Is targeted early detection for melanoma feasible? Self assessments of risk and attitudes to screening
Objectives To study the feasibility of developing targeted screening for those at high risk of melanoma by examining how attitudes relate to (a) acceptance of an invitation for a free skin check and (b) self assessed and clinically assessed risk factors for developing cutaneous melanoma. Design A po...
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| Veröffentlicht in: | Journal of medical screening 2000-01, Vol.7 (4), p.199-202 |
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| creator | Eiser, J R Pendry, L Greaves, C J Melia, J Harland, C Moss, S |
| description | Objectives
To study the feasibility of developing targeted screening for those at high risk of melanoma by examining how attitudes relate to (a) acceptance of an invitation for a free skin check and (b) self assessed and clinically assessed risk factors for developing cutaneous melanoma.
Design
A population based cross sectional survey.
Setting
A general practice with a broad mix of socioeconomic groups in one district health authority.
Subjects
A total of 1600 subjects aged 25–69 years stratified using the social deprivation score of wards were randomly selected from a population of 8000; 77% (1227) returned the questionnaire and 56% (896) attended for screening.
Main outcome measures
Questionnaire measures of confidence in own ability to self assess risk factors for melanoma, attitudes to seeking medical help for skin abnormalities, and self assessment of relative risk of developing melanoma.
Results
Clinic attenders were less confident in their ability to self assess risk factors (p |
| doi_str_mv | 10.1136/jms.7.4.199 |
| format | Article |
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To study the feasibility of developing targeted screening for those at high risk of melanoma by examining how attitudes relate to (a) acceptance of an invitation for a free skin check and (b) self assessed and clinically assessed risk factors for developing cutaneous melanoma.
Design
A population based cross sectional survey.
Setting
A general practice with a broad mix of socioeconomic groups in one district health authority.
Subjects
A total of 1600 subjects aged 25–69 years stratified using the social deprivation score of wards were randomly selected from a population of 8000; 77% (1227) returned the questionnaire and 56% (896) attended for screening.
Main outcome measures
Questionnaire measures of confidence in own ability to self assess risk factors for melanoma, attitudes to seeking medical help for skin abnormalities, and self assessment of relative risk of developing melanoma.
Results
Clinic attenders were less confident in their ability to self assess risk factors (p<0.005), more favourable towards seeking help (p<0.001), and more pessimistic about developing melanoma (p<0.001) than non-attenders. Those from more affluent wards were more willing to seek help (p<0.001). Those clinically assessed as at higher risk were more pessimistic about developing melanoma (p<0.001) but clinical assessments were inconsistently related to help seeking attitudes and self assessment confidence.
Conclusions
Barriers to the uptake of screening included greater optimism about not developing melanoma, confidence in self assessment, and reluctance to seek professional help. Such reluctance was greater in more deprived social groups. Targeting screening at high risk groups cannot depend on self identification and self referral.</description><identifier>ISSN: 0969-1413</identifier><identifier>EISSN: 1475-5793</identifier><identifier>DOI: 10.1136/jms.7.4.199</identifier><identifier>PMID: 11202587</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Attitude to Health ; Cross-Sectional Studies ; England - epidemiology ; Female ; Humans ; Male ; Melanoma - diagnosis ; Middle Aged ; Risk Factors ; Self-Examination ; Skin Neoplasms - diagnosis ; Surveys and Questionnaires</subject><ispartof>Journal of medical screening, 2000-01, Vol.7 (4), p.199-202</ispartof><rights>2000 BMJ Publishing Group</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c355t-7607cec209d7df5e0227849f94f2fa497a3f4f5c8677019019fdefe8671882183</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11202587$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Eiser, J R</creatorcontrib><creatorcontrib>Pendry, L</creatorcontrib><creatorcontrib>Greaves, C J</creatorcontrib><creatorcontrib>Melia, J</creatorcontrib><creatorcontrib>Harland, C</creatorcontrib><creatorcontrib>Moss, S</creatorcontrib><title>Is targeted early detection for melanoma feasible? Self assessments of risk and attitudes to screening</title><title>Journal of medical screening</title><addtitle>J Med Screen</addtitle><description>Objectives
To study the feasibility of developing targeted screening for those at high risk of melanoma by examining how attitudes relate to (a) acceptance of an invitation for a free skin check and (b) self assessed and clinically assessed risk factors for developing cutaneous melanoma.
Design
A population based cross sectional survey.
Setting
A general practice with a broad mix of socioeconomic groups in one district health authority.
Subjects
A total of 1600 subjects aged 25–69 years stratified using the social deprivation score of wards were randomly selected from a population of 8000; 77% (1227) returned the questionnaire and 56% (896) attended for screening.
Main outcome measures
Questionnaire measures of confidence in own ability to self assess risk factors for melanoma, attitudes to seeking medical help for skin abnormalities, and self assessment of relative risk of developing melanoma.
Results
Clinic attenders were less confident in their ability to self assess risk factors (p<0.005), more favourable towards seeking help (p<0.001), and more pessimistic about developing melanoma (p<0.001) than non-attenders. Those from more affluent wards were more willing to seek help (p<0.001). Those clinically assessed as at higher risk were more pessimistic about developing melanoma (p<0.001) but clinical assessments were inconsistently related to help seeking attitudes and self assessment confidence.
Conclusions
Barriers to the uptake of screening included greater optimism about not developing melanoma, confidence in self assessment, and reluctance to seek professional help. Such reluctance was greater in more deprived social groups. Targeting screening at high risk groups cannot depend on self identification and self referral.</description><subject>Attitude to Health</subject><subject>Cross-Sectional Studies</subject><subject>England - epidemiology</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Melanoma - diagnosis</subject><subject>Middle Aged</subject><subject>Risk Factors</subject><subject>Self-Examination</subject><subject>Skin Neoplasms - diagnosis</subject><subject>Surveys and Questionnaires</subject><issn>0969-1413</issn><issn>1475-5793</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkE1Lw0AQhhdRbP04eZc9iSCJ-5F0syeR4keh4EE9L9tktqQm2bqzOfTfu9KCF2FgZuDhhfch5IqznHM5u9_0mKu8yLnWR2TKC1VmpdLymEyZnumMF1xOyBnihjEmOa9OyYRzwURZqSlxC6TRhjVEaCjY0O1ok-46tn6gzgfaQ2cH31vqwGK76uCBvkPnqEUExB6GiNQ7Glr8onZoqI2xjWMDKdZTrAPA0A7rC3LibIdwedjn5PP56WP-mi3fXhbzx2VWy7KMmZoxVUMtmG5U40pgQqiq0E4XTjhbaGWlK1xZVzOlGNdpXAMO0surSvBKnpObfe42-O8RMJq-xRq61AH8iEaJUiYHLIF3e7AOHjGAM9vQ9jbsDGfmV6tJWo0yhUlaE319iB1XPTR_7MFjAm73ANo1mI0fw5Bq_pv1A332gSU</recordid><startdate>20000101</startdate><enddate>20000101</enddate><creator>Eiser, J R</creator><creator>Pendry, L</creator><creator>Greaves, C J</creator><creator>Melia, J</creator><creator>Harland, C</creator><creator>Moss, S</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20000101</creationdate><title>Is targeted early detection for melanoma feasible? Self assessments of risk and attitudes to screening</title><author>Eiser, J R ; Pendry, L ; Greaves, C J ; Melia, J ; Harland, C ; Moss, S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c355t-7607cec209d7df5e0227849f94f2fa497a3f4f5c8677019019fdefe8671882183</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Attitude to Health</topic><topic>Cross-Sectional Studies</topic><topic>England - epidemiology</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Melanoma - diagnosis</topic><topic>Middle Aged</topic><topic>Risk Factors</topic><topic>Self-Examination</topic><topic>Skin Neoplasms - diagnosis</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Eiser, J R</creatorcontrib><creatorcontrib>Pendry, L</creatorcontrib><creatorcontrib>Greaves, C J</creatorcontrib><creatorcontrib>Melia, J</creatorcontrib><creatorcontrib>Harland, C</creatorcontrib><creatorcontrib>Moss, S</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of medical screening</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Eiser, J R</au><au>Pendry, L</au><au>Greaves, C J</au><au>Melia, J</au><au>Harland, C</au><au>Moss, S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Is targeted early detection for melanoma feasible? Self assessments of risk and attitudes to screening</atitle><jtitle>Journal of medical screening</jtitle><addtitle>J Med Screen</addtitle><date>2000-01-01</date><risdate>2000</risdate><volume>7</volume><issue>4</issue><spage>199</spage><epage>202</epage><pages>199-202</pages><issn>0969-1413</issn><eissn>1475-5793</eissn><abstract>Objectives
To study the feasibility of developing targeted screening for those at high risk of melanoma by examining how attitudes relate to (a) acceptance of an invitation for a free skin check and (b) self assessed and clinically assessed risk factors for developing cutaneous melanoma.
Design
A population based cross sectional survey.
Setting
A general practice with a broad mix of socioeconomic groups in one district health authority.
Subjects
A total of 1600 subjects aged 25–69 years stratified using the social deprivation score of wards were randomly selected from a population of 8000; 77% (1227) returned the questionnaire and 56% (896) attended for screening.
Main outcome measures
Questionnaire measures of confidence in own ability to self assess risk factors for melanoma, attitudes to seeking medical help for skin abnormalities, and self assessment of relative risk of developing melanoma.
Results
Clinic attenders were less confident in their ability to self assess risk factors (p<0.005), more favourable towards seeking help (p<0.001), and more pessimistic about developing melanoma (p<0.001) than non-attenders. Those from more affluent wards were more willing to seek help (p<0.001). Those clinically assessed as at higher risk were more pessimistic about developing melanoma (p<0.001) but clinical assessments were inconsistently related to help seeking attitudes and self assessment confidence.
Conclusions
Barriers to the uptake of screening included greater optimism about not developing melanoma, confidence in self assessment, and reluctance to seek professional help. Such reluctance was greater in more deprived social groups. Targeting screening at high risk groups cannot depend on self identification and self referral.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>11202587</pmid><doi>10.1136/jms.7.4.199</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of medical screening, 2000-01, Vol.7 (4), p.199-202 |
| issn | 0969-1413 1475-5793 |
| language | eng |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Attitude to Health Cross-Sectional Studies England - epidemiology Female Humans Male Melanoma - diagnosis Middle Aged Risk Factors Self-Examination Skin Neoplasms - diagnosis Surveys and Questionnaires |
| title | Is targeted early detection for melanoma feasible? Self assessments of risk and attitudes to screening |
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