一项针对在免费皮肤癌筛查中服务不足人群的皮肤癌教育的试点研究。
A pilot study examining skin cancer education in an underserved population at a free skin cancer screening.
作者信息
Castillo Valladares Herbert B, Lee Alison K, Cheraghlou Shayan, Zhou Amanda, Ramachandran Sarika
机构信息
Dermatology Department, UCSF, United States.
Dermatology Dept, University of Michigan, United States.
出版信息
Int J Womens Dermatol. 2020 Jun 26;7(2):184-186. doi: 10.1016/j.ijwd.2020.06.007. eCollection 2021 Mar.
BACKGROUND
Minority populations are increasingly diagnosed with skin cancer and often in later stages with more aggressive subtypes.
OBJECTIVE
We sought to pilot a study to evaluate the effectiveness of providing a skin cancer screening and education module to address potential barriers to dermatologic care for an underserved population in New Haven, Connecticut.
METHODS
At a free clinic, voluntary adults (n = 24) waiting for a skin cancer screening were recruited and consented to participate. Participants completed a 16-question survey prior to the total body-skin examination and the educational module, as well as a survey after the examination.
RESULTS
Most participants were uninsured (79%) and Hispanic (71%). Pre- and postintervention surveys indicated significant increases in knowledge, risk awareness, and confidence for self-screening.
CONCLUSION
This study establishes an effective public health education intervention to promote the prevention of skin cancer. A multicenter study with a larger sample size and longer follow-up period to assess knowledge retention could further address limitations in this initial pilot study.
背景
少数族裔人群被诊断出患有皮肤癌的情况越来越多，而且往往处于晚期，患的是侵袭性更强的亚型。
目的
我们试图开展一项研究，以评估提供一个皮肤癌筛查与教育模块的有效性，该模块旨在解决康涅狄格州纽黑文市一个服务不足人群获得皮肤科护理的潜在障碍。
方法
在一家免费诊所，招募了等待进行皮肤癌筛查的成年志愿者（n = 24），并征得他们同意参与。参与者在进行全身皮肤检查和教育模块之前完成了一项包含16个问题的调查，在检查后也完成了一项调查。
结果
大多数参与者未参保（79%）且为西班牙裔（71%）。干预前后的调查表明，参与者在知识、风险意识和自我筛查信心方面有显著提高。
结论
本研究确立了一项有效的公共卫生教育干预措施，以促进皮肤癌的预防。一项样本量更大、随访期更长以评估知识保持情况的多中心研究，可能会进一步解决这项初步试点研究中的局限性。
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