Oncology Research and Treatment
Research Article
Barriers to Using a Nationwide Skin Cancer Screening Program: Findings from GermanyGörig T. · Schneider S. · Schilling L. · Diehl K.Mannheim Institute of Public Health, Social and Preventive Medicine, Heidelberg University, Mannheim, Germany
|
|
Log in to MyKarger to check if you already have access to this content.
KAB
Buy a Karger Article Bundle (KAB) and profit from a discount!
If you would like to redeem your KAB credit, please log in.
Save over 20% compared to the individual article price.
Article / Publication Details
Received: May 14, 2018
Accepted: July 25, 2018
Published online: November 21, 2018
Issue release date: December 2018
Number of Print Pages: 6
Number of Figures: 1
Number of Tables: 2
ISSN: 2296-5270 (Print)
eISSN: 2296-5262 (Online)
For additional information: https://www.karger.com/ORT
Abstract
Background: In 2008, a nationwide standardized and systematic skin cancer screening (SCS) service, which is globally unique, was implemented in Germany. We aimed to provide current data on SCS use, to explore barriers to SCS usage, and to identify population groups with lower rates of SCS use. Methods: We analyzed data from 2,635 participants (18-45 years) in the National Cancer Aid Monitoring on Sunbed Use. Data on SCS use, barriers to SCS, and sociodemographic characteristics were obtained. Chi-square tests and logistic regression analyses were performed to analyze the data. Data was weighted by age, sex, educational level, and federal state. Results: In total, 39.0% of participants reported having been screened for skin cancer at least once in their lifetime. The subjective importance of different barriers varied depending on the participants' educational level. SCS use was negatively associated with male sex (odds ratio (OR) = 0.63, p < 0.001), low level of education (OR = 0.83, not significant), immigrant background (OR = 0.63; p < 0.001), and having no employment. Conclusion: Although the SCS is part of the regular healthcare services offered in Germany, our data showed lower usage among certain population groups. Barriers relevant for these groups should be considered when developing measures to increase SCS use.
© 2018 S. Karger GmbH, Freiburg
Related Articles:
References
-
Robert Koch-Institut: Bericht zum Krebsgeschehen in Deutschland 2016. Robert Koch-Institut, Berlin, 2016.
- Ferlay J, Steliarova-Foucher E, Lortet-Tieulent J, et al.: Cancer incidence and mortality patterns in Europe: Estimates for 40 countries in 2012. Eur J Cancer 2013;49:1374-1403.
- Kornek T, Augustin M: Skin cancer prevention. J Dtsch Dermatol Ges 2013;11:283-296.
- Federman DG, Kirsner RS, Viola KV: Skin cancer screening and primary prevention: Facts and controversies. Clin Dermatol 2013;31:666-670.
-
Leitlinienprogramm Onkologie: S3-Leitlinie Prävention von Hautrebs, Langversion 1.1 [Guideline Prevention of Skin Cancer, Long version 1.1]. 2014, http://leitlinienprogramm-onkologie.de/Leitlinien.7.0.html, accessed 20 September 2017.
-
German Federal Statistical Office: Sozialleistungen - Angaben zur Krankenversicherung (Social security benefits - information on health insurance). German Federal Statistical Office, Wiesbaden, 2016.
- Augustin M, Stadler R, Reusch M, et al.: Skin cancer screening in Germany - perception by the public. J Dtsch Dermatol Ges 2012;10:42-49.
- Breitbart EW, Choudhury K, Anders MP, et al.: Benefits and risks of skin cancer screening. Oncol Res Treat 2014;37(Suppl 3):38-47.
- Eissing L, Schafer I, Stromer K, et al.: Perception of statutory skin cancer screening in the general population: Current findings on participation, knowledge and evaluation. Hautarzt 2017;68:371-376.
- Trautmann F, Meier F, Seidler A, Schmitt J: Effects of the German skin cancer screening programme on melanoma incidence and indicators of disease severity. Br J Dermatol 2016;175:912-919.
-
Starker A, Bertz J, Saß A: Inanspruchnahme von Krebsfrüherkennungsuntersuchungen (Usage of skin cancer screening); in Robert Koch-Insitut (ed): Daten und Fakten: Ergebnisse der Studie ‘Gesundheit in Deutschland aktuell 2010'. Robert Koch-Institut, Berlin, 2012, pp 27-38.
- Schneider S, Görig T, Schilling L, et al.: German ‘National Cancer Aid Monitoring' 2015-2019 - study protocol and initial results. J Dtsch Dermatol Ges 2017;15:895-903.
-
German Federal Statistical Office: Demographische Standards (Demographic Standards). German Federal Statistical Office, Wiesbaden, 2016.
- Schenk L, Bau AM, Borde T, et al.: A basic set of indicators for mapping migrant status. Recommendations for epidemiological practice. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2006;49:853-860.
- Schmitt J, Diepgen T, Bauer A: Occupational exposure to non-artificial UV-light and non-melanocytic skin cancer - a systematic review concerning a new occupational disease. J Dtsch Dermatol Ges 2010;8:250-264.
-
Fitzpatrick T: Soleil et peau. J Med Esthet 1975;2:33-34.
- Diehl K, Bock C, Breitbart EW, et al.: Building awareness of the health risks of sunbed use: Identification of target groups for prevention. Photodermatol Photoimmunol Photomed 2013;29:291-299.
- Boniol M, Autier P, Boyle P, Gandini S: Cutaneous melanoma attributable to sunbed use: Systematic review and meta-analysis. BMJ 2012;345:e4757.
-
Robert Koch-Institut: GSTel 2006. Robert Koch-Institut, Berlin, 2006.
-
Trake J: German skin cancer screening: The end of an illusion. Z Allg Med 2015;91:299-303.
- Rommel A, Sass AC, Born S, Ellert U: Health status of people with a migrant background and impact of socio-economic factors: First results of the German Health Interview and Examination Survey for Adults (DEGS1). Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2015;58:543-552.
- Görig T, Diehl K, Greinert R, et al.: Prevalence of sun-protective behavior and intentional sun tanning in German adolescents and adults: results of a nationwide telephone survey. J Eur Acad Dermatol Venereol 2018;32:225-235.
-
Federal Institute for Occupational Safety and Health (BAuA): Arbeitszeitereport Deutschland 2016 [Report on Working Time Germany 2016]. Federal Institute for Occupational Safety and Health, Berlin, 2016.
- Krensel M, Augustin M, Rosenbach T, Reusch M: Waiting time and practice organization in dermatology. J Dtsch Dermatol Ges 2015:812-814.
- Kis A, Augustin M, Augustin J: Regional healthcare delivery and demographic change in Germany - scenarios for dermatological care in 2035. J Dtsch Dermatol Ges 2017;15:1199-1210.
- Reinau D, Weiss M, Meier CR, et al.: Outdoor workers' sun-related knowledge, attitudes and protective behaviours: A systematic review of cross-sectional and interventional studies. Br J Dermatol 2013;168:928-940.
Article / Publication Details
Received: May 14, 2018
Accepted: July 25, 2018
Published online: November 21, 2018
Issue release date: December 2018
Number of Print Pages: 6
Number of Figures: 1
Number of Tables: 2
ISSN: 2296-5270 (Print)
eISSN: 2296-5262 (Online)
For additional information: https://www.karger.com/ORT
Copyright / Drug Dosage / Disclaimer
Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.
Get Permission
PubMed ID
