Cancer Control and Population Sciences, Huntsman Cancer Institute, 2000 Circle of Hope, Salt Lake City, UT, 84112, USA.
Division of Public Health, Department of Family and Preventive Medicine, University of Utah, Salt Lake City, UT, USA.
J Community Health. 2018 Apr;43(2):212-219. doi: 10.1007/s10900-017-0406-8.
Despite the highly preventable nature of skin cancer, it remains the most commonly diagnosed form of cancer in the United States. Recommendations for a complete skin cancer prevention regimen include engaging in photoprotection (e.g., sunscreen use), avoiding skin cancer risk behaviors (e.g., tanning), and receiving total body skin exams from a health care provider. The current study examined reported engagement in these behaviors among participants attending a community skin cancer screening (N = 319) in a high-risk catchment area to assess the need for increased health education on skin cancer prevention. Participants' responses indicate a history of suboptimal avoidance of skin cancer risk behaviors. Over half of participants (52%) reported four or more blistering sunburns before age 20, and 46% reported indoor tanning at least one during their lifetime. There is a need among this population for education regarding a complete skin cancer prevention regimen, which could improve adherence to photoprotection and avoidance of skin cancer risk behaviors, thereby reducing morbidity and mortality due to skin cancer.
尽管皮肤癌的高度可预防性质,它仍然是美国最常见的癌症诊断形式。完整的皮肤癌预防方案的建议包括进行光保护(例如使用防晒霜),避免皮肤癌的风险行为(例如晒黑),并从医疗保健提供者那里接受全身皮肤检查。本研究调查了参加高风险集水区社区皮肤癌筛查的参与者(N=319)报告的这些行为的参与情况,以评估是否需要加强皮肤癌预防的健康教育。参与者的反应表明,他们曾有过避免皮肤癌风险行为的不恰当历史。超过一半的参与者(52%)报告在 20 岁之前有过四次或更多次晒伤起泡,46%的人报告一生中至少有一次室内晒黑。在这一人群中,需要进行关于完整皮肤癌预防方案的教育,这可以提高对光保护的依从性,避免皮肤癌的风险行为,从而降低皮肤癌的发病率和死亡率。