Department of Dermatology, University Hospital Erlangen, Friedrich-Alexander Universität Erlangen-Nürnberg, Erlangen, Germany.
Comprehensive Cancer Center Erlangen-European Metropolitan Region of Nürnberg, Erlangen, Germany.
Cancer Med. 2023 May;12(9):10829-10839. doi: 10.1002/cam4.5717. Epub 2023 Apr 16.
The national skin cancer screening (SCS) was introduced in Germany in 2008. However, public awareness and participation rates remain low. There are no campaigns or target group-specific invitation strategies for SCS yet. Thus, our aim was to derive potential suggestions on how to best inform German residents about the possibility of SCS.
Semi-structured, individual interviews with male and female German residents aged ≥35 years were conducted in Erlangen (Germany) to explore opportunities on raising awareness of SCS. Interviews were audiotaped, transcribed verbatim, and analyzed using qualitative content analysis.
Overall, 39 persons were interviewed. About 79.5% (31/39) had already undergone at least one SCS. Numerous opportunities to raise awareness of the possibility of SCS were suggested which were categorized into three main topics: the role of public promotion, health-related caregivers, and health insurance. Similar themes were identified for inviting entitled persons to undergo SCS after 2 years. Furthermore, age-dependent communication approaches were proposed, that is, younger persons should be approached electronically, while the older generation should be targeted with traditional media like mail.
The results of this project will inform stakeholders to take appropriate actions. The findings may contribute to increase participation rates in SCS and thus lead to earlier detection of skin cancer.
德国于 2008 年引入了全国性皮肤癌筛查（SCS）。然而，公众的意识和参与率仍然很低。目前还没有针对 SCS 的宣传活动或针对特定目标群体的邀请策略。因此，我们的目的是为如何最好地告知德国居民进行 SCS 的可能性提供一些建议。
在德国埃尔兰根对年龄≥35 岁的男性和女性德国居民进行了半结构式的个体访谈，以探讨提高 SCS 意识的机会。对访谈进行了录音、逐字转录，并采用定性内容分析进行了分析。
共访谈了 39 人。大约 79.5%（31/39）的人已经至少进行过一次 SCS。提出了许多提高 SCS 可能性的意识的机会，这些机会分为三个主要主题：公共宣传的作用、与健康相关的护理人员和健康保险。在 2 年后邀请有资格进行 SCS 的人员参加的主题也相似。此外，还提出了针对不同年龄段的沟通方法，即应通过电子方式联系年轻人，而应通过邮件等传统媒体来联系老年人群体。
本项目的结果将为利益相关者提供采取适当行动的依据。这些发现可能有助于提高 SCS 的参与率，从而更早地发现皮肤癌。
