Impact of Melanoma Diagnosis on Sun-Awareness and Protection: Efficacy of Education Campaigns in a High-Risk Population

Freiman, Anatoli; Yu, John S.; Loutfi, A; Wang, Béatrice

doi:10.1177/120347540400800501

Cited by 25 publications

(23 citation statements)

References 50 publications

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“…Un cuestionario modificado de 44 ítems, que había sido previamente usado con éxito para evaluar los conocimientos, actitudes y hábitos de fotoprotección entre pacientes con melanoma 79 , y aprobado por Mc Gill University Health Centre…”

Section: Cuestionariounclassified

“…Lee et al estudiaron 35 pacientes con melanoma y 35 controles sanos, compararon sus hábitos de fotoprotección, y observaron que el número de quemaduras solares era similar en ambos grupos, atribuyéndolo al elevado número de actividades al aire libre sin fotoprotección en ambos grupos y a que más del 50% de los pacientes no había recibido pautas de fotoprotección por parte de su médico 80 . Freiman et al tampoco consiguen altas tasas de adherencia al uso de fotoprotector en pacientes con melanoma cuando pasean más de media hora en un día soleado, y de los pocos pacientes que lo emplean la mayoría tan sólo lo aplican en la cara, siendo estos resultados concordantes con los obtenidos por nosotros 79 . Meyer et al llevaron a cabo un estudio en pacientes con cáncer de piel melanoma y no melanoma y observaron que las medidas de fotoprotección no eran suficientemente adecuadas 118 .…”

Section: Discusión -Objetivo Principalunclassified

“…Además estos estudios ponen de manifiesto que los hábitos de fotoprotección después del diagnóstico no son constantes, ya que un amplio porcentaje de pacientes contesta "a veces" o "con frecuencia" a las preguntas referidas a los comportamientos en fotoprotección 79,117,118 .…”

Section: Discusión -Objetivo Principalunclassified

“…En el estudio que presentamos, el número de pacientes que opinan que el bronceado es saludable apenas se modifica después del diagnóstico, y esto contrasta claramente con otras series en las que este porcentaje disminuye de forma significativa 79,80 . Pero en nuestros pacientes esto no constituyó una barrera para modificar de forma favorable los hábitos de fotoprotección.…”

Section: Discusión -Objetivo Principalunclassified

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Impacto del diagnóstico de melanoma sobre la fotoprotección

Gómez-Moyano¹,

Ramón

Martínez-García³

et al. 2010

Actas Dermo-Sifiliográficas

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Section: Cuestionariounclassified

Section: Discusión -Objetivo Principalunclassified

See 2 more Smart Citations

Impacto del diagnóstico de melanoma sobre la fotoprotección

Gómez-Moyano¹,

Ramón

Martínez-García³

et al. 2010

Actas Dermo-Sifiliográficas

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“…Sun exposure has been identified as a primary risk factor for the development of cancerous skin lesions, and education programs have been implemented to encourage patients to avoid sun exposure, particularly following a diagnosis of skin cancer (1-7). Previous studies have indicated some compliance with sun protection behaviours in patients diagnosed with skin cancer and/or after patient education; however, there appear to be many patients who do not comply with these recommendations (1,(4)(5)(6).…”

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confidence: 99%

Evaluation of sun protection behaviour in patients following excision of a skin lesion

Novak¹,

Young²

2007

CAN J PLAST SURG

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CB Novak, DS Young, JE Lipa, PC Neligan. Evaluation of sun protection behaviour in patients following excision of a skin lesion. Can J Plast Surg 2007;15(1):38-40.The present prospective study evaluated sun exposure and sun protection behaviours in patients diagnosed with a precancerous or cancerous skin lesion. Following signed informed consent, patients were given a questionnaire regarding sun protection and sun exposure behaviour. There were 50 patients (27 men, 23 women) with a mean age of 59 years. Following diagnosis of a cancerous or precancerous lesion, there was a significant increase (P<0.001) in sunscreen use, use of sun protection factor greater than 30, wearing a hat and avoidance of sun between 10:00 and 14:00. There were significantly more women who used sunscreen (P=0.04) and limited daily activities (P=0.03). There were significantly more patients with nonmelanoma lesions who wore hats (P<0.04) and more patients with melanoma who limited daily activities (P<0.04). While many patients in the present study did alter their sun protection and exposure behaviour, there were many patients who continued in risk-taking sun behaviour. Therefore, patients with precancerous or cancerous skin lesions who are not compliant with sun protective behaviour may benefit from more comprehensive patient education to encourage better sun protection behaviour.

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Melanoma survivors: health behaviors, surveillance, psychosocial factors, and family concerns

et al. 2011

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Background Little research has been conducted on melanoma survivors and important opportunities exist for research in this understudied population. The study objective was to examine experiences of melanoma survivors regarding sun protection, surveillance practices, psychosocial and family concerns using focus groups. Methods We identified patients (≥18 years) treated at Memorial Sloan-Kettering Cancer Center (USA) during 1996–2005 with invasive primary cutaneous melanoma, stages I–III. We stratified focus groups by age (<50 vs ≥50 years) and years since diagnosis (1 to <5 years vs 5–10 years). We performed qualitative thematic text analysis, which involved independent data review by multiple analysts (n = 2) followed by interpretation of key findings via consensus work. Results Forty-eight survivors composed the final sample. Most did not conduct routine skin self-examinations. Survivors became more conscious of sun exposure and expanded their sun protection; some experienced anxiety if caught unprotected in the sun. Survivors were aware of the increased melanoma risk for family members, yet many did not discuss risk reduction. Melanoma diagnosis elevated the importance of retaining health insurance and purchasing life insurance for younger survivors. We did not identify significance difference between those diagnosed more or less recently. Conclusions We identified areas of high priority to melanoma survivors: skin self-examination, anxiety associated with sun exposure, familial risk communication, and maintaining health insurance benefits. The implications for cancer survivors are that these behavioral data will help to design health promotion and prevention programs that are tailored to melanoma survivors’ risk status.

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Impact of Melanoma Diagnosis on Sun-Awareness and Protection: Efficacy of Education Campaigns in a High-Risk Population

Cited by 25 publications

References 50 publications

Impacto del diagnóstico de melanoma sobre la fotoprotección

Impacto del diagnóstico de melanoma sobre la fotoprotección

Evaluation of sun protection behaviour in patients following excision of a skin lesion

Melanoma survivors: health behaviors, surveillance, psychosocial factors, and family concerns

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