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  • Title: Prevalence of whole-body skin self-examination in a population at high risk for skin cancer (Australia).
    Author: Aitken JF, Janda M, Lowe JB, Elwood M, Ring IT, Youl PH, Firman DW.
    Journal: Cancer Causes Control; 2004 Jun; 15(5):453-63. PubMed ID: 15286465.
    Abstract:
    OBJECTIVE: Whole-body skin self-examination (SSE) with presentation of suspicious lesions to a physician may improve early detection of melanoma. The aim of this study was to establish the prevalence and determinants of SSE in a high-risk population in preparation for a community-based randomised controlled trial of screening for melanoma. METHODS: A telephone survey reached 3110 residents older than 30 years (overall response rate of 66.9%) randomly selected from 18 regional communities in Queensland, Australia. RESULTS: Overall, 804 (25.9%) participants reported whole-body SSE within the past 12 months and 1055 (33.9%) within the past three years. Whole-body SSE was associated in multivariate logistic regression analysis with younger age (< 50 years); higher education; having received either a whole-body skin examination, recommendation or instruction on SSE by a primary care physicial; giving skin checks a high priority; concern about skin cancer and a personal history of skin cancer. CONCLUSION: Overall, the prevalence of SSE in the present study is among the highest yet observed in Australia, with about one-third of the adult population reporting whole-body SSE in the past three years. People over 50 years, who are at relatively higher risk for skin cancer, currently perform SSE less frequently than younger people.
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