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评估基层医疗环境中室内晒黑筛查的可行性和有效性:初步结果报告。

Assessing the Feasibility and Effectiveness of Screening for Indoor Tanning in the Primary Care Setting: A Report of Preliminary Findings.

作者信息

Robbins Allison B, Borrelli Mimi R, Mirza Fatima N, Negbenebor Nicole A, Kuhn Helena M, Libby Tiffany J

机构信息

Micrographic Surgery and Dermatologic Oncology, Division of Dermatologic Surgery, Department of Dermatology, Mayo Clinic, Rochester, Minnesota.

Kenan-Flagler Business School, University of North Carolina, Chapel Hill, North Carolina.

出版信息

AJPM Focus. 2024 May 16;3(4):100241. doi: 10.1016/j.focus.2024.100241. eCollection 2024 Aug.

Abstract

INTRODUCTION

Indoor tanning is a major modifiable risk factor in the development of both melanoma and nonmelanoma skin cancers. Investigation of behavior-altering interventions is an area of active research. As with other preventive measures, screening of high-risk populations can be an important aspect of a multimodality public health intervention. This study sought to further the limited understanding of indoor tanning screening practices in the primary care setting.

METHODS

Physicians practicing within the scope of primary care in the northeast were surveyed in 2022 on practice patterns around the frequency of indoor tanning screening, barriers encountered with implementing screening, and actions taken with a positive screen. Research methodology adhered to the Joanna Briggs Institute critical appraisal checklist.

RESULTS

Of 26 primary care physicians, only 7.7% routinely screened for indoor tanning. Barriers identified included time limitations (76.9%) and prioritization of other health concerns (96.2%). All primary care physicians (100%) reacted to reports of indoor tanning with an intervention, most commonly counseling on the risks of indoor tanning (92.6%).

CONCLUSIONS

This data suggest that screening for indoor tanning use could be improved. The authors recommend the incorporation of a standardized screening question regarding indoor tanning in intake forms.

摘要

引言

室内晒黑是黑色素瘤和非黑色素瘤皮肤癌发生的一个主要可改变风险因素。对改变行为的干预措施的研究是一个活跃的研究领域。与其他预防措施一样,对高危人群进行筛查可能是多模式公共卫生干预的一个重要方面。本研究旨在进一步加深对初级保健环境中室内晒黑筛查实践的有限理解。

方法

2022年对在东北部从事初级保健工作的医生进行了调查,内容包括室内晒黑筛查频率的实践模式、实施筛查时遇到的障碍以及筛查结果呈阳性时采取的行动。研究方法遵循乔安娜·布里格斯研究所的关键评估清单。

结果

在26名初级保健医生中,只有7.7%的人常规筛查室内晒黑情况。确定的障碍包括时间限制(76.9%)和其他健康问题的优先级(96.2%)。所有初级保健医生(100%)对室内晒黑报告都采取了干预措施,最常见的是就室内晒黑的风险进行咨询(92.6%)。

结论

这些数据表明室内晒黑使用情况的筛查可以得到改善。作者建议在 intake forms 中纳入一个关于室内晒黑的标准化筛查问题。 (注:这里 intake forms 原文未翻译完整,推测可能是指某种表格,如病历表之类,但因原文未明确,只能直译)

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20f4/11237681/9e550397aeab/gr1.jpg

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本文引用的文献

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A Social Media-Based Public Health Campaign to Reduce Indoor Tanning in High-Risk Populations.
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Mechanisms and prevention of UV-induced melanoma.
Photodermatol Photoimmunol Photomed. 2018 Jan;34(1):13-24. doi: 10.1111/phpp.12329. Epub 2017 Aug 2.
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Association Between Indoor Tanning and Melanoma in Younger Men and Women.
JAMA Dermatol. 2016 Mar;152(3):268-75. doi: 10.1001/jamadermatol.2015.2938.

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