Reported Skin Cancer Screening of US Adult Workers

Details

• Personal Author:
  Arheart KL ; Caban-Martinez, Alberto J. ; Christ S ; Chung-Bridges K ; Clark J III ; Davila, Evelyn P. ; Fleming, Lora E. ; Kirsner RS ; LeBlanc WG ; Lee DJ ; Lewis JE ; McCollister KE ; Rouhani P ; Vidal L
• Description:
  BACKGROUND: Early detection of skin cancer by skin examination may reduce its associated morbidity and mortality, in particular for workers routinely exposed to sun. OBJECTIVES: We sought to describe the proportion of US workers reporting skin cancer screening examination in a representative sample of the US worker population in the National Health Interview Survey. METHODS: Report of skin cancer examination in the 2000 and 2005 National Health Interview Survey cancer control supplements were examined by a range of variables. RESULTS: Lifetime and 12-month reported clinical skin examination prevalence was 15% and 8%, respectively. Workers with elevated occupational exposure to ultraviolet light were less likely to have ever received a skin examination than the average US worker. Logistic regression analysis identified occupational category and age, sex, race, education level, health insurance, and sun-protective behavior as significant independent correlates of skin cancer examination. LIMITATIONS: A limitation is potential healthy worker effect and underestimation of skin cancer screening with self-reported data. CONCLUSIONS: Routine examination by primary care physicians frequently does not include a thorough skin examination. Physicians should be even more vigilant with patients at increased risk of excessive occupational sun exposure, as early detection of skin cancer by periodic skin examination decreases morbidity and can improve survival. [Description provided by NIOSH]
• Subjects:
  Dermatitis Irritants Neoplasms Occupational Health Risk Assessment Risk Factors Safety Skin Skin Diseases Workplace
• Keywords:
  Risk-factors Skin-cancer Skin-disorders Skin-exposure Skin-irritants Skin-sensitivity Statistical-analysis Sunscreening-agents Work-environment Worker-health
• ISSN:
  0190-9622
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Florida ; Maryland ; North Carolina ; OSHA Region 3 ; OSHA Region 4
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  55-63
• Volume:
  59
• Issue:
  1
• NIOSHTIC Number:
  nn:20034090
• Citation:
  J Am Acad Dermatol 2008 Jul; 59(1):55-63
• Contact Point Address:
  Lora E. Fleming, MD, PhD, Miller School of Medicine and Rosenstiel School of Marine and Atmospheric Sciences, Clinical Research Building, 10th Floor (R669), 1120 NW 14th Street, Miami, FL 33136
• Email:
  lfleming@med.miami.edu
• Federal Fiscal Year:
  2008
• Performing Organization:
  University of Miami School of Medicine, Miami, Florida
• Peer Reviewed:
  True
• Start Date:
  20020901
• Source Full Name:
  Journal of the American Academy of Dermatology
• End Date:
  20120831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:0b659b389d8e85d734bc50d566b3f58d388756126b8ba3eedac05940c085f06cc3fc39c273c3bc46386b464a93f3045b6458e7dfd89217ad4bb1fda547ec0668
• Download URL:
  https://stacks.cdc.gov/view/cdc/189460/cdc_189460_DS1.pdf
• File Type:
  [PDF - 365.95 KB ]