An Exploration of the Use and Impact of Preventive Measures on Skin Cancer

Man Hung; Isaac Rex Beazer; Sharon Su; Jerry Bounsanga; Eric S Hon; Martin S Lipsky

doi:10.3390/healthcare10040743

An Exploration of the Use and Impact of Preventive Measures on Skin Cancer

Healthcare (Basel). 2022 Apr 15;10(4):743. doi: 10.3390/healthcare10040743.

Authors

Man Hung^{1

2

3}, Isaac Rex Beazer⁴, Sharon Su¹, Jerry Bounsanga⁵, Eric S Hon⁶, Martin S Lipsky¹

Affiliations

¹ College of Dental Medicine, Roseman University of Health Sciences, South Jordan, UT 84095, USA.
² School of Medicine, University of Utah, Salt Lake City, UT 84132, USA.
³ Huntsman Cancer Institute, Salt Lake City, UT 84112, USA.
⁴ College of Pharmacy, Roseman University of Health Sciences, South Jordan, UT 84095, USA.
⁵ Merit Medical Systems, Inc., South Jordan, UT 84095, USA.
⁶ Department of Economics, University of Chicago, Chicago, IL 60637, USA.

Abstract

Background: Skin cancer is the most common form of cancer, and both clinical and epidemiological data link cumulative solar dosages and the number of sunburns to skin cancer. Each year, more than 5.4 million new cases of skin cancer are diagnosed, incurring a significant health and financial burden. Recommended preventive measures for skin cancer include the use of sunscreen, sun avoidance, and protective clothing. This study used a national database to examine the association of preventive measures with the prevalence of skin cancer, specifically analyzing the preventive measures of sunscreen use, staying in the shade, and wearing long-sleeved shirts. The second aim was to determine which characteristics, if any, correlated with using prevention measures. Methods: This study analyzed data from the National Health and Nutritional Examination Survey 2015−2016 cycle to examine the association of three preventive measures (using sunscreen, staying in the shade, and wearing long-sleeved shirts) with skin cancer. Logistic regression and chi-square tests were utilized to examine the relationship between skin cancer and these prevention methods. Results: Sunscreen use (OR = 3.752; p < 0.05) was statistically associated with a lower prevalence of skin cancer, while wearing long-sleeved shirts (OR = 6.911; p = 0.064) and staying in the shade (OR = 0.646; p = 0.481) did not emerge as factors significantly associated with a lower prevalence after controlling for gender, race/ethnicity, marital status, income, health insurance, and general health. Additionally, men and individuals of color were less likely to use sunscreen. Conclusion: Sunscreen use was associated with a lower prevalence of skin cancer, while wearing long-sleeved shirts and staying in the shade was not significantly linked to lower rates of skin cancer, suggesting that these measures may not be as effective as sunscreen for preventing skin cancer. Men and individuals of color were significantly less likely to use sunscreen. These findings can help guide future education efforts and research regarding skin cancer prevention and suggest the need to develop male-oriented programs to mitigate the gender disparity in employing sun-protection measures.

Keywords: NHANES; gender disparity; prevention; skin cancer; sunscreen.