Skip to main content
Erschienen in: Journal of Behavioral Medicine 5/2006

01.10.2006

Prevalence and Correlates of Sun Protection and Skin Self-Examination Practices Among Cutaneous Malignant Melanoma Survivors

verfasst von: Sharon Manne, Stuart Lessin

Erschienen in: Journal of Behavioral Medicine | Ausgabe 5/2006

Einloggen, um Zugang zu erhalten

Abstract

Little is known about the level of engagement and correlates of sun protection and skin self-exam among individuals diagnosed with melanoma. Participants (N = 229) completed measures of skin self-exam and sun protection practice and knowledge and attitudes. Approximately eighty-four percent of patients reported engaging in skin self-examination at least once in the past year. Engagement in sun protection practices was moderate. Self-exam practice was associated with gender, physician recommendation about self-exam, and perceived benefits and barriers of self-exam. Sun protection was associated with gender, age, medical status and health care access, physician recommendation, knowledge, and a number of psychological factors. Behavioral interventions to improve skin surveillance and sun protection may benefit from an emphasis on physician education regarding self-exam and sun protection, education regarding the efficacy of sunscreen and the risks associated with sunbathing, reducing perceived barriers to self-exam and sun protection, and reducing reliance on social influences on sun protection practices.
Literatur
Zurück zum Zitat Aiken, L. S., West, S. G., Woodward, C. K., and Reno, R. R. (1994). Health beliefs and compliance with mammography-screening recommendations in asymptomatic women. Health. Psychol. 13: 122–129.PubMedCrossRef Aiken, L. S., West, S. G., Woodward, C. K., and Reno, R. R. (1994). Health beliefs and compliance with mammography-screening recommendations in asymptomatic women. Health. Psychol. 13: 122–129.PubMedCrossRef
Zurück zum Zitat American Academy of Dermatology. (2006). Available from http://www.aad.org. (homepage on the Internet). Retrieved, May 30, 2006. American Academy of Dermatology. (2006). Available from http://​www.​aad.​org.​ (homepage on the Internet). Retrieved, May 30, 2006.
Zurück zum Zitat American Cancer Society. (2006). Online Resources. Available from http://www.cancer.org (homepage on the Internet) (revised 2/28/2006). American Cancer Society. (2006). Online Resources. Available from http://​www.​cancer.​org (homepage on the Internet) (revised 2/28/2006).
Zurück zum Zitat Arthey, S., and Clarke, V. A. (1995). Suntanning and sun protection: A review of the psychological literature. Soc. Sci. Med. 40(2): 265–274.PubMedCrossRef Arthey, S., and Clarke, V. A. (1995). Suntanning and sun protection: A review of the psychological literature. Soc. Sci. Med. 40(2): 265–274.PubMedCrossRef
Zurück zum Zitat Azjen, I., and Fishbein, M. (1980). Understanding Attitudes and Predicting Social Behavior. Prentice-Hall, Englewood Cliffs, NJ. Azjen, I., and Fishbein, M. (1980). Understanding Attitudes and Predicting Social Behavior. Prentice-Hall, Englewood Cliffs, NJ.
Zurück zum Zitat Azzarello, L. M., Dessureault, S., and Jacobsen, P. B. (2006). Sun-protective behavior among individuals with a family history of melanoma. Cancer Epidemiol. Biomarkers Prev. 15(1): 142–145.PubMedCrossRef Azzarello, L. M., Dessureault, S., and Jacobsen, P. B. (2006). Sun-protective behavior among individuals with a family history of melanoma. Cancer Epidemiol. Biomarkers Prev. 15(1): 142–145.PubMedCrossRef
Zurück zum Zitat Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Prentice-Hall, Englewood Cliffs, NJ. Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Prentice-Hall, Englewood Cliffs, NJ.
Zurück zum Zitat Banks, B. A., Silverman, R. A., Schwartz, R. H., and Tunnessen, W. W. (1992). Attitudes of teenagers toward sun exposure and sunscreen use. Pediatrics 89(1): 40–42.PubMed Banks, B. A., Silverman, R. A., Schwartz, R. H., and Tunnessen, W. W. (1992). Attitudes of teenagers toward sun exposure and sunscreen use. Pediatrics 89(1): 40–42.PubMed
Zurück zum Zitat Berwick, M., Begg, C. B., Fine, J. A., Roush, G. C., and Barnhill, R. L. (1996). Screening for cutaneous melanoma by skin self-examination. J. Natl. Cancer Inst. 88(1): 17–23.PubMedCrossRef Berwick, M., Begg, C. B., Fine, J. A., Roush, G. C., and Barnhill, R. L. (1996). Screening for cutaneous melanoma by skin self-examination. J. Natl. Cancer Inst. 88(1): 17–23.PubMedCrossRef
Zurück zum Zitat Borland, R., Hill, D., and Noy, S. (1990). Being sunsmart: Changes in community awareness and reported behaviour following a primary prevention program for skin cancer control. Beh. Change 7(3): 126–135. Borland, R., Hill, D., and Noy, S. (1990). Being sunsmart: Changes in community awareness and reported behaviour following a primary prevention program for skin cancer control. Beh. Change 7(3): 126–135.
Zurück zum Zitat Breslow, A. (1970). Thickness, cross-sectional area and depth of invasion in the prognosis of cutaneous melanoma. Ann. Surg. 172: 902–908.PubMedCrossRef Breslow, A. (1970). Thickness, cross-sectional area and depth of invasion in the prognosis of cutaneous melanoma. Ann. Surg. 172: 902–908.PubMedCrossRef
Zurück zum Zitat Brobeil, A., Rapaport, D., Wells, K., Cruse, C. W., Glass, F., Fenske, N., et al. (1997). Multiple primary melanomas: Implications for screening and follow-up programs for melanoma. Ann. Surg. Onc. 4: 19–12.CrossRef Brobeil, A., Rapaport, D., Wells, K., Cruse, C. W., Glass, F., Fenske, N., et al. (1997). Multiple primary melanomas: Implications for screening and follow-up programs for melanoma. Ann. Surg. Onc. 4: 19–12.CrossRef
Zurück zum Zitat Carmel, S., Shani, E., and Rosenberg, L. (1994). The role of age and an expanded health belief model in predicting skin cancer protective behavior. Health Educ. Res. 9(4): 433–447.PubMedCrossRef Carmel, S., Shani, E., and Rosenberg, L. (1994). The role of age and an expanded health belief model in predicting skin cancer protective behavior. Health Educ. Res. 9(4): 433–447.PubMedCrossRef
Zurück zum Zitat Cody, R., and Lee, C. (1990). Behaviors, beliefs, and intentions in skin cancer prevention. J. Beh. Med. 13(4): 373–389.CrossRef Cody, R., and Lee, C. (1990). Behaviors, beliefs, and intentions in skin cancer prevention. J. Beh. Med. 13(4): 373–389.CrossRef
Zurück zum Zitat Cokkinides, V. E., Johnston-Davis, K., Weinstock, M. A., O’Connell, M. C., Kalsbeek, W., Thun, M. J., et al. (2001). Sun exposure and sun-protection behaviors and attitudes among U.S. youth, 11 to 18 years of age. Prev. Med. 33: 141–151.PubMedCrossRef Cokkinides, V. E., Johnston-Davis, K., Weinstock, M. A., O’Connell, M. C., Kalsbeek, W., Thun, M. J., et al. (2001). Sun exposure and sun-protection behaviors and attitudes among U.S. youth, 11 to 18 years of age. Prev. Med. 33: 141–151.PubMedCrossRef
Zurück zum Zitat Denmark-Wahnefried, W., Aziz, N. M., Rowland, J. H., and Pinto, B. M. (2005). Riding the crest of the teachable moment: promoting long-term health after the diagnosis of cancer. J. Clin. Onc. 23(24): 5814–5830.CrossRef Denmark-Wahnefried, W., Aziz, N. M., Rowland, J. H., and Pinto, B. M. (2005). Riding the crest of the teachable moment: promoting long-term health after the diagnosis of cancer. J. Clin. Onc. 23(24): 5814–5830.CrossRef
Zurück zum Zitat Garbe, C., Paul, A., Kohler-Spath, H., Ellewanger, U., Stroebel, W., Schwarz-Schlagenhauff, B., et al. (2003). Prospective evaluation of a follow-up schedule in cutaneous melanoma patients: Recommendations for an effective follow-up strategy. J. Clin. Onc. 21: 520–529.CrossRef Garbe, C., Paul, A., Kohler-Spath, H., Ellewanger, U., Stroebel, W., Schwarz-Schlagenhauff, B., et al. (2003). Prospective evaluation of a follow-up schedule in cutaneous melanoma patients: Recommendations for an effective follow-up strategy. J. Clin. Onc. 21: 520–529.CrossRef
Zurück zum Zitat Glanz, K., Geller, A. C., Shigaki, D., Maddock, J. E., and Isnec, M. R. (2002). A randomized trial of skin cancer prevention in aquatics settings: The Pool Cool program. Health Psychol. 21: 579–587.PubMedCrossRef Glanz, K., Geller, A. C., Shigaki, D., Maddock, J. E., and Isnec, M. R. (2002). A randomized trial of skin cancer prevention in aquatics settings: The Pool Cool program. Health Psychol. 21: 579–587.PubMedCrossRef
Zurück zum Zitat Glanz, K., Lew, R. A., Song, V., and Ah Cook, V. (1999). Factors associated with skin cancer prevention practices in a multiethnic population. Health Educ. Beh. 26: 344–359.CrossRef Glanz, K., Lew, R. A., Song, V., and Ah Cook, V. (1999). Factors associated with skin cancer prevention practices in a multiethnic population. Health Educ. Beh. 26: 344–359.CrossRef
Zurück zum Zitat Hall, H., May, D. S., Lew, R. A., Koh, H. K., and Nadel, M. (1997). Sun protection behaviors of the U.S. white population. Prev. Med. 26: 401–407.PubMedCrossRef Hall, H., May, D. S., Lew, R. A., Koh, H. K., and Nadel, M. (1997). Sun protection behaviors of the U.S. white population. Prev. Med. 26: 401–407.PubMedCrossRef
Zurück zum Zitat Hill, D., White, V., Borland, R., and Cockburn, J. (1991). Cancer-related beliefs and behaviours in Australia. Aust. J. Public Health 15: 14–23.PubMedCrossRef Hill, D., White, V., Borland, R., and Cockburn, J. (1991). Cancer-related beliefs and behaviours in Australia. Aust. J. Public Health 15: 14–23.PubMedCrossRef
Zurück zum Zitat Hochbaum, G. M. (1958). Public Participation in Medical Screening Programs: A Sociopsychological Study. US Government Printing Office, Washington, DC. Hochbaum, G. M. (1958). Public Participation in Medical Screening Programs: A Sociopsychological Study. US Government Printing Office, Washington, DC.
Zurück zum Zitat Horowitz, M., Wilner, N., and Alvarez, W. (1979). Impact of event scale: A measure of subjective stress. Psychosom. Med. 41: 209–218.PubMed Horowitz, M., Wilner, N., and Alvarez, W. (1979). Impact of event scale: A measure of subjective stress. Psychosom. Med. 41: 209–218.PubMed
Zurück zum Zitat Jackson, K. M., and Aiken, L. S. (2000). A psychosocial model of sun protection and sunbathing in young women the impact of health beliefs, attitudes, norms, and self-efficacy for sun protection. Health Psychol. 19(5): 469–478.PubMedCrossRef Jackson, K. M., and Aiken, L. S. (2000). A psychosocial model of sun protection and sunbathing in young women the impact of health beliefs, attitudes, norms, and self-efficacy for sun protection. Health Psychol. 19(5): 469–478.PubMedCrossRef
Zurück zum Zitat Jones, J., Harris, P., and Chrispin, C. (2000). Catching the sun: an investigation of sun-exposure and skin protective behaviour. Psychol. Health Med. 5(2): 131–141.CrossRef Jones, J., Harris, P., and Chrispin, C. (2000). Catching the sun: an investigation of sun-exposure and skin protective behaviour. Psychol. Health Med. 5(2): 131–141.CrossRef
Zurück zum Zitat Kash, K., Holland, J., Halper, M., and Miller, D. (1992). Psychological distress and surveillance behaviors of women with a family history of breast cancer. J. Natl. Cancer Inst. 84: 24– 30.PubMedCrossRef Kash, K., Holland, J., Halper, M., and Miller, D. (1992). Psychological distress and surveillance behaviors of women with a family history of breast cancer. J. Natl. Cancer Inst. 84: 24– 30.PubMedCrossRef
Zurück zum Zitat Keesling, B., and Friedman, H. S. (1987). Psychosocial factors in sunbathing and sunscreen use. Health Psychol. 6(5): 477– 493.PubMedCrossRef Keesling, B., and Friedman, H. S. (1987). Psychosocial factors in sunbathing and sunscreen use. Health Psychol. 6(5): 477– 493.PubMedCrossRef
Zurück zum Zitat Lescano, C. M., and Rodrigue, J. R. (1997). Skin cancer prevention behaviors among parents of young children. Child. Health Care 26(2): 107–114.CrossRef Lescano, C. M., and Rodrigue, J. R. (1997). Skin cancer prevention behaviors among parents of young children. Child. Health Care 26(2): 107–114.CrossRef
Zurück zum Zitat Mahler, H. I. M., Fitzpatrick, B., Parker, P., and Lapin, A. (1997). The relative effects of a health-based versus an appearance-based intervention designed to increase sunscreen use. Am. J. Health Promot. 11: 426–429.PubMed Mahler, H. I. M., Fitzpatrick, B., Parker, P., and Lapin, A. (1997). The relative effects of a health-based versus an appearance-based intervention designed to increase sunscreen use. Am. J. Health Promot. 11: 426–429.PubMed
Zurück zum Zitat Manne, S., Fasanella, N., Connors, J., Floyd, B., Wang, H., and Lessin, S. (2004). Sun protection and skin surveillance practices among relatives of patients with malignant melanoma: Prevalence and predictors. Prev. Med. 39: 36–47.PubMedCrossRef Manne, S., Fasanella, N., Connors, J., Floyd, B., Wang, H., and Lessin, S. (2004). Sun protection and skin surveillance practices among relatives of patients with malignant melanoma: Prevalence and predictors. Prev. Med. 39: 36–47.PubMedCrossRef
Zurück zum Zitat Manne, S., Markowitz, A., Winawer, S., Meropol, N., Haller, D., Rakowski, W., Babb, J., and Jandorf, L. (2002). Correlates of colorectal cancer screening compliance and stage of adoption among siblings of individuals with early onset colorectal cancer. Health Psychol. 21(1): 3–15.PubMedCrossRef Manne, S., Markowitz, A., Winawer, S., Meropol, N., Haller, D., Rakowski, W., Babb, J., and Jandorf, L. (2002). Correlates of colorectal cancer screening compliance and stage of adoption among siblings of individuals with early onset colorectal cancer. Health Psychol. 21(1): 3–15.PubMedCrossRef
Zurück zum Zitat McBride, C. M., Emmons, K. M., and Lipkus, I. M. (2003). Understanding the potential of teachable moments: the case of smoking cessation. Health Educ. Res. 18(2): 156–170.PubMedCrossRef McBride, C. M., Emmons, K. M., and Lipkus, I. M. (2003). Understanding the potential of teachable moments: the case of smoking cessation. Health Educ. Res. 18(2): 156–170.PubMedCrossRef
Zurück zum Zitat Oliveria, S. A., Christos, P. J., Halpern, A. C., Fine, J. A., Barnhill, R. L., and Berwick, M. (1999). Evaluation of factors associated with skin self-examination. Cancer Epidemiol. Biomarkers Prev. 8: 971–978.PubMed Oliveria, S. A., Christos, P. J., Halpern, A. C., Fine, J. A., Barnhill, R. L., and Berwick, M. (1999). Evaluation of factors associated with skin self-examination. Cancer Epidemiol. Biomarkers Prev. 8: 971–978.PubMed
Zurück zum Zitat Prochaska, J. O., Velicer, W. F., Rossi, J. S., Redding, C. A., Greene, G. W., Rossi, S. R., et al. (2004). Multiple risk expert systems interventions: Impact of simultaneous stage-matched expert system interventions for smoking, high -fat diet, and sun exposure in a population of parents. Health Psychol. 23(5): 503–516.PubMedCrossRef Prochaska, J. O., Velicer, W. F., Rossi, J. S., Redding, C. A., Greene, G. W., Rossi, S. R., et al. (2004). Multiple risk expert systems interventions: Impact of simultaneous stage-matched expert system interventions for smoking, high -fat diet, and sun exposure in a population of parents. Health Psychol. 23(5): 503–516.PubMedCrossRef
Zurück zum Zitat Prochaska, J., Velicer, W. F., Redding, C., Rossi, J. S., Goldstein, M., DePue, J., et al. (2005). Stage-based expert systems to guide a population of primary care patients to quit smoking, eat healthier, prevent skin cancer, and receive regular mammograms. Prev. Med. 41: 406–416.PubMedCrossRef Prochaska, J., Velicer, W. F., Redding, C., Rossi, J. S., Goldstein, M., DePue, J., et al. (2005). Stage-based expert systems to guide a population of primary care patients to quit smoking, eat healthier, prevent skin cancer, and receive regular mammograms. Prev. Med. 41: 406–416.PubMedCrossRef
Zurück zum Zitat Purdue, M. P. (2002). Predictors of sun protection in Canadian adults. Can. J. Public Health 93(6): 470–474.PubMed Purdue, M. P. (2002). Predictors of sun protection in Canadian adults. Can. J. Public Health 93(6): 470–474.PubMed
Zurück zum Zitat Rakowski, W., Dube, C. A., and Goldstein, M. G. (1996a). Considerations for extending the transtheoretical model of behavior change to screening mammography. Health Educ. Res. 11: 77–96.CrossRef Rakowski, W., Dube, C. A., and Goldstein, M. G. (1996a). Considerations for extending the transtheoretical model of behavior change to screening mammography. Health Educ. Res. 11: 77–96.CrossRef
Zurück zum Zitat Rakowski, W., Ehrich, B., Dube, C. A., Pearlman, D. N., Goldstein, M. G., Rimer, B. K., et al. (1996b). Screening mammography and constructs from the transtheoretical model: Associations using two definitions of the stages-of-adoption. Ann. Beh. Med. 18: 91–100.CrossRef Rakowski, W., Ehrich, B., Dube, C. A., Pearlman, D. N., Goldstein, M. G., Rimer, B. K., et al. (1996b). Screening mammography and constructs from the transtheoretical model: Associations using two definitions of the stages-of-adoption. Ann. Beh. Med. 18: 91–100.CrossRef
Zurück zum Zitat Reynolds, K., Blaum, J., Jester, P., Weiss, H., Soong, S., and DiClimente, R. (1996). Predictors of sun exposure in adolescents in a southeastern US population. J. Adolesc. Health 19: 409–415.PubMedCrossRef Reynolds, K., Blaum, J., Jester, P., Weiss, H., Soong, S., and DiClimente, R. (1996). Predictors of sun exposure in adolescents in a southeastern US population. J. Adolesc. Health 19: 409–415.PubMedCrossRef
Zurück zum Zitat Rhee, J. S., Mattews, A., Newburg, M., Smith, T. L., Burzynski, M., and Nattinger, A. B. (2004). Quality of life and sun-protective behavior in patients with skin cancer. Arch. Otolaryngol. Head Neck Surg. 130: 141–146.PubMedCrossRef Rhee, J. S., Mattews, A., Newburg, M., Smith, T. L., Burzynski, M., and Nattinger, A. B. (2004). Quality of life and sun-protective behavior in patients with skin cancer. Arch. Otolaryngol. Head Neck Surg. 130: 141–146.PubMedCrossRef
Zurück zum Zitat Rhodes, A. R., Weinstock, M. A., Fitzpatrick, T. B., Mihm, M. C. Jr., and Sober, A. J. (1987). Risk factors for cutaneous melanoma. A practical method of recognizing predisposed individuals. JAMA 258(21): 3146–3154.PubMedCrossRef Rhodes, A. R., Weinstock, M. A., Fitzpatrick, T. B., Mihm, M. C. Jr., and Sober, A. J. (1987). Risk factors for cutaneous melanoma. A practical method of recognizing predisposed individuals. JAMA 258(21): 3146–3154.PubMedCrossRef
Zurück zum Zitat Rigel, D. S., and Carucci, J. A. (2000). Malignant melanoma: prevention, early detection, and treatment in the 21st century. CA Cancer J. Clin. 50(4): 215–236.PubMedCrossRef Rigel, D. S., and Carucci, J. A. (2000). Malignant melanoma: prevention, early detection, and treatment in the 21st century. CA Cancer J. Clin. 50(4): 215–236.PubMedCrossRef
Zurück zum Zitat Roberts, D. L. L., Anstey, A. V., Barlow, R. J., Cox, N. H., Newton-Bishop, J. A., Corrie, P. G., et al. (2002). U.K. Guidelines for the management of cutaneous melanoma. Br. J. Dermatol. 146: 7–17.PubMedCrossRef Roberts, D. L. L., Anstey, A. V., Barlow, R. J., Cox, N. H., Newton-Bishop, J. A., Corrie, P. G., et al. (2002). U.K. Guidelines for the management of cutaneous melanoma. Br. J. Dermatol. 146: 7–17.PubMedCrossRef
Zurück zum Zitat Robinson, J., Fisher, S., and Turrisi, R. (2002). Predictors of skin self-examination performance. Cancer 95(1): 135–146.PubMedCrossRef Robinson, J., Fisher, S., and Turrisi, R. (2002). Predictors of skin self-examination performance. Cancer 95(1): 135–146.PubMedCrossRef
Zurück zum Zitat Robinson, J. K., Rigel, D. S., and Amonette, R. A. (1998). What promotes skin self-examination? J. Am. Acad. Dermatol 39: 752–757.CrossRef Robinson, J. K., Rigel, D. S., and Amonette, R. A. (1998). What promotes skin self-examination? J. Am. Acad. Dermatol 39: 752–757.CrossRef
Zurück zum Zitat Rosenstock, I. M. (1974). The Health Belief Model and preventive health behavior. In Becker, M. H. (Ed.), The Health Belief Model and Personal Health Behavior (pp. 27–59). Charles B. Slack. Thorofare, NJ. Rosenstock, I. M. (1974). The Health Belief Model and preventive health behavior. In Becker, M. H. (Ed.), The Health Belief Model and Personal Health Behavior (pp. 27–59). Charles B. Slack. Thorofare, NJ.
Zurück zum Zitat Rossi, J. S., Blais, L. M., Redding, C. A., and Weinstock, M. A. (1995). Preventing skin cancer through behavior change. Dermatol. Clin. 13(3): 613–622.PubMed Rossi, J. S., Blais, L. M., Redding, C. A., and Weinstock, M. A. (1995). Preventing skin cancer through behavior change. Dermatol. Clin. 13(3): 613–622.PubMed
Zurück zum Zitat Schwartz, M. D., Lerman, C., Miller, S. M., Daly, M., and Masny, A. (1994). Coping disposition, perceived risk, and psychological distress among women at increased risk for ovarian cancer. Health Psychol. 14: 232–235.CrossRef Schwartz, M. D., Lerman, C., Miller, S. M., Daly, M., and Masny, A. (1994). Coping disposition, perceived risk, and psychological distress among women at increased risk for ovarian cancer. Health Psychol. 14: 232–235.CrossRef
Zurück zum Zitat Skin Cancer Foundation. (2006). Sun Safety, Available from http://www.skincancer.org (homepage on the Internet). Retrieved, May 30, 2006. Skin Cancer Foundation. (2006). Sun Safety, Available from http://​www.​skincancer.​org (homepage on the Internet). Retrieved, May 30, 2006.
Zurück zum Zitat U.S. Preventive Services Task Force Screening for skin cancer. (2001). Recommendations and rationale. Rockville, MD: Available from http://www.ahrq.gov/ajpmsu- pl/chlarr.htm. (homepage on the internet). Updated on May 25, 2005, cited on 2001. U.S. Preventive Services Task Force Screening for skin cancer. (2001). Recommendations and rationale. Rockville, MD: Available from http://​www.​ahrq.​gov/​ajpmsu- pl/chlarr.htm. (homepage on the internet). Updated on May 25, 2005, cited on 2001.
Zurück zum Zitat van Dooren, S., Rijnsburger, A. J., Seynaeve, C., Kriege, A., Duivenvoorden, H. J., Bartels, C. C., et al. (2003). Psychological distress and breast self-examination frequency in women at increased risk for hereditary of familial breast cancer. Community Genet 6(4): 235–241.PubMedCrossRef van Dooren, S., Rijnsburger, A. J., Seynaeve, C., Kriege, A., Duivenvoorden, H. J., Bartels, C. C., et al. (2003). Psychological distress and breast self-examination frequency in women at increased risk for hereditary of familial breast cancer. Community Genet 6(4): 235–241.PubMedCrossRef
Zurück zum Zitat Weinstock, M., Rossi, J., Redding, C., and Maddock, J. (2002). Randomized controlled community trial of the efficacy of a multicomponent stage-matched intervention to increase sun protection among beachgoers. Prev. Med. 35(6): 584–592.PubMedCrossRef Weinstock, M., Rossi, J., Redding, C., and Maddock, J. (2002). Randomized controlled community trial of the efficacy of a multicomponent stage-matched intervention to increase sun protection among beachgoers. Prev. Med. 35(6): 584–592.PubMedCrossRef
Zurück zum Zitat Weinstock, M. A., Risica, P. M., Martin, R. A., Rakowski, W., Smith, K. J., Berwick, M., et al. (2004). Reliability of assessment and circumstances of performance of thorough skin self-examination for the early detection of melanoma in the Check-It-Out project. Prev. Med. 38: 761–765.PubMedCrossRef Weinstock, M. A., Risica, P. M., Martin, R. A., Rakowski, W., Smith, K. J., Berwick, M., et al. (2004). Reliability of assessment and circumstances of performance of thorough skin self-examination for the early detection of melanoma in the Check-It-Out project. Prev. Med. 38: 761–765.PubMedCrossRef
Zurück zum Zitat Wichstrom, J. (1994). Predictors of Norweigan adolescents’ sunbathing and use of sunscreen. Health Psychol. 13: 412–420.PubMedCrossRef Wichstrom, J. (1994). Predictors of Norweigan adolescents’ sunbathing and use of sunscreen. Health Psychol. 13: 412–420.PubMedCrossRef
Metadaten
Titel
Prevalence and Correlates of Sun Protection and Skin Self-Examination Practices Among Cutaneous Malignant Melanoma Survivors
verfasst von
Sharon Manne
Stuart Lessin
Publikationsdatum
01.10.2006
Verlag
Springer US
Erschienen in
Journal of Behavioral Medicine / Ausgabe 5/2006
Print ISSN: 0160-7715
Elektronische ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-006-9064-5

Weitere Artikel der Ausgabe 5/2006

Journal of Behavioral Medicine 5/2006 Zur Ausgabe

„Übersichtlicher Wegweiser“: Lauterbachs umstrittener Klinik-Atlas ist online

17.05.2024 Klinik aktuell Nachrichten

Sie sei „ethisch geboten“, meint Gesundheitsminister Karl Lauterbach: mehr Transparenz über die Qualität von Klinikbehandlungen. Um sie abzubilden, lässt er gegen den Widerstand vieler Länder einen virtuellen Klinik-Atlas freischalten.

ADHS-Medikation erhöht das kardiovaskuläre Risiko

16.05.2024 Herzinsuffizienz Nachrichten

Erwachsene, die Medikamente gegen das Aufmerksamkeitsdefizit-Hyperaktivitätssyndrom einnehmen, laufen offenbar erhöhte Gefahr, an Herzschwäche zu erkranken oder einen Schlaganfall zu erleiden. Es scheint eine Dosis-Wirkungs-Beziehung zu bestehen.

Klinikreform soll zehntausende Menschenleben retten

15.05.2024 Klinik aktuell Nachrichten

Gesundheitsminister Lauterbach hat die vom Bundeskabinett beschlossene Klinikreform verteidigt. Kritik an den Plänen kommt vom Marburger Bund. Und in den Ländern wird über den Gang zum Vermittlungsausschuss spekuliert.

Typ-2-Diabetes und Depression folgen oft aufeinander

14.05.2024 Typ-2-Diabetes Nachrichten

Menschen mit Typ-2-Diabetes sind überdurchschnittlich gefährdet, in den nächsten Jahren auch noch eine Depression zu entwickeln – und umgekehrt. Besonders ausgeprägt ist die Wechselbeziehung laut GKV-Daten bei jüngeren Erwachsenen.

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.