Full-body skin examinations and the female veteran: prevalence and perspective.
OBJECTIVE
To determine the frequency of full-body skin examinations (FBSEs) among female veterans and to determine whether patient risk factors for skin cancer alter the frequency of screening. Subjects were also queried as to attitudes about FBSE.


METHODS
Questionnaires pertaining to whether patients underwent regular FBSE, their opinions and attitudes about this screening test, and their risks for developing skin cancer.


METHODS
A primary health care clinic for female veterans at a Veterans Affairs medical center.


METHODS
A convenience sample of 245 patients awaiting clinic appointments. Of those asked to participate, 201 agreed, for a participation rate of 82%.


METHODS
Patient report of undergoing FBSE, attitudes regarding FBSE, and risk factors for cutaneous malignancy.


RESULTS
Eighteen percent of all respondents reported undergoing regular FBSE by their primary care provider, whereas 9 (45%) of the 20 with a history of skin cancer reported undergoing FBSE. Fifteen percent of subjects reported embarrassment with FBSE. Seventy-nine percent reported that their primary care provider would be considered thorough by performing FBSE, and 69% would like their primary care provider to perform FBSE regularly. We found that 16% of subjects would refuse the examination if the primary care provider were of the opposite sex, whereas 38% would not refuse but be less willing to be examined.


CONCLUSIONS
Female veterans report a low incidence of FBSE, although those with a personal history of skin cancer are more likely to undergo screening. Despite embarrassment expressed about a sex difference between the patient and examiner, female veterans have a strong preference to undergo FBSE.
Department of Internal Medicine, Veterans Affairs Connecticut Health Care Center, 950 Campbell Avenue, West Haven, CT 06516, USA. daniel.federman@va.gov
Daniel G
DG
Federman
Jeffrey D
JD
Kravetz
Sally G
SG
Haskell
Fangchao
F
Ma
Robert S
RS
Kirsner
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003880:Dermatology; D005260:Female; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction; D010808:Physical Examination; D015995:Prevalence; D011320:Primary Health Care; D012307:Risk Factors; D012737:Sex Factors; D012878:Skin Neoplasms / Q000175:diagnosis* / Q000453:epidemiology; D014481:United States / Q000453:epidemiology; D014728:Veterans / Q000523:psychology / Q000706:statistics & numerical data*