Skin cancer risk perceptions: a comparison across ethnicity, age, education, gender, and income.
Skin cancer risk perceptions: a comparison across ethnicity, age, education, gender, and income.
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DOI：
10.1016/j.jaad.2011.05.021
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发表时间：
2012-05
影响因子：
13.8
通讯作者：
Elmets, Craig
中科院分区：
文献类型：
--
作者：
Buster, Kesha J.;You, Zhiying;Fouad, Mona;Elmets, Craig
对非皮肤和皮肤恶性肿瘤的研究支持这一假设，即风险感知状况差导致健康差异。我们使用健康信息全国趋势调查（HINTS）评估了不同种族和其他人口统计学标记的皮肤癌风险认知，并将其进行比较，以发现可能导致皮肤癌诊断和治疗差异的认知差异。随机选择无皮肤癌病史的受访者回答评估皮肤癌风险和预防策略知识的问题。进行逻辑回归分析，以确定皮肤癌的看法和人口统计学变量，包括自我描述的种族，年龄，性别，教育，收入和健康保险状况之间的关联。黑人、老年人和受教育程度较低的人认为自己患皮肤癌的风险较低。他们和西班牙裔美国人沿着也更有可能相信一个人不能降低他们的皮肤癌风险，而且关于如何预防皮肤癌有太多不同的建议，以至于很难知道应该遵循哪些建议。较低的教育程度也与更不愿意进行皮肤检查有关。HINTS是一种横截面工具，因此它只提供了皮肤癌感知的快照。在少数民族、老年人和受教育程度较低的人的皮肤癌风险认知中，不确定性和认知改变更为常见。这些是皮肤癌结果差异的相同群体。针对这些人口群体的教育计划可能有助于减少皮肤癌相关的健康差异。
Studies of non-cutaneous and cutaneous malignancies support the hypothesis that poor risk-perception status contributes to health disparity. We evaluated skin cancer risk perceptions across race and other demographic markers using the Health Information National Trends Survey (HINTS) and compared them to discover differences in perception that may contribute to the disparities in skin cancer diagnosis and treatment. Respondents with no prior history of skin cancer were randomly selected to answer questions assessing perceived risk and knowledge of preventive strategies of skin cancer. Logistic regression was performed to identify associations between perceptions of skin cancer and demographic variables including self-described race, age, sex, education, income, and health insurance status. Blacks, the elderly, and people with less education perceived themselves as at lower risk of developing skin cancer. They, along with Hispanics, were also more likely to believe that one cannot lower their skin cancer risk and that there are so many different recommendations on how to prevent skin cancer that it makes it difficult to know which ones to follow. Lower education also correlated with greater reluctance to have a skin exam. HINTS is a cross-sectional instrument, thus it only provides a snapshot of skin cancer perceptions. Uncertainty and altered perceptions are more common in the skin cancer risk perceptions of ethnic minorities, the elderly, and those with less education. These are the same groups that are subject to disparities in skin cancer outcomes. Educational programs directed at these demographic groups may help to reduce the skin cancer-related health disparities.
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