Skin cancer risk perceptions: a comparison across ethnicity, age, education, gender, and income.

Background: Studies of noncutaneous and cutaneous malignancies support the hypothesis that poor risk-perception status contributes to health disparity.Objective: We evaluated skin cancer (SC) risk perceptions across race and other demographic markers using the Health Information National Trends Surv...

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Publicado en:Journal of the American Academy of Dermatology Vol. 66; no. 5; pp. 771 - 780
Autores principales: Buster KJ, You Z, Fouad M, Elmets C, Buster, Kesha J, You, Zhiying, Fouad, Mona, Elmets, Craig
Formato: research Journal Article
Publicado: Elsevier B.V. May2012
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2012
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      pub: Elsevier B.V.
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        atl: Skin cancer risk perceptions: a comparison across ethnicity, age, education, gender, and income.
      aug:
        au:
          Buster KJ
          You Z
          Fouad M
          Elmets C
          Buster, Kesha J
          You, Zhiying
          Fouad, Mona
          Elmets, Craig
        affil: Department of Dermatology, University of Alabama at Birmingham, Birmingham, Alabama 35294-0009, USA
      sug:
        subj:
          Attitude to Health Ethnology
          Health Status
          Skin Neoplasms Epidemiology
          Skin Neoplasms Pathology
          Adolescence
          Adult
          Age Factors
          Aged
          Alabama
          Cross Sectional Studies
          Educational Status
          Ethnic Groups Statistics and Numerical Data
          Female
          Human
          Income
          Logistic Regression
          Male
          Middle Age
          Perception
          Questionnaires
          Risk Assessment
          Sex Factors
          Skin Neoplasms Prevention and Control
          Socioeconomic Factors
          Survival
          Young Adult
          Adolescent: 13-18 years
          Adult: 19-44 years
          Aged: 65+ years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Background: Studies of noncutaneous and cutaneous malignancies support the hypothesis that poor risk-perception status contributes to health disparity.Objective: We evaluated skin cancer (SC) 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 SC diagnosis and treatment.Methods: Respondents with no history of SC were randomly selected to answer questions assessing perceived risk and knowledge of preventive strategies of SC. Logistic regression was performed to identify associations between perceptions of SC and demographic variables including self-described race, age, sex, education, income, and health insurance status.Results: Blacks, the elderly, and people with less education perceived themselves as at lower risk of developing SC. They, along with Hispanics, were also more likely to believe that one cannot lower their SC risk and that there are so many different recommendations on how to prevent SC that it makes it difficult to know which ones to follow. Lower education also correlated with greater reluctance to have a skin examination.Limitations: HINTS is a cross-sectional instrument, thus it only provides a snapshot of SC perceptions.Conclusion: Uncertainty and altered perceptions are more common in the SC risk perceptions of ethnic minorities, the elderly, and those with less education. These are the same groups that are subject to disparities in SC outcomes. Educational programs directed at these demographic groups may help to reduce the SC-related health disparities.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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