Attitudes and intentions in relation to skin checks for early signs of skin cancer

Janda, Monika, Youl, Philippa H., Lowe, John B., Elwood, Mark, Ring, Ian T. and Aitken, Joanne F. (2004) Attitudes and intentions in relation to skin checks for early signs of skin cancer. Preventive Medicine, 39 1: 11-18. doi:10.1016/j.ypmed.2004.02.019

Author Janda, Monika
Youl, Philippa H.
Lowe, John B.
Elwood, Mark
Ring, Ian T.
Aitken, Joanne F.
Title Attitudes and intentions in relation to skin checks for early signs of skin cancer
Journal name Preventive Medicine   Check publisher's open access policy
ISSN 0091-7435
Publication date 2004-07-01
Sub-type Article (original research)
DOI 10.1016/j.ypmed.2004.02.019
Open Access Status
Volume 39
Issue 1
Start page 11
End page 18
Total pages 8
Editor D. W. Nixon
Place of publication United States
Publisher Academic Press
Language eng
Subject C1
321299 Public Health and Health Services not elsewhere classified
730299 Public health not elsewhere classified
Formatted abstract
Background. Screening for melanoma by whole-body clinical skin examination or skin self-examination may improve early diagnosis of melanoma. As part of the first phase of a community-based randomised controlled trial of screening for melanoma, this study examined the prevalence of skin screening intentions and associated factors in a population at high risk for skin cancer.

Methods. A telephone survey stratified by gender reached 3,110 participants ≥30 years representative for the population.

Results. Overall, 45% intended to have a clinical skin check, and 72% intended to examine their own skin within the next 12 months. In multivariate analysis, a history of a clinical skin examination was most strongly related to intention to screen. Concern about skin cancer or a personal history of skin cancer and high susceptibility towards skin cancer were further important determinants of screening intention. Men were less likely than women to intend participation.

Conclusions. Given that skin screening is not recommended by health authorities in absence of scientific evidence of benefit, the intention to participate in screening for melanoma in this Australian sample was high. Except for the lower intention among men, screening intention appears to be highest in those at highest risk of melanoma.
Keyword Public, Environmental & Occupational Health
Medicine, General & Internal
Randomised-controlled Trial
Targeted Early-detection
Q-Index Code C1

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Created: Wed, 15 Aug 2007, 15:20:15 EST