Skin Cancer Knowledge and Skin Self-examinations in the Hispanic Population of North Carolina: The Patient's Perspective

Roman, Carly J.; Lugo-Somolinos, Aída; Thomas, Nancy E.

doi:10.1001/2013.jamadermatol.263

Cited by 16 publications

(20 citation statements)

References 5 publications

(8 reference statements)

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“…37,56–58 Blacks 37,50,59 and Hispanics 59–62 perceive themselves to be at very low risk for developing skin cancer. A study by Pichon et al 50 observed no difference in sunscreen use among blacks who reported they perceived a high risk of skin cancer versus those who perceived no risk of skin cancer.…”

Section: Barriers Related To Culturementioning

confidence: 99%

“…69 Several studies have reported that the rates of skin self-examinations 9–11,61,70,71 among minority populations and physician-assisted skin examinations 49,71,72 are significantly lower than those of non-Hispanic whites. Among Hispanics, factors associated with higher rates of skin self-examinations and physician-assisted skin examinations include greater US acculturation, older age, an increased number of melanoma risk factors, physician recommendations, 62,73,74 fewer skin self-examination barriers, 74 country of origin, 73 tanning indoors, a higher level of knowledge about skin cancer, a high level of perceived skin cancer severity, a low worry of skin cancer, and added physician-assisted skin examination benefits. 74 The primary reasons Hispanics cited for not performing skin self-examinations were lack of awareness regarding the necessity of skin self-examinations and lack of knowledge about how to conduct such an examination.…”

Section: Barriers Related To Culturementioning

confidence: 99%

“…74 The primary reasons Hispanics cited for not performing skin self-examinations were lack of awareness regarding the necessity of skin self-examinations and lack of knowledge about how to conduct such an examination. 61,62,70 The primary reasons Hispanics provided for not receiving physician-assisted skin examinations were inadequate amount of time with the physician and not knowing to ask or how to ask for a physician-assisted skin examination. 62 …”

Section: Barriers Related To Culturementioning

confidence: 99%

“…61,62,70 The primary reasons Hispanics provided for not receiving physician-assisted skin examinations were inadequate amount of time with the physician and not knowing to ask or how to ask for a physician-assisted skin examination. 62 …”

Section: Barriers Related To Culturementioning

confidence: 99%

“…The Table illustrates our current knowledge on this topic organized along the cancer continuum. 2–4,6–13,27,29,33,37,38,40,46–55,59–62,65,68,70,71,73,74 …”

Section: Gaps In Knowledgementioning

confidence: 99%

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Social Determinants of Racial and Ethnic Disparities in Cutaneous Melanoma Outcomes

et al. 2014

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Background This article sought to elucidate how aspects of poverty and culture may contribute to race- and ethnicity-based disparities in cutaneous melanoma outcomes. Methods We identified published studies addressing the social determinants of melanoma. Selected review articles included US-based studies comprised of patients representing adults, children, and adolescents. Results African Americans and Hispanics diagnosed with cutaneous melanoma are more likely to present with more advanced stages of disease at diagnosis and have higher rates of mortality than their nonminority counterparts. These disparities may be a consequence of economic, social, and cultural barriers such as low income, public forms of health insurance, lower levels of education, lower levels of melanoma awareness and knowledge, and lower rates of participation in melanoma screening. No studies in the literature examined the potential impact of social injustice, English proficiency, immigrant status, and health literacy. Conclusions Substantial gaps exist in our knowledge of the pathways linking social determinants and race- and ethnicity-based disparities in melanoma. More studies are warranted to inform the development of effective interventions aimed at narrowing inequities and improving cutaneous melanoma outcomes among minority populations.

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Section: Barriers Related To Culturementioning

confidence: 99%

Section: Barriers Related To Culturementioning

confidence: 99%

Section: Barriers Related To Culturementioning

confidence: 99%

Section: Barriers Related To Culturementioning

confidence: 99%

“…The Table illustrates our current knowledge on this topic organized along the cancer continuum. 2–4,6–13,27,29,33,37,38,40,46–55,59–62,65,68,70,71,73,74 …”

Section: Gaps In Knowledgementioning

confidence: 99%

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Social Determinants of Racial and Ethnic Disparities in Cutaneous Melanoma Outcomes

et al. 2014

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Interest and Uptake ofMC1RTesting for Melanoma Risk in a Diverse Primary Care Population

et al. 2018

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Importance Germline variants in the MC1R gene are common and confer moderate melanoma risk in those with varied skin types. Approaches to precision skin cancer prevention that include genetic information may promote risk awareness and risk reduction in the general population, including Hispanics. Objective To examine prevalence of interest in and uptake of MC1R testing in the general population and examine patterns across demographic and skin cancer risk factors. Design A randomized controlled trial examined interest in and uptake of MC1R testing. Study participants were randomized to either a usual care condition (NCI skin cancer pamphlet for diverse skin types) or an MC1R test offer. Setting University of New Mexico General Internal Medicine clinics. Participants Participants were registered clinic patients (≥ 6 months) and English or Spanish fluent. Of the N=600 recruited to the overall trial, the current study included those 499 participants randomized to the MC1R test offer (44% non-Hispanic white, 49% Hispanic, 79% female; mean age=54). Intervention Participants were presented with the option to log onto the study website to read three educational modules presenting the rationale, benefits and drawbacks of MC1R testing. Main Outcomes and Measures Main outcomes include website logon (yes vs. no), saliva test kit request (yes vs. no), and saliva test kit return for MC1R testing (yes vs. no). Demographic and skin cancer risk factors were examined as potential predictors of test interest and uptake. Results About half of participants (46%, n=232) elected to learn about MC1R testing by logging onto the website; most that logged on decided to request testing (88%, n=204); and most who requested testing returned the kit (82%, n=167). The strongest predictors of website logon were race/ethnicity and education (non-Hispanic whites and more highly educated were more likely to log on); the strongest predictor of ordering the test was sunburn history. Conclusion and Relevance There were moderately high levels of MC1R test interest and uptake in this diverse sample. Addressing potential barriers to testing may be warranted as genomic information becomes integrated into general population approaches to the precision prevention of skin cancer.

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Clinicopathologic comparison of basal cell carcinoma among a diverse patient population in Los Angeles County

Choi,

Oberg,

Hijazi

et al. 2024

Skin Health and Disease

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IntroductionBasal cell carcinoma (BCC) is the most common malignancy in the United States. The majority of cases are identified in Non‐Hispanic Whites (NHW) and are far less demonstrated in patients of colour (POC). However, the Hispanic population represents a large and growing proportion of the US population, and skin cancer diagnoses in Hispanics are rising. Thus, the goal of this study is to examine clinicopathologic differences between BCC in Hispanics versus NHW.MethodsA retrospective chart review of Hispanic and NHW patients with BCC at Los Angeles County + USC Medical Center from January 2018 to March 2020 was performed. In total, 101 BCC samples from the first 100 patients identified of Hispanic ancestry, as well as 50 BCC samples identified from the first 50 patients identifying as NHW, were included for analysis. Patient characteristics (age, sex, medical history, and ethnicity), as well as tumour characteristics (location, subtype, tumour depth, and perineural invasion), were collected. We used between subjects t‐tests for continuous variables, and chi‐square tests for categorical variables.ResultsIn total, 151 specimens were collected amongst 122 subjects (79 Hispanics and 43 NHW patients). Among NHW, the majority of patients (74.4%) were men, but among the Hispanic population, the majority (68.4%) were female (p < 0.001). Prior history of other skin cancer was more common among NHW (67.4%) than Hispanics (31.6%) (p=<0.001). The Hispanic population had a significantly higher proportion of head and neck tumours (p = 0.0004) but a lower proportion of extremity tumours (p = 0.001) compared to NHW. Pigmented BCC was significantly more common among Hispanic patients (p < 0.01). Finally, within the Hispanic group, there was a significant association between sex and histology (p = 0.004), with Hispanic men demonstrating more aggressive mix histology compared to Hispanic women.DiscussionOur study supports the notion that BCC disparities occur among POC compared to NHW. This includes variations in epidemiologic factors such as sex and past medical history, primary tumour location, and pathologic characteristics. Further research should be conducted to identify additional differences in skin cancer presentation in POC to reduce the gaps in skin cancer knowledge and care.

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Skin Cancer Knowledge and Skin Self-examinations in the Hispanic Population of North Carolina: The Patient's Perspective

Cited by 16 publications

References 5 publications

Social Determinants of Racial and Ethnic Disparities in Cutaneous Melanoma Outcomes

Social Determinants of Racial and Ethnic Disparities in Cutaneous Melanoma Outcomes

Interest and Uptake ofMC1RTesting for Melanoma Risk in a Diverse Primary Care Population

Clinicopathologic comparison of basal cell carcinoma among a diverse patient population in Los Angeles County

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