Few U.S. Hispanics Screened for Skin Cancer

FRIDAY, May 25 (HealthDay News) — Only one in 14 Hispanic adults
in the United States has ever been screened for skin cancer, far fewer
than the one in four whites screened, a new study finds.

Socioeconomic factors such as lack of health insurance and poorer
access to health care services are major reasons for this disparity,
according to the researchers at The Cancer Institute of New Jersey.

They added that their findings show the need to develop ways to promote
skin examinations among Hispanics at risk for skin cancer.

Previous research has shown that while Hispanics are at lower risk of
melanoma than whites, Hispanics are more likely than whites to be
diagnosed at an earlier age and with thicker, more advanced melanoma, the
most deadly type of skin cancer. Studies have also shown that full-body,
head-to-toe skin examinations by a doctor may reduce the incidence of
thick melanomas that have a poor prognosis.

In this new study, the researchers analyzed data from more than 4,700
Hispanic adults who took part in the 2010 U.S. National Health Interview
Survey. Only 7 percent of the adults reported ever having a full skin
examination by a doctor.

When broken down by categories, rates of full-body skin examinations
for Hispanics were: 9 percent for those born in the United States; 6
percent for those born outside the U.S.; 4 percent for those who spoke
mostly or only Spanish; 13 percent for those of Cuban descent; 10 percent
for those of Puerto Rican descent; and 6 percent for those from Mexico and
the Dominican Republic.

Lower screening rates were seen among: men (6 percent); people aged 18
to 29 (4 percent); those with some high school education or less (4
percent); people without health insurance (3 percent); those with no
source of preventive care (2 percent); and people who received preventive
care somewhere other than a doctor’s office (5 percent).

The study appeared in the latest issue of the Archives of
Dermatology
.

“Although the skin cancer screening rates were higher for several
Hispanic subpopulations, the overall rate of screening we found among
adult U.S. Hispanics was very low,” lead author Elliot Coups, a behavioral
scientist at the Cancer Institute of New Jersey and an associate professor
of medicine at University of Medicine and Dentistry of New Jersey-Robert
Wood Johnson Medical School, said in an institute news release.

“It is of concern that Hispanic individuals with a language barrier,
lower level of education and lack of access to health care had especially
low screening rates. While additional research is needed, it is clear from
this study that this population may greatly benefit from interventions
that promote these screenings, particularly for individuals at risk for
skin cancer,” he concluded.

More information

The U.S. National Cancer Institute has more about skin cancer screening.

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