Evaluating the Frequency of Mole Checks by a Dermatologist and Correlated Variables in a Global Survey across 17 Countries: HELIOS Project
DOI:
https://doi.org/10.2340/actadv.v104.40929Keywords:
mole, sun prevention, public healthAbstract
Secondary prevention of skin cancer consists in early detection of malignant lesions through patients’ mole self-examination and medical examination. The objective of this study was to assess the self-reported frequency of mole examination in a large, representative sample of the adult general population of 17 countries from all continents. Of a total of 17,001 participants, 4.8% had their moles checked by a dermatologist more than once a year, 11.3% once a year, 8.4% every 2–3 years, 12.4% once in a while, 10.3% once in lifetime, and 52.6% of participants had never performed a mole examination. Egypt was the country with the highest prevalence of people who performed a moles check more than once a year (15.9%), followed by Brazil and the USA. A higher frequency of mole checks was associated with sex (man vs woman), higher education, higher income, fair phototype, history of skin cancer, medical insurance, and sun-protective behaviours. Despite recommendations by health providers, it appears that the frequency of mole checks in the general population is still low. It is necessary for dermatologists to keep informing at-risk populations about the importance of moles check, with particular care regarding categories that less frequently adhere to secondary prevention measures.
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Zhang W, Zeng W, Jiang A, He Z, Shen X, Dong X, et al. Global, regional and national incidence, mortality and disability-adjusted life-years of skin cancers and trend analysis from 1990 to 2019: an analysis of the Global Burden of Disease Study 2019. Cancer Med 2021; 10: 4905–4922.
https://doi.org/10.1002/cam4.4046 DOI: https://doi.org/10.1002/cam4.4046
Urban K, Mehrmal S, Uppal P, Giesey RL, Delost GR. The global burden of skin cancer: a longitudinal analysis from the Global Burden of Disease Study, 1990–2017. JAAD Int 2021; 2: 98-108.
https://doi.org/10.1016/j.jdin.2020.10.013 DOI: https://doi.org/10.1016/j.jdin.2020.10.013
Perez M, Abisaad JA, Rojas KD, Marchetti MA, Jaimes N. Skin cancer: primary, secondary, and tertiary prevention. Part I. J Am Acad Dermatol 2022; 87: 255–268.
https://doi.org/10.1016/j.jaad.2021.12.066 DOI: https://doi.org/10.1016/j.jaad.2021.12.066
Rojas KD, Perez ME, Marchetti MA, Nichols AJ, Penedo FJ, Jaimes N. Skin cancer: primary, secondary, and tertiary prevention. Part II. J Am Acad Dermatol 2022; 87: 271–288.
https://doi.org/10.1016/j.jaad.2022.01.053 DOI: https://doi.org/10.1016/j.jaad.2022.01.053
Datzmann T, Schoffer O, Meier F, Seidler A, Schmitt J. Are patients benefiting from participation in the German skin cancer screening programme? A large cohort study based on administrative data. Br J Dermatol 2022; 186: 69–77.
https://doi.org/10.1111/bjd.20658 DOI: https://doi.org/10.1111/bjd.20658
Aitken JF, Elwood M, Baade PD, Youl P, English D. Clinical whole-body skin examination reduces the incidence of thick melanomas. Int J Cancer 2010; 126: 450–458.
https://doi.org/10.1002/ijc.24747 DOI: https://doi.org/10.1002/ijc.24747
Bhurosy T, Heckman CJ, Riley M. Prevalence and correlates of skin self-examination behaviors among melanoma survivors: a systematic review. Transl Behav Med 2020; 10: 1120–1133.
https://doi.org/10.1093/tbm/ibaa003 DOI: https://doi.org/10.1093/tbm/ibaa003
Passeron T, Lim HW, Goh CL, Kang HY, Ly F, Morita A, et al. Sun exposure behaviours as a compromise to paradoxical injunctions: Insight from a worldwide survey. J Eur Acad Dermatol Venereol 2023; 37: 2481–2489.
https://doi.org/10.1111/jdv.19421 DOI: https://doi.org/10.1111/jdv.19421
Van Der Leest RJT, Flohil SC, Arends LR, De Vries E, Nijsten T. Risk of subsequent cutaneous malignancy in patients with prior melanoma: a systematic review and meta-analysis. J Eur Acad Dermatol Venereol 2015; 29: 1053–1062.
https://doi.org/10.1111/jdv.12887 DOI: https://doi.org/10.1111/jdv.12887
Coups EJ, Manne SL, Stapleton JL, Tatum KL, Goydos JS. Skin self-examination behaviors among individuals diagnosed with melanoma. Melanoma Res 2016; 26: 71–76.
https://doi.org/10.1097/CMR.0000000000000204 DOI: https://doi.org/10.1097/CMR.0000000000000204
Manne S, Lessin S. Prevalence and correlates of sun protection and skin self-examination practices among cutaneous malignant melanoma survivors. J Behav Med 2006; 29: 419–434.
https://doi.org/10.1007/s10865-006-9064-5 DOI: https://doi.org/10.1007/s10865-006-9064-5
Pollitt RA, Geller AC, Brooks DR, Johnson TM, Park ER, Swetter SM. Efficacy of skin self-examination practices for early melanoma detection. Cancer Epidemiol Biomarkers Prev 2009; 18: 3018–3023.
https://doi.org/10.1158/1055-9965.EPI-09-0310 DOI: https://doi.org/10.1158/1055-9965.EPI-09-0310
Uğrl Z, Işık S, Balanuye B, Budak E, Elbaş N, Kav S. Awareness of skin cancer, prevention, and early detection among Turkish university students. Asia Pac J Oncol Nurs 2016; 3: 93–97.
https://doi.org/10.4103/2347-5625.170969 DOI: https://doi.org/10.4103/2347-5625.170969
Seetan K, Khamees A, Migdadi A, Abu Shqeer M, Hasan MJ, Shatnawi LA, et al. Knowledge, attitude, and practice toward skin cancer prevention and detection among Jordanian medical students: a cross-sectional study. J Skin Cancer 2022; 2022: 6989827.
https://doi.org/10.1155/2022/6989827 DOI: https://doi.org/10.1155/2022/6989827
Coups EJ, Geller AC, Weinstock MA, Heckman CJ, Manne SL. Prevalence and correlates of skin cancer screening among middle-aged and older white adults in the United States. Am J Med 2010; 123: 439–445.
https://doi.org/10.1016/j.amjmed.2009.10.014 DOI: https://doi.org/10.1016/j.amjmed.2009.10.014
Saraiya M, Hall HI, Thompson T, Hartman A, Glanz K, Rimer B, et al. Skin cancer screening among U.S. adults from 1992, 1998, and 2000 National Health Interview Surveys. Prev Med (Baltim) 2004; 39: 308–314.
https://doi.org/10.1016/j.ypmed.2004.04.022 DOI: https://doi.org/10.1016/j.ypmed.2004.04.022
LeBlanc WG, Vidal L, Kirsner RS, Lee DJ, Caban-Martinez AJ, McCollister KE, et al. Reported skin cancer screening of US adult workers. J Am Acad Dermatol 2008; 59: 55–63.
https://doi.org/10.1016/j.jaad.2008.03.013 DOI: https://doi.org/10.1016/j.jaad.2008.03.013
Reyes-Ortiz CA, Goodwin JS, Freeman JL, Kuo YF. Socioeconomic status and survival in older patients with melanoma. J Am Geriatr Soc 2006; 54: 1758–1764.
https://doi.org/10.1111/j.1532-5415.2006.00943.x DOI: https://doi.org/10.1111/j.1532-5415.2006.00943.x
Smith RA, Cokkinides V, Brawley OW. Cancer screening in the United States, 2009: a review of current American Cancer Society guidelines and issues in cancer screening. CA Cancer J Clin 2009; 59: 27–41.
https://doi.org/10.3322/caac.20008 DOI: https://doi.org/10.3322/caac.20008
Aitken JF, Youl PH, Janda M, Elwood M, Ring IT, Lowe JB, etal. Validity of self-reported skin screening histories. Am J Epidemiol 2004; 159: 1098–1105.
https://doi.org/10.1093/aje/kwh143 DOI: https://doi.org/10.1093/aje/kwh143
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Copyright (c) 2024 Henry William Lim, Thierry Passeron, Chee Leok Goh, Hee Young Kang, Fatimata Ly, Akimichi Morita, Jorge Ocampo-Candiani, Susana Puig, Sergio Schalka, Liu Wei, Anne Laure Demessant, Caroline Le Floc'h, Delphine Kerob, Brigitte Dreno, Jean Krutmann
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