Assessing the Feasibility and Effectiveness of Screening for Indoor Tanning in the Primary Care Setting: A Report of Preliminary Findings

Allison B. Robbins MD , Mimi R. Borrelli MBBS, PhD , Fatima N. Mirza MD, MPH , Nicole A. Negbenebor MD , Helena M. Kuhn MD , Tiffany J. Libby MD
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Abstract

Introduction

Indoor tanning is a major modifiable risk factor in the development of both melanoma and nonmelanoma skin cancers. Investigation of behavior-altering interventions is an area of active research. As with other preventive measures, screening of high-risk populations can be an important aspect of a multimodality public health intervention. This study sought to further the limited understanding of indoor tanning screening practices in the primary care setting.

Methods

Physicians practicing within the scope of primary care in the northeast were surveyed in 2022 on practice patterns around the frequency of indoor tanning screening, barriers encountered with implementing screening, and actions taken with a positive screen. Research methodology adhered to the Joanna Briggs Institute critical appraisal checklist.

Results

Of 26 primary care physicians, only 7.7% routinely screened for indoor tanning. Barriers identified included time limitations (76.9%) and prioritization of other health concerns (96.2%). All primary care physicians (100%) reacted to reports of indoor tanning with an intervention, most commonly counseling on the risks of indoor tanning (92.6%).

Conclusions

This data suggest that screening for indoor tanning use could be improved. The authors recommend the incorporation of a standardized screening question regarding indoor tanning in intake forms.

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评估基层医疗机构室内日光浴筛查的可行性和有效性:初步结果报告
导言室内日光浴是诱发黑色素瘤和非黑色素瘤皮肤癌的一个主要风险因素。对改变行为的干预措施的调查是一个积极的研究领域。与其他预防措施一样,对高危人群进行筛查也是多模式公共卫生干预的一个重要方面。本研究旨在进一步了解基层医疗机构中室内日光浴筛查的有限做法。研究方法于 2022 年对东北部基层医疗机构的执业医生进行了调查,内容涉及室内日光浴筛查的频率、实施筛查时遇到的障碍以及筛查结果呈阳性时采取的措施。研究方法遵循乔安娜-布里格斯研究所的关键评估清单。结果 在 26 名初级保健医生中,只有 7.7% 的人对室内日光浴进行常规筛查。发现的障碍包括时间限制(76.9%)和优先考虑其他健康问题(96.2%)。所有初级保健医生(100%)都对有关室内日光浴的报告采取了干预措施,最常见的是就室内日光浴的风险提供咨询(92.6%)。作者建议在入院表格中加入有关室内日光浴的标准化筛查问题。
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AJPM focus
AJPM focus Health, Public Health and Health Policy
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