42099 Analysis of utilization of sun-protective behavior among national SPOT Skin Cancer® program screenees from 2018 to 2019

Document Type

Conference Proceeding

Publication Date

9-19-2023

Publication Title

J Am Acad Dermatol

Abstract

Information on sun-protective behaviors, including use of sunscreen and sun-protective clothing, of screening participants (“screenees”) with the American Academy of Dermatology’s (AAD) SPOT Skin Cancer® screening program is currently lacking. Information on trends in sun-protective behavior may help elucidate disparities on such behaviors between screenees, thereby informing where resources could be optimized for those presenting for dermatologic care. Records from 116,595 screenees were analyzed from 2018-2019, including demographic information (income per $10,000, age, sex, race, highest level of education completed, U.S. region of residence), self-reported tendency to sunburn, and self-reported sun-protective behavior. Most screenees were at least 30 years (88.6%), White (86.3%), female (61.8%), and completed at least a college education (69.6%). Lower zip code level income per $10,000 increments was associated with less sun-protective behavior (adjusted odds ratio [aOR]=0.95, P<0.001). Males were more likely than females to report less sun-protective behavior (aOR=1.53, P<0.001). Black, Hispanic, and Asians were more likely than Whites to have rarely/never used sun-protective behavior (aOR=2.86, 2.09, 2.85, 1.66 respectively, all P<0.001). Screenees with a highest attained level of elementary, high school, or college education were more likely to report less sun-protective behaviors than those with a graduate degree (aOR=1.84, 1.74, 1.13 respectively, all P<0.001). Midwest and South screenees utilized sun-protective behaviors less often than those from the Northeast (aOR=1.09, P=0.003, aOR=0.010, P=0.010, respectively). Resources regarding sun-protective behaviors could be optimized toward lower-income males with less education, particularly those from the Midwest or South. A major limitation is screenee self-selection and self-reporting.

Volume

89

Issue

3

First Page

AB4

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