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Prevalence and correlates of adherence to skin examination among adolescent and young adult survivors of melanoma from the Project Forward Study.

Project Forward研究中黑色素瘤青少年和年轻成人幸存者皮肤检查依从性的患病率和相关因素。

  • 影响因子:2.28
  • DOI:10.1002/pbc.28090
  • 作者列表:"Miller KA","Wojcik KY","Cockburn MG","In GK","Hamilton AS","Milam JE
  • 发表时间:2020-03-01
Abstract

BACKGROUND:Melanoma is a common cancer among adolescents and young adults (AYAs), yet adherence to recommended surveillance and factors related to adherence are not well understood in this population. This study assessed the prevalence and correlates of physician-conducted skin examination (PSE) and skin self-examination (SSE) among AYA-aged long-term survivors of melanoma. PROCEDURES:Melanoma cases were identified from the Los Angeles County cancer registry and surveys were then completed by 128 respondents diagnosed between the ages 0 and 24, with stage 1 melanoma or higher, at least 5 years from diagnosis, and who were between the ages 18 and 39 at the time of survey. RESULTS:Eighty-two percent of AYA melanoma survivors reported SSE within the past 6 months, while 65% reported annual PSE. Greater health care self-efficacy was positively associated with adherence to PSE, SSE, and both types of skin examinations (P < .01). Higher socioeconomic status and having a regular source of primary health care were positively associated with annual PSE and adherence to both surveillance practices (P < .05 and P < .01, respectively). Hispanic ethnicity was negatively associated with annual PSE compared to non-Hispanics (P < .01), and greater depressive symptoms were negatively associated with adherence to both skin examinations (P < .05). CONCLUSIONS:High rates of SSE were observed, but PSE adherence was lower than optimal in this sample. Interventions to improve PSE are needed for at-risk AYA survivors of melanoma, and strategies that help melanoma survivors navigate the health care system and access primary care may facilitate greater adherence.

摘要

背景: 黑色素瘤是青少年和年轻成人 (AYAs) 中的一种常见癌症,然而在该人群中,对推荐监测的依从性和与依从性相关的因素还不是很清楚。本研究评估了AYA老年黑色素瘤长期存活者中医生进行的皮肤检查 (PSE) 和皮肤自检 (SSE) 的患病率及其相关因素。 程序: 黑色素瘤确定病例从洛杉矶郡癌症登记和调查,然后完成 1 28 受访者确诊年龄介于 0 和 24,阶段 1 黑素瘤或更高,诊断后至少 5 年,调查时年龄在 1 8 岁至 39 岁之间。 结果: 在过去 6 个月内,82% 的AYA黑色素瘤幸存者报告了SSE,而 65% 的患者报告了年度PSE。较高的保健自我效能与PSE、SSE和两种皮肤检查的依从性呈正相关 (P <.01)。较高的社会经济地位和定期获得初级卫生保健与年度PSE和两种监测措施的依从性呈正相关 (分别为P <.05 和P <.01)。与非西班牙裔相比,西班牙裔种族与年度PSE呈负相关 (P <.01),更大的抑郁症状与两次皮肤检查的依从性呈负相关 (P <.05)。 结论: 观察到较高的SSE发生率,但PSE依从性低于本样本的最佳依从性。黑色素瘤高危AYA幸存者需要改善PSE的干预措施,帮助黑色素瘤幸存者在医疗保健系统中导航和获得初级保健的策略可能有助于更好的依从性。

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影响因子:0.96
发表时间:2020-01-01
DOI:10.1097/DAD.0000000000001459
作者列表:["Lang UE","Love NR","Cheung C","McCalmont TH","Kim J"]

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皮肤肿瘤方向

皮肤肿瘤是发生在皮肤的细胞增生性疾病,是一种常见病。发生于皮内或皮下组织的新生物,种类很多,临床上分良性肿瘤和恶性肿瘤。恶性肿瘤可以不断增殖,引起转移,威胁生命,称为皮肤癌。

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