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Int. J. Environ. Res. Public Health 2012, 9(5), 1836-1845; doi:10.3390/ijerph9051836
Article

Patient Follow-Up After Participating in a Beach-Based Skin Cancer Screening Program

1,* , 2
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4
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5
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1 Center for Community-Based Research, Dana-Farber Cancer Institute, Boston, MA 02215, USA 2 Department of Public Health, University of Massachusetts, Amherst, MA 01003, USA 3 Department of Society, Human Development & Health, Harvard School of Public Health, Boston, MA 02115, USA 4 New York University Medical Center, New York, NY, 10016, USA 5 Department of Dermatology, Brigham and Women’s Hospital, Boston, MA 02115, USA 6 Dana-Farber Cancer Institute, Boston, MA 02215, USA
* Author to whom correspondence should be addressed.
Received: 16 March 2012 / Revised: 25 April 2012 / Accepted: 2 May 2012 / Published: 10 May 2012
(This article belongs to the Special Issue Sunbathing Habits and Skin Cancer)
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Abstract

Many skin cancer screenings occur in non-traditional community settings, with the beach being an important setting due to beachgoers being at high risk for skin cancer. This study is a secondary analysis of data from a randomized trial of a skin cancer intervention in which participants (n = 312) had a full-body skin examination by a clinician and received a presumptive diagnosis (abnormal finding, no abnormal finding). Participants’ pursuit of follow-up was assessed post-intervention (n = 283). Analyses examined: (1) participant’s recall of screening results; and (2) whether cognitive and behavioral variables were associated with follow-up being as advised. Just 12% of participants (36/312) did not correctly recall the results of their skin examination. One-third (33%, 93/283) of participants’ follow-up was classified as being not as advised (recommend follow-up not pursued, unadvised follow-up pursued). Among participants whose follow-up was not as advised, 71% (66/93) did not seek recommended care. None of the measured behavioral and cognitive variables were significantly associated with recall of screening examination results or whether follow-up was as advised. Research is needed to determine what factors are associated with follow-up being as advised and to develop messages that increase receipt of advised follow-up care.
Keywords: cancer screening; skin cancer prevention; skin examinations; sun protection cancer screening; skin cancer prevention; skin examinations; sun protection
This is an open access article distributed under the Creative Commons Attribution License (CC BY 3.0).
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Greaney, M.L.; Puleo, E.; Geller, A.C.; Hu, S.W.; Werchniak, A.E.; DeCristofaro, S.; Emmons, K.M. Patient Follow-Up After Participating in a Beach-Based Skin Cancer Screening Program. Int. J. Environ. Res. Public Health 2012, 9, 1836-1845.

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