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Personal and Clinical Skin Cancer Prevention Practices of US Women Physicians
Mona Saraiya, MD, MPH;
Erica Frank, MD, MPH;
Lisa Elon, MS, MPH;
Grant Baldwin, MPH;
Barbara E. McAlpine, MD
Arch Dermatol. 2000;136:633-642.
Objective To document physician clinical and personal skin cancer prevention practices and associated characteristics.
Design A cross-sectional questionnaire survey of a representative sample of US women physicians.
Setting Mail survey.
Subjects Three thousand thirty-two nondermatologists and 95 dermatologists.
Main Outcome Measure Personal and clinical practices.
Results Twenty-seven percent of nondermatologists counseled or screened their typical patients on skin cancer or sunscreen use at least once a year, while 49% did so less frequently, and 24% never counseled or screened at all. Of the 95 dermatologists, two thirds reported counseling or screening their typical patients at every visit. In bivariate analysis of nondermatologists, the distribution of counseling or screening was significantly (P<.05) associated with the following personal and professional characteristics: frequent sunscreen use, recent (within 2 years) skin examination, good health status, a primary care specialty, self-confidence in counseling or screening, extensive training in counseling or screening, high perceived relevance to the practice of the counseling or screening, nonurban practice site, and non–hospital-based or non–medical school–based practice. We found that 48% of all physicians always or nearly always used sunscreen, and 25% had received a clinical skin examination in the previous 2 years.
Conclusions Although many primary care physicians report ever counseling or screening their typical patients about skin cancer and sunscreen use, increased professional education for primary care physicians could improve patient counseling about skin cancer prevention.
From the Division of Cancer Prevention and Control, Epidemiology and Health Services Research Branch (Dr Saraiya), and Agency for Toxic Substances and Disease Registry (Mr Baldwin), Centers for Disease Control and Prevention; Departments of Family and Preventive Medicine (Dr Frank) and Dermatology (Dr McAlpine), Emory University School of Medicine; and Department of Biostatistics, Rollins School of Public Health (Ms Elon); Atlanta, Ga.
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