Counseling to Prevent Skin Cancer: Summary of the Evidence (continued)

Acknowledgements

This systematic evidence review was prepared for the Agency for Healthcare Research and Quality (contract No. 290-97-0018, Task Order No. 2) to be used by the U.S. Preventive Services Task Force. Task Force members Paul Frame, M.D., and C. Tracy Orleans, Ph.D., served as liaisons. Oregon Health & Science University Evidence-based Practice Center staff who contributed to this project included Susan Wingenfeld, EPC program coordinator, and Patty Davies, M.S., librarian.

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References

1. Screening for Skin Cancer (Including Counseling to Prevent Skin Cancer). U.S. Preventive Services Task Force. Guide to Clinical Preventive Services, 2nd ed. Washington, DC: Office of Disease Prevention and Health Promotion; 1996:141-52.

2. U.S. Preventive Services Task Force. Screening for skin cancer; recommendations and rationale. Am J Prev Med 2001;20(3S):44-46.

3. American Cancer Society. Cancer Facts and Figures. Available at: http://www.cancer.org/docroot/stt/content/stt_1x_cancer_facts__figures_2002.asp. Accessed March 10, 2003.

4. Ries LA, Kosary CL, Hankey BF, Miller BA, Edwards BK, eds. SEER Cancer Statistics Review, 1973-95. Bethesda: National Cancer Institute; 1998.

5. Chuang TY, Popescu NA, Su WP, Chute CG. Squamous cell carcinoma. A population-based incidence study in Rochester, Minnesota. Arch Dermatol 1990;126(2):185-88.

6. Chuang TY, Popescu A, Su WP, Chute CG. Basal cell carcinoma. A population-based incidence study in Rochester, Minnesota. J Am Acad Dermatol 1990;22(3):413-17.

7. Karagas MR, Greenberg ER, Spencer SK, Stukel TA, Mott LA. Increase in incidence rates of basal cell and squamous cell skin cancer in New Hampshire, USA. New Hampshire Skin Cancer Study Group. Int J Cancer 1999;81(4):555-59.

8. Stern RS, Lunder EJ. Risk of squamous cell carcinoma and methoxsalen (psoralen) and UV-A radiation (PUVA). A meta-analysis. Arch Dermatol 1998;134(12):1582-85.

9. Baum A, Cohen L. Successful behavioral interventions to prevent cancer: the example of skin cancer. Ann Rev Public Health 1998;19:319-33.

10. Dixon H, Borland R, Hill D. Sun protection and sunburn in primary school children: the influence of age, gender, and coloring. Prev Med 1999;28(2):119-30.

11. Robinson JK. A 28-year-old fair-skinned woman with multiple moles [clinical conference] [published erratum appears in JAMA 1998 Mar 18;279(11):838]. JAMA 1997;278(20):1693-99.

12. Anonymous. Sun-protection behaviors used by adults for their children-United States, 1997. MMWR Morb Mortal Wkly Rep 1998;47(23):480-82.

13. Clarke VA, Williams T, Arthey S. Skin type and optimistic bias in relation to the sun protection and suntanning behaviors of young adults. J Behavl Med 1997;20(2):207-22.

14. Lovato CY, Shoveller JA, Peters L, Rivers JK. Canadian National Survey on Sun Exposure & Protective Behaviours: methods. Cancer Prev Control 1998;2(3):105-9.

15. Lovato CY, Shoveller JA, Peters L, Rivers JK. Canadian National Survey on Sun Exposure & Protective Behaviours: youth at leisure. Cancer Prev Control 1998;2(3):117-22.

16. Lovato CY, Shoveller JA, Peters L, Rivers JK. Canadian National Survey on Sun Exposure & Protective Behaviours: parents' reports on children. Cancer Prev Control 1998;2(3):123-28.

17. Shoveller JA, Lovato CY, Peters L, Rivers JK. Canadian National Survey on Sun Exposure & Protective Behaviours: adults at leisure. Cancer Prev Control 1998;2(3):111-16.

18. Hall HI, May DS, Lew RA, Koh HK, Nadel M. Sun protection behaviors of the U.S. white population. Prev Med 1997;26(4):401-7.

19. Hall HI, Rogers JD. Sun protection behaviors among African Americans. Ethnicity Dis 1999;9(1):126-31.

20. Weinstock MA, Rossi JS, Redding CA, Maddock JE, Cottrill SD. Sun protection behaviors and stages of change for the primary prevention of skin cancers among beachgoers in southeastern New England. Ann Behav Med 2000;22(4):286-93.

21. Buller DB, Andersen PA, Walkosz B. Sun safety behaviours of alpine skiers and snowboarders in the western United States. Cancer Prev Control 1998;2(3):133-39.

22. Robinson JK, Rademaker AW, Sylvester JA, Cook B. Summer sun exposure: knowledge, attitudes, and behaviors of Midwest adolescents. Prev Med 1997;26(3):364-72.

23. Geller AC, Colditz G, Oliveria S, et al. Use of sunscreen, sunburning rates, and tanning bed use among more than 10,000 U.S. children and adolescents. Pediatrics 2002;109(6):1009-14.

24. Cokkinides VE, Weinstock MA, O'Connell MC, Thun MJ. Use of indoor tanning sunlamps by U.S. youth, ages 11-18 years, and by their parent or guardian caregivers: prevalence and correlates. Pediatrics 2002;109(6):1124-30.

25. Wichstrom L. Predictors of Norwegian adolescents' sunbathing and use of sunscreen. Health Psychol 1994;13(5):412-20.

26. Zinman R, Schwartz S, Gordon K, Fitzpatrick E, Camfield C. Predictors of sunscreen use in childhood. Arch Pediatr Adolesc Med 1995;149(7):804-7.

27. Morris J, Bandaranayake M, McGee R. Children's understanding of sun protection behaviours: a comparative analysis. J Paediatr Child Health 1998;34(3):254-59.

28. Morris J, McGee R, Bandaranayake M. Sun protection behaviours and the predictors of sunburn in young children. J Paediatr Child Health 1998;34(6):557-62.

29. Kubar WL, Rodrigue JR, Hoffmann RG, 3rd. Children and exposure to the sun: relationships among attitudes, knowledge, intentions, and behavior. Psychol Rep 1995;77(3 Pt 2):1136-38.

30. Miller DR, Geller AC, Wyatt SW, et al. Melanoma awareness and self-examination practices: results of a United States survey. J Am Acad Dermatol 1996;34(6):962-70.

31. Rigel DS. Is the ounce of screening and prevention for skin cancer worth the pound of cure? CA Cancer J Clin 1998;48(4):236-38.

32. Kakourou T, Bakoula C, Kavadias G, et al. Mothers' knowledge and practices related to sun protection in Greece. Pediatr Dermatol 1995;12(3):207-10.

33. Lower T, Girgis A, Sanson-Fisher R. How valid is adolescents' self-report as a way of assessing sun protection practices? Prev Med 1998;27(3):385-90.

34. Robinson JK, Rademaker AW. Sun protection by families at the beach. Arch Pediatr Adolesc Med 1998;152(5):466-70.

35. Friedman LC, Bruce S, Weinberg AD, Cooper HP, Yen AH, Hill M. Early detection of skin cancer: racial/ethnic differences in behaviors and attitudes. J Cancer Educ 1994;9(2):105-10.

36. Friedman LC, Webb JA, Bruce S, Weinberg AD, Cooper HP. Skin cancer prevention and early detection intentions and behavior. Am J Prev Med 1995;11(1):59-65.

37. Arthey S, Clarke VA. Suntanning and sun protection: a review of the psychological literature. Social Sci Med 1995;40(2):265-74.

38. Buller DB, Borland R. Skin cancer prevention for children: a critical review. Health Educ Behav 1999;26(3):317-43.

39. Martin SC, Jacobsen PB, Lucas DJ, Branch KA, Ferron JM. Predicting children's sunscreen use: application of the theories of reasoned action and planned behavior. Prev Med 1999;29:37-44.

40. Rossi JS, Blais LM, Redding CA, Weinstock MA. Preventing skin cancer through behavior change. Implications for interventions. [Review] Dermatol Clinics 1995;13(3):613-22.

41. Smith BJ, Ferguson C, McKenzie J, Bauman A, Vita P. Impacts from repeated mass media campaigns to promote sun protection in Australia. Health Promotion Int 2002;17(1):51-60.

42. Graffunder CM, Wyatt SW, Bewerse B, Hall I, Reilley B, Lee-Pethel R. Skin cancer prevention: the problem, responses, and lessons learned. Health Educ Behav 1999;26(3):308-16.

43. Easton AN, Price JH, Boehm K, Telljohann SK. Sun protection counseling by pediatricians. Arch Pediatr Adolesc Med 1997;151(11):1133-38.

44. Dietrich AJ, Olson AL, Sox CH, et al. A community-based randomized trial encouraging sun protection for children. Pediatrics 1998;102(6):E64.

45. Geller AC, Robinson J, Silverman S, Wyatt SA, Shifrin D, Koh HK. Do pediatricians counsel families about sun protection? A Massachusetts survey. Arch Pediatr Adolesc Med 1998;152(4):372-76.

46. Helfand M, Mahon S, Eden K, Frame P, Orleans C. Screening for skin cancer. Am J Prev Med 2001;20(3 Suppl):47-58.

47. Buller DB, Hall JR, Powers PJ, et al. Evaluation of the "Sunny Days, Healthy Ways" sun safety CD-ROM program for children in grades 4 and 5. Cancer Preve Control 1999;3(3):188-95.

48. Crane LA, Schneider LS, Yohn JJ, Morelli JG, Plomer KD. "Block the sun, not the fun": evaluation of a skin cancer prevention program for child care centers. Am J Prev Med 1999;17(1):31-37.

49. Dey P, Collins S, Will S, Woodman CB. Randomised controlled trial assessing effectiveness of health education leaflets in reducing incidence of sunburn. BMJ 1995;311(7012):1062-63.

50. Dietrich AJ, Olson AL, Sox CH, Tosteson TD, Grant-Petersson J. Persistent increase in children's sun protection in a randomized controlled community trial. Preventive Medicine 2000;31(5):569-74.

51. Gerbert B, Wolff M, Tschann JM, et al. Activating patients to practice skin cancer prevention: response to mailed materials from physicians versus HMOs. Am J Prev Med 1997;13(3):214-20.

52. Girgis A, Sanson-Fisher RW, Tripodi DA, Golding T. Evaluation of interventions to improve solar protection in primary schools. Health Educ Q 1993;20(2):275-87.

53. Hornung RL, Lennon PA, Garrett JM, DeVellis RF, Weinberg PD, Strecher VJ. Interactive computer technology for skin cancer prevention targeting children. Am J Prev Med 2000;18(1):69-76.

54. Kiekbusch S, Hannich HJ, Isacsson A, et al. Impact of a cancer education multimedia device on public knowledge, attitudes, and behaviors: a controlled intervention study in southern Sweden. J Cancer Educ 2000;15(4):232-36.

55. Lowe JB, Balanda KP, Stanton WR, Gillespie A. Evaluation of a three-year school-based intervention to increase adolescent sun protection. Health Educ Behav 1999;26(3):396-408.

56. Richard MA, Martin S, Gouvernet J, Folchetti G, Bonerandi JJ, Grob JJ. Humour and alarmism in melanoma prevention: a randomized controlled study of three types of information leaflet. Br J Dermatol 1999;140(5):909-14.

57. Harris R, Helfand M, Woolf S, et al. Current methods of the U.S. Preventive Services Task Force: a review of the process. Am J Prev Med 2001;20(3 Suppl):21-35.

58. Nelemans PJ, Rampen FH, Ruiter DJ, Verbeek AL. An addition to the controversy on sunlight exposure and melanoma risk: a meta-analytical approach. J Clin Epidemiol 1995;48(11):1331-42.

59. Elwood JM, Jopson J. Melanoma and sun exposure: an overview of published studies. Int J Cancer 1997;73(2):198-203.

60. Walter SD, King WD, Marrett LD. Association of cutaneous malignant melanoma with intermittent exposure to ultraviolet radiation: results of a case-control study in Ontario, Canada. Int J Epidemiol 1999;28(3):418-27.

61. Cress RD, Holly EA, Ahn DK. Cutaneous melanoma in women. V. Characteristics of those who tan and those who burn when exposed to summer sun. Epidemiology 1995;6(5):538-43.

62. Holly EA, Cress RD, Ahn DK. Cutaneous melanoma in women. III. Reproductive factors and oral contraceptive use. Am J Epidemiol 1995;141(10):943-50.

63. Holly EA, Aston DA, Cress RD, Ahn DK, Kristiansen JJ. Cutaneous melanoma in women. II. Phenotypic characteristics and other host-related factors. Am J Epidemiol 1995;141(10):934-42.

64. Holly EA, Aston DA, Cress RD, Ahn DK, Kristiansen JJ. Cutaneous melanoma in women. I. Exposure to sunlight, ability to tan, and other risk factors related to ultraviolet light. Am J Epidemiol 1995;141(10):923-33.

65. Swerdlow AJ, Weinstock MA. Do tanning lamps cause melanoma? An epidemiologic assessment. J Am Acad Dermatol 1998;38(1):89-98.

66. Westerdahl J, Olsson H, Masback A, et al. Use of sunbeds or sunlamps and malignant melanoma in southern Sweden. Am J Epidemiol 1994;140(8):691-99.

67. Autier P, Dore JF, Lejeune F, et al. Cutaneous malignant melanoma and exposure to sunlamps or sunbeds: an EORTC multicenter case-control study in Belgium, France and Germany. EORTC Melanoma Cooperative Group. Int J Cancer 1994;58(6):809-13.

68. Thompson SC, Jolley D, Marks R. Reduction of solar keratoses by regular sunscreen use. N Engl J Med 1993;329(16):1147-51.

69. Cockburn J, Thompson SC, Marks R, Jolley D, Schofield P, Hill D. Behavioural dynamics of a clinical trial of sunscreens for reducing solar keratoses in Victoria, Australia. J Epidemiol Community Health 1997;51(6):716-21.

70. Green A, Williams G, Neale R, et al. Daily sunscreen application and betacarotene supplementation in prevention of basal-cell and squamous-cell carcinomas of the skin: a randomised controlled trial. Lancet 1999;354(9180):723-29.

71. Gallagher RP, Rivers JK, Lee TK, Bajdik CD, McLean DI, Coldman AJ. Broad-spectrum sunscreen use and the development of new nevi in white children: A randomized controlled trial. JAMA 2000;283(22):2955-60.

72. Autier P, Dore JF, Schifflers E, et al. Melanoma and use of sunscreens: an EORTC case-control study in Germany, Belgium and France. The EORTC Melanoma Cooperative Group. Int J Cancer 1995;61(6):749-55.

73. Autier P, Dore JF, Cattaruzza MS, et al. Sunscreen use, wearing clothes, and number of nevi in 6- to 7-year-old European children. European Organization for Research and Treatment of Cancer Melanoma Cooperative Group. J Natl Cancer Inst 1998;90(24):1873-80.

74. Westerdahl J, Olsson H, Masback A, Ingvar C, Jonsson N. Is the use of sunscreens a risk factor for malignant melanoma? Melanoma Res 1995;5(1):59-65.

75. Huncharek M, Kupelnick B. Use of topical sunscreens and the risk of malignant melanoma: a meta-analysis of 9,067 patients from 11 case-control studies. Am J Public Health 2002;92(7):1173-77.

76. Weinstock MA. Do sunscreens increase or decrease melanoma risk: an epidemiologic evaluation. [Review]. J Invest Dermatol. Symposium Proceedings. 1999;4(1):97-100.

77. Lamberg L. Dermatologists call for massive cover-up. JAMA 1998; 279(18):1426-27.

78. Autier P, Dore JF, Negrier S, et al. Sunscreen use and duration of sun exposure: a double-blind, randomized trial. J Natl Cancer Inst 1999;91(15):1304-9.

79. Autier P, Dore JF, Reis AC, et al. Sunscreen use and intentional exposure to ultraviolet A and B radiation: a double blind randomized trial using personal dosimeters. Br J Cancer 2000;83(9):1243-48.

80. Olson AL, Dietrich AJ, Sox CH, Stevens MM, Winchell CW, Ahles TA. Solar protection of children at the beach. Pediatrics 1997;99(6):E1.

81. Farrerons J, Barnadas M, Rodriguez J, et al. Clinically prescribed sunscreen (sun protection factor 15) does not decrease serum vitamin D concentration sufficiently either to induce changes in parathyroid function or in metabolic markers. Br J Dermatol 1998;139(3):422-27.

82. Zlotkin S. Vitamin D concentrations in Asian children living in England. Limited vitamin D intake and use of sunscreens may lead to rickets [letter; comment]. BMJ 1999;318(7195):1417.

83. Marks R, Foley PA, Jolley D, Knight KR, Harrison J, Thompson SC. The effect of regular sunscreen use on vitamin D levels in an Australian population. Results of a randomized controlled trial. Arch Dermatol 1995;131(4):415-21.

84. Ness AR, Frankel SJ, Gunnell DJ, Smith GD. Are we really dying for a tan? BMJ 1999;319(7202):114-16.

85. Berwick M, Begg CB, Fine JA, Roush GC, Barnhill RL. Screening for cutaneous melanoma by skin self-examination. J Natl Cancer Inst 1996;88(1):17-23.

86. Dietrich AJ, Olson AL, Sox CH, Winchell CW, Grant-Petersson J, Collison DW. Sun protection counseling for children: primary care practice patterns and effect of an intervention on clinicians. Arch Family Med 2000;9(2):155-59.

87. Montague M, Borland R, Sinclair C. Slip! Slop! Slap! and SunSmart, 1980-2000: Skin cancer control and 20 years of population-based campaigning. Health Educ Behav 2001;28:290-305.

88. Glanz K, Chang L, Song V, Silverio R, Muneoka L. Skin cancer prevention for children, parents, and caregivers: a field test of Hawaii's SunSmart program. J Am Acad Dermatol 1998;38(3):413-17.

89. Rossi JS, Blais LM, Weinstock MA. The Rhode Island Sun Smart Project: skin cancer prevention reaches the beaches [news]. Am J Public Health 1994;84(4):672-74.

90. Geller AC, Cantor M, Miller DR, et al. The Environmental Protection Agency's National SunWise School Program: sun protection education in U.S. schools (1999-2000). J Am Acad Dermatol 2002;46(5):683-89.

91. Buller DB, Buller MK, Beach B, Ertl G. Sunny days, healthy ways: evaluation of a skin cancer prevention curriculum for elementary school-aged children. J Am Acad Dermatol 1996;35(6):911-22.

92. Geller AC, Sayers L, Koh HK, Miller DR, Steinberg Benjes L, Crosier Wood M. The New Moms Project: educating mothers about sun protection in newborn nurseries. Pediatr Dermatol 1999;16(3):198-200.

93. Miller DR, Geller AC, Wood MC, Lew RA, Koh HK. The Falmouth Safe Skin Project: evaluation of a community program to promote sun protection in youth. Health Educ Behav 1999;26(3):369-84.

94. Mayer JA, Slymen DJ, Eckhardt L, et al. Reducing ultraviolet radiation exposure in children. Prev Med 1997;26(4):516-22.

95. Grant-Petersson J, Dietrich AJ, Sox CH, Winchell CW, Stevens MM. Promoting sun protection in elementary schools and child care settings: the SunSafe Project. J Sch Health 1999;69(3):100-6.

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Notes

Author Affiliations

[a] Helfand and Krages: Oregon Health & Science University Evidence-based Practice Center, Portland, OR.

Copyright and Source Information

This document is in the public domain within the United States. For information on reprinting, contact Randie Siegel, Director, Division of Printing and Electronic Publishing, Agency for Healthcare Research and Quality, 540 Gaither Road, Rockville, MD 20850.

Requests for linking or to incorporate content in electronic resources should be sent to: info@ahrq.gov

The USPSTF recommendation based on this evidence review can be found in Counseling to Prevent Skin Cancer: Recommendations and Rationale, available online.

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Current as of June 2003


Internet Citation:

Helfand M, Krages KP. Counseling to Prevent Skin Cancer: A Summary of the Evidence for the U.S. Preventive Services Task Force. June 2003. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/clinic/3rduspstf/skcacoun/skcounsum.htm


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