Department of Communication, University of Utah, Salt Lake City, UT, USA.
Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA.
Psychol Health Med. 2020 Apr;25(4):470-479. doi: 10.1080/13548506.2019.1704035. Epub 2019 Dec 17.
Individuals residing in U.S. frontier counties have limited access to dermatology care and higher melanoma mortality rates. Given these limitations, frontier residents rely disproportionately on skin self-examinations (SSE) for early detection of melanoma, though little is known about their SSE behaviors and barriers to conducting SSEs. The goal of the present study was to identify obstacles to SSE performance via a survey of adults ( = 107) living in a U.S. frontier county. Approximately 43% of participants were classified as - individuals who intended to perform SSE, but failed to follow through. Compared to those who did follow through, inclined abstainers were more likely to be hindered by twelve barriers, including forgetting, letting other tasks get in the way of SSE, and struggling to identify a good time or routine for SSE performance. The barriers to action for these inclined abstainers are modifiable - for example, not remembering to do it - and well positioned for a behavioral intervention.
居住在美国边境县的个人获得皮肤科护理的机会有限，黑色素瘤死亡率更高。鉴于这些限制，边境居民不成比例地依赖皮肤自我检查（SSE）来早期发现黑色素瘤，尽管人们对他们的 SSE 行为和进行 SSE 的障碍知之甚少。本研究的目的是通过对居住在美国边境县的成年人（= 107 人）进行调查，确定 SSE 表现的障碍。大约 43%的参与者被归类为 - 打算进行 SSE 但未能实施的人。与那些确实实施了 SSE 的人相比，倾向于放弃的人更容易受到 12 个障碍的阻碍，包括忘记、让其他任务妨碍 SSE 以及难以确定进行 SSE 的合适时间或常规。对于这些倾向于放弃的人来说，行动障碍是可以改变的 - 例如，不记得要做这件事 - 并且非常适合行为干预。
