Fox Chase Cancer Center, Philadelphia, PA 19111, USA.
JAMA Dermatol. 2013 Jul;149(7):825-30. doi: 10.1001/jamadermatol.2013.515.
Skin cancer is common among older adults. Some national organizations recommend total cutaneous examination (TCE) and skin self-examination (SSE) for skin cancer detection. Although the spousal relationship is a known influence on health behavior, little is known about the level of correspondence in skin screening among couples.
To investigate correspondence of TCE and SSE among older couples, demographic correlates of correspondence, and correspondence among barriers to skin examinations.
DESIGN, SETTING, AND PARTICIPANTS: Cross-sectional online survey of cohabitating partners 50 years or older performed from June 1, 2010, through July 31, 2010, via the nationally representative GfK (Gesellschaft für Konsumforschung or Society for Consumer Research) Internet panel.
Both TCE in the past 3 years and SSE in the past year. RESULTS Correspondence among partners was high. For TCE, both partners had completed TCE in 23.9%, and both partners had not completed TCE in 47.3%. With regard to SSE, both partners had completed SSE in 39.8%, and both partners had not completed SSE in 38.9%. Correlates of both partners not completing TCE include lower household income, larger household size, nonmetropolitan residence, living in the Midwest, and being in a same-sex relationship. Correlates of both members not completing SSE included larger household size and being in a same-sex relationship. Barriers to screening that members of couples reported were similar to one another.
Couples were mostly concordant with regard to engagement in skin examinations. Therefore, dyadic interventions to increase screening rates could be useful. Certain sociodemographic groups should especially be targeted.
皮肤癌在老年人中很常见。一些国家组织建议进行全面皮肤检查（TCE）和皮肤自我检查（SSE）以发现皮肤癌。尽管配偶关系是影响健康行为的已知因素，但夫妻之间皮肤筛查的一致性程度知之甚少。
调查老年夫妇 TCE 和 SSE 的一致性、一致性的人口统计学相关性以及皮肤检查障碍的一致性。
设计、设置和参与者：2010 年 6 月 1 日至 7 月 31 日，通过全国代表性 GfK（Gesellschaft für Konsumforschung 或 Society for Consumer Research）互联网小组对 50 岁或以上的同居伴侣进行了横断面在线调查。
过去 3 年的 TCE 和过去 1 年的 SSE。结果：伴侣之间的一致性很高。对于 TCE，有 23.9%的伴侣都完成了 TCE，有 47.3%的伴侣都没有完成 TCE。关于 SSE，有 39.8%的伴侣都完成了 SSE，有 38.9%的伴侣都没有完成 SSE。没有完成 TCE 的两个伴侣的相关性包括家庭收入较低、家庭规模较大、非都市区居住、居住在中西部地区和同性关系。两个成员都不完成 SSE 的相关性包括家庭规模较大和同性关系。夫妻双方报告的筛查障碍相似。
在参与皮肤检查方面，夫妻大多是一致的。因此，增加筛查率的对偶干预可能是有用的。某些社会人口统计学群体应特别作为目标。
