Patient gender affects skin cancer screening practices and attitudes among veterans

Southern Medical Journal
Daniel G FedermanRobert S Kirsner

Abstract

Skin cancer screening (SCS) with a full body skin examination (FBSE) has the potential to reduce morbidity and mortality. Little is known about gender differences with respect to SCS practices and attitudes between men and women. Data from two previously published studies based on questionnaires administered to veterans were combined and analyzed according to patient gender. The participants consisted of a convenience sample of 437 patients awaiting primary care, women's health, or dermatology clinic appointments at the West Haven Veterans Affairs Medical Center. Male veterans were more likely to report undergoing FBSE than female veterans (32 versus 18%), but less likely to perform self-examination (42 versus 48%). Female veterans were more likely to report embarrassment than men, but both genders expressed that providers who perform SCS are thorough. Gender discordance between patient and examining physician is more likely to lead to refusal for women than men (16 versus 2%). We found low rates of SCS in both male and female veterans in different clinic settings at a Veterans Affairs Medical Center. Female veterans are less likely to report undergoing FBSE and more likely than male veterans to perform self-examination for ski...Continue Reading

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Citations

Jul 19, 2013·JAMA Dermatology·Carolyn J HeckmanTeja Munshi
May 3, 2011·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Fernanda Leite-PereiraMário Dinis-Ribeiro
Oct 29, 2013·Clinics in Dermatology·Daniel G FedermanKate V Viola
Feb 14, 2012·Journal of the American Academy of Nurse Practitioners·Holly B Bradley
Sep 16, 2017·Journal of General Internal Medicine·Elisheva R DananTimothy J Wilt

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