Oncol Res Treat. 2018;41(12):774-779. doi: 10.1159/000492440. Epub 2018 Nov 21.
In 2008, a nationwide standardized and systematic skin cancer screening (SCS) service, which is globally unique, was implemented in Germany. We aimed to provide current data on SCS use, to explore barriers to SCS usage, and to identify population groups with lower rates of SCS use.
We analyzed data from 2,635 participants (18-45 years) in the National Cancer Aid Monitoring on Sunbed Use. Data on SCS use, barriers to SCS, and sociodemographic characteristics were obtained. Chi-square tests and logistic regression analyses were performed to analyze the data. Data was weighted by age, sex, educational level, and federal state.
In total, 39.0% of participants reported having been screened for skin cancer at least once in their lifetime. The subjective importance of different barriers varied depending on the participants' educational level. SCS use was negatively associated with male sex (odds ratio (OR) = 0.63, p < 0.001), low level of education (OR = 0.83, not significant), immigrant background (OR = 0.63; p < 0.001), and having no employment.
Although the SCS is part of the regular healthcare services offered in Germany, our data showed lower usage among certain population groups. Barriers relevant for these groups should be considered when developing measures to increase SCS use.
2008 年，德国在全球范围内首创了全国范围内标准化和系统化的皮肤癌筛查（SCS）服务。我们旨在提供 SCS 使用的最新数据，探索 SCS 使用的障碍，并确定 SCS 使用率较低的人群。
我们分析了全国癌症援助监测日光浴使用情况中 2635 名（18-45 岁）参与者的数据。获取了 SCS 使用、SCS 使用障碍和社会人口统计学特征的数据。进行了卡方检验和逻辑回归分析来分析数据。数据按年龄、性别、教育程度和联邦州进行加权。
总共有 39.0%的参与者报告说他们一生中至少接受过一次皮肤癌筛查。不同障碍的主观重要性取决于参与者的教育程度。SCS 使用与男性（比值比（OR）=0.63，p<0.001）、低教育水平（OR=0.83，无统计学意义）、移民背景（OR=0.63；p<0.001）和无就业呈负相关。
尽管 SCS 是德国常规医疗服务的一部分，但我们的数据显示某些人群的使用率较低。在制定提高 SCS 使用的措施时，应考虑这些群体相关的障碍。
