\Communication about Melanoma and Risk Reduction after Melanoma Diagnosis

Abstract

Objective

Melanoma patients are advised to perform regular risk reduction practices including sun protection as well as skin self-examinations (SSE) and physician-led examinations. Melanoma-specific communication regarding family risk and screening may promote such behaviors. To this end, associations between patients' melanoma-specific communication and risk reduction were examined.

Methods

Melanoma patients (N = 169) drawn from a population-based cancer registry reported their current risk reduction practices, perceived risk of future melanoma, and communication with physicians and relatives about melanoma risk and screening.

Results

Patients were, on average, 56 years-old and 6.7 years' post-diagnosis; 51% were male, 93% reported "fair/very fair" skin color, 75% completed at least some college, and 22% reported a family history of melanoma. Patients reported varying levels of regular (always/nearly always) sun protection: sunscreen use (79%), shade-seeking (60%), hat use (54%), and long-sleeve shirts use (30%). Only 28% performed thorough SSE regularly, whereas 92% reported undergoing physician-led skin examinations within the past year. Participants who were female, younger, and had a higher perceived risk of future melanoma were more likely to report past communication. In adjusted analyses, communication remained uniquely associated with increased sunscreen use and SSE.

Conclusions: Encouraging melanoma patients to have a more active role in discussions concerning melanoma risk and screening with relatives and physicians alike may be a useful strategy to promote two key risk-reduction practices post melanoma diagnosis and treatment. Future research is needed to identify additional strategies to improve comprehensive risk reduction in long-term melanoma patients.

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