multivariate analysis using logistic regression indicated that perceived risk was positively related to having the skin checked by a medical provider but no other skin protection behaviors. Gender effects were also detected for wearing sunscreen and wearing a hat or scarf.
Data indicate that melanoma survivors are performing sun protection behaviors to a moderate extent. Future studies can address barriers to consistent use of these behaviors in melanoma survivors.
针对黑色素瘤幸存者的临床建议通常包括皮肤护理行为，包括定期进行医生和皮肤自我检查，以早期发现任何复发或第二原发疾病，并进行防晒。我们在基于人群的黑色素瘤幸存者样本中测量了皮肤护理行为。
通过区域国家癌症研究所资助的癌症登记处（监测、流行病学和最终结果）接近黑色素瘤幸存者，并通过大约 75%的回复率招募到这项研究中，总样本量 n=313。
该样本 99%为白种人，56%为女性，44%为男性，81%已婚，62%受过大学教育，48%年收入超过 70000 美元，平均年龄为 56 岁。在过去的 7 天里，共有 45%的人报告使用防晒霜，59%的人报告穿长袖，80%的人报告穿长裤，35%的人报告戴帽子，36%的人待在有遮蔽的地方。皮肤自我检查行为的报告频率相对较低，只有 22%的人对皮肤进行了彻底检查。共有 88%的幸存者报告说，在过去几年中，他们的医生通过脱掉所有衣服来检查他们的皮肤。使用逻辑回归的多变量分析表明，感知到的风险与由医疗服务提供者检查皮肤呈正相关，但与其他皮肤保护行为无关。性别效应也在使用防晒霜和戴帽子或围巾方面得到了检测。
数据表明，黑色素瘤幸存者正在适度地进行防晒措施。未来的研究可以解决黑色素瘤幸存者持续使用这些行为的障碍。
