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一项基于调查的普通公众代表性队列与皮肤癌筛查参与者防晒措施的比较。

A Survey-Based Comparison of Sun Safety Practices in a Representative Cohort of the General Public Versus Attendees of a Skin Cancer Screening.

作者信息

Murphy Emily C., Kao Stephanie, Wang Huan, Chen Dechang, Nguyen Hong, Friedman Adam J.

出版信息

J Drugs Dermatol. 2019 Jul 1;18(7):649-653.

PMID:31334624
Abstract

A large proportion of data on photoprotective practices is yielded from free skin cancer screenings. However, the sun safety practices of populations who seek these skin cancer screenings may differ from the general public. To examine differences in skin cancer prevention practices and risk factors, we surveyed pedestrians at six locations in Washington, DC (public group, n=285) and attendees of a free skin cancer screening (screening group, n=144) using an IRB-approved survey. The screening group was older and included more individuals with fair skin than the public group. Respondents from the screening group were significantly more likely to always wear sunscreen, always seeks shade, and always or sometimes wear sun-protective clothing than the public group (P<0.05). To examine whether younger and non-white participants, who were less likely to attend our free screening, have different practices and risk factors than older and white participants, respectively, we compared survey answers for all participants by age and race. White participants were more likely to always or sometimes wear sunscreen and sun-protective clothing than non-white participants (P<0.05). Patients over 61 years were more likely to always seek shade and wear sun-protective clothing than those younger than 31 years (P<0.05). Therefore, free skin cancer screenings need to be better popularized among non-white and younger populations or more effective educational vehicles are needed. J Drugs Dermatol. 2019;18(7):649-653.

摘要

大量关于光防护措施的数据来自免费的皮肤癌筛查。然而,寻求这些皮肤癌筛查的人群的防晒措施可能与普通公众不同。为了研究皮肤癌预防措施和风险因素的差异,我们使用经机构审查委员会批准的调查问卷,对华盛顿特区六个地点的行人(公众组,n = 285)和免费皮肤癌筛查的参与者(筛查组,n = 144)进行了调查。筛查组的年龄更大,肤色白皙的个体比公众组更多。与公众组相比,筛查组的受访者总是涂抹防晒霜、总是寻找阴凉处以及总是或有时穿着防晒服装的可能性显著更高(P<0.05)。为了分别研究不太可能参加我们免费筛查的年轻和非白人参与者与年长和白人参与者相比是否有不同的行为和风险因素,我们按年龄和种族比较了所有参与者的调查答案。白人参与者总是或有时涂抹防晒霜和穿着防晒服装的可能性比非白人参与者更高(P<0.05)。61岁以上的患者总是寻找阴凉处和穿着防晒服装的可能性比31岁以下的患者更高(P<0.05)。因此,免费皮肤癌筛查需要在非白人和年轻人群中更好地普及或者需要更有效的教育手段。《药物皮肤病学杂志》。2019年;18(7):649 - 653。

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