Skin Examination Practices Among Melanoma Survivors and Their Children.
Skin Examination Practices Among Melanoma Survivors and Their Children.
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黑色素瘤幸存者及其子女的皮肤检查实践。
DOI：
10.1007/s13187-016-0998-1
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发表时间：
2017
期刊：
影响因子：
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通讯作者：
Bastani,Roshan
中科院分区：
文献类型：
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作者：
Glenn,BethA;Chen,KatherineL;Chang,LCindy;Lin,Tiffany;Bastani,Roshan
许多专业组织建议皮肤自我检查（SSE）作为早期检测黑色素瘤幸存者恶性肿瘤的工具，这是一个不断增长的人群，新发或复发性黑色素瘤的风险增加。本研究调查了黑色素瘤幸存者使用SSE的频率和相关性。此外，我们还评估了幸存者子女的皮肤检查使用情况，这些幸存者一生中患此病的风险较高。加州癌症登记处被用来确定黑色素瘤幸存者，他们被联系，筛选合格性，并被邀请参加一项调查。该调查通过邮件、网络或电话进行，评估了与高危家庭中黑色素瘤预防相关的广泛主题。本研究的重点是幸存者及其子女的皮肤检查的做法和这些做法的潜在相关性。在316名黑色素瘤幸存者的样本中，不到五分之一的参与者每月进行皮肤自我检查，这一比例低于以往研究中观察到的比例。虽然黑色素瘤家族史、皮肤保护策略的使用以及黑色素瘤的严重程度与更频繁地使用皮肤自我检查相关，但这些关系在调整后的分析中消失。参与者报告说，尽管缺乏专业的指导方针，但他们的孩子意外地频繁使用皮肤检查。需要采取干预措施来改善黑色素瘤幸存者的皮肤自我检查实践，并为父母提供有关其子女最佳黑色素瘤预防策略的咨询。
Many professional organizations recommend skin self-examination (SSE) as a tool for early detection of malignancy among melanoma survivors, a growing population that is at increased risk for new or recurrent melanoma. This study examined the frequency and correlates of SSE use among melanoma survivors. Additionally, we assessed skin exam use among children of survivors, who are at elevated lifetime risk for the disease. The California Cancer Registry was used to identify melanoma survivors, who were contacted, screened for eligibility, and invited to participate in a survey. The survey, administered by mail, web, or telephone, assessed a broad range of topics related to melanoma prevention in high-risk families. The present study focuses on skin examination practices of survivors and their children and potential correlates of these practices. Among a sample of 316 melanoma survivors, fewer than one in five participants performed monthly skin self-exams, a lower rate than that observed in previous studies. Although greater family history of melanoma, use of skin protection strategies, and the perceived severity of melanom were associated with more frequent use of skin self-exams, these relationships disappeared in adjusted analyses. Participants reported unexpectedly frequent use of skin examinations for their children despite the lack of professional guidelines for this practice. Interventions are needed to improve skin self-examination practices among melanoma survivors and to counsel parents about optimal melanoma prevention strategies for their children.