Skin cancer screening behaviours among individuals with a strong family history of malignant melanoma

N. A. Kasparian, J. K. McLoone, B. Meiser, P. N. Butow, J. M. Simpson, G. J. Mann

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Background:This study examined the prevalence and correlates of skin cancer screening behaviours among individuals at high risk of developing melanoma due to strong family history.Methods:A total of 120 individuals with a known family-specific CDKN2A mutation (72% response rate) completed a self-report questionnaire assessing annual frequency of skin self-examination (SSE), clinical skin examination (CSE) and a variety of potential demographic, clinical and psychosocial correlates.Results:In the past 12 months, 50% of participants reported engaging in SSE at least four times, and 43% of participants had undergone at least one CSE. Engagement in SSE was associated with doctor recommendation (Β1.77, P0.001), confidence in one's ability to perform SSE (Β1.44, PP<0.0001), positive beliefs about melanoma treatment (Β0.77, P<0.002) and intention to perform SSE in the future (Β1.69, P0.0001). These variables accounted for 59% of the variance in SSE behaviour. Further, information-seeking style moderated the relationship between anxiety and SSE (Β1.02, P<0.004). Annual uptake of CSE was associated with doctor recommendation (Β2.21, P=0.0001) and intention to undergo CSE in the future (Β1.19, P<0.001).Conclusion:In comparison with clinical guidelines, it appears that individuals at high risk of developing melanoma engage in suboptimal levels of skin surveillance. Improved doctor-patient communication, as well as psycho-education and behavioural support, may be viable means of improving early skin cancer detection behaviours in this high-risk population.

Original languageEnglish
Pages (from-to)1502-1509
Number of pages8
JournalBritish Journal of Cancer
Volume103
Issue number10
DOIs
Publication statusPublished - 9 Nov 2010
Externally publishedYes

Keywords

  • anxiety
  • clinical skin examination
  • family history
  • genetics
  • melanoma
  • skin self-examination

Fingerprint Dive into the research topics of 'Skin cancer screening behaviours among individuals with a strong family history of malignant melanoma'. Together they form a unique fingerprint.

  • Cite this

    Kasparian, N. A., McLoone, J. K., Meiser, B., Butow, P. N., Simpson, J. M., & Mann, G. J. (2010). Skin cancer screening behaviours among individuals with a strong family history of malignant melanoma. British Journal of Cancer, 103(10), 1502-1509. https://doi.org/10.1038/sj.bjc.6605942