Skin surveillance intentions among family members of patients with melanoma

BMC Public Health

Research Article

Carolyn J Heckman¹  Michael E Ming²  Paul B Jacobsen³  Stuart R Lessin⁴  Sharon L Manne⁵  Elliot J Coups⁶ 

[1] Cancer Prevention and Control Program, Fox Chase Cancer Center, 333 Cottman Avenue, 19111, Philadelphia, PA, USA;Department of Dermatology, School of Medicine, University of Pennsylvania, 2 Maloney Building, 3600 Spruce Street, 19104, Philadelphia, PA, USA;Department of Health Outcomes and Behavior, Moffitt Cancer Center, 12902 Magnolia Drive, MRC-PSY, 33612, Tampa, FL, USA;Department of Medicine, Fox Chase Cancer Center, 333 Cottman Avenue, 19111, Philadelphia, PA, USA;The Cancer Institute of New Jersey, 195 Little Albany Street, 08901, New Brunswick, NJ, USA;Department of Medicine, UMDNJ-Robert Wood Johnson Medical School, 125 Paterson Street, 08901, New Brunswick, NJ, USA;The Cancer Institute of New Jersey, 195 Little Albany Street, 08901, New Brunswick, NJ, USA;Department of Medicine, UMDNJ-Robert Wood Johnson Medical School, 125 Paterson Street, 08901, New Brunswick, NJ, USA;Department of Health Education and Behavioral Science, UMDNJ-School of Public Health, 683 Hoes Lane West, 08854, Piscataway, NJ, USA;

关键词: Melanoma;    Family Support;    Melanoma Patient;    Melanoma Risk;    Great Physician;   

DOI  :  10.1186/1471-2458-11-866

 received in 2011-04-26, accepted in 2011-11-14,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundFirst-degree relatives of individuals diagnosed with melanoma are at increased disease risk. However, many first-degree relatives do not receive a periodic total cutaneous examination from a health care provider or engage in regular skin self-examination. The goal of this study was to identify correlates of total cutaneous examination and skin self-examination intentions among first-degree relatives of melanoma patients, thus providing insight on factors that should be targeted in future intervention research.MethodsThe participants were 545 first-degree relatives of melanoma patients at increased disease risk due to their risk factor profile and lack of skin surveillance behaviors. Participants completed a telephone survey regarding their total cutaneous examination and skin self-examination intentions and potential correlates, including demographics, medical factors, psychological factors, knowledge, and social influence factors.ResultsIntentions to receive a total cutaneous examination were higher among first-degree relatives with more education, those perceiving higher benefits and lower barriers to an examination, and those reporting greater physician and family support. Intentions to receive a skin self-examination were higher among those with higher benefits and lower barriers to self-examination, and higher family support.ConclusionsInterventions to promote skin surveillance behaviors among first-degree relatives of melanoma patients should highlight the benefits of early detection of melanoma, address barriers to receipt of total cutaneous examination and engagement in skin self-examination, and promote support from physicians and family members.

【 授权许可】

CC BY   
© Elliot J Coups; licensee BioMed Central Ltd. 2011