title: Reported skin cancer screening of US adult workers.
abstract: BACKGROUND
  Early detection of skin cancer by skin examination may reduce its associated morbidity and mortality, in particular for workers routinely exposed to sun.
  
  
  OBJECTIVE
  We sought to describe the proportion of US workers reporting skin cancer screening examination in a representative sample of the US worker population in the National Health Interview Survey.
  
  
  METHODS
  Report of skin cancer examination in the 2000 and 2005 National Health Interview Survey cancer control supplements were examined by a range of variables.
  
  
  RESULTS
  Lifetime and 12-month reported clinical skin examination prevalence was 15% and 8%, respectively. Workers with elevated occupational exposure to ultraviolet light were less likely to have ever received a skin examination than the average US worker. Logistic regression analysis identified occupational category and age, sex, race, education level, health insurance, and sun-protective behavior as significant independent correlates of skin cancer examination.
  
  
  CONCLUSIONS
  A limitation is potential healthy worker effect and underestimation of skin cancer screening with self-reported data.
  
  
  CONCLUSIONS
  Routine examination by primary care physicians frequently does not include a thorough skin examination. Physicians should be even more vigilant with patients at increased risk of excessive occupational sun exposure, as early detection of skin cancer by periodic skin examination decreases morbidity and can improve survival.
authors.affiliation: Department of Epidemiology and Public Health, University of Miami Miller School of Medicine, Miami, Florida 33136, USA.
authors.forename: William G
authors.initials: WG
authors.lastname: LeBlanc
authors.forename: Liat
authors.initials: L
authors.lastname: Vidal
authors.forename: Robert S
authors.initials: RS
authors.lastname: Kirsner
authors.forename: David J
authors.initials: DJ
authors.lastname: Lee
authors.forename: Alberto J
authors.initials: AJ
authors.lastname: Caban-Martinez
authors.forename: Kathryn E
authors.initials: KE
authors.lastname: McCollister
authors.forename: Kristopher L
authors.initials: KL
authors.lastname: Arheart
authors.forename: Katherine
authors.initials: K
authors.lastname: Chung-Bridges
authors.forename: Sharon
authors.initials: S
authors.lastname: Christ
authors.forename: John
authors.initials: J
authors.lastname: Clark
authors.forename: John E
authors.initials: JE
authors.lastname: Lewis
authors.forename: Evelyn P
authors.initials: EP
authors.lastname: Davila
authors.forename: Panta
authors.initials: P
authors.lastname: Rouhani
authors.forename: Lora E
authors.initials: LE
authors.lastname: Fleming
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D004522:Educational Status; D005260:Female; D019538:Health Care Surveys / Q000706:statistics & numerical data*; D006801:Humans; D007348:Insurance, Health / Q000706:statistics & numerical data; D008297:Male; D008403:Mass Screening / Q000706:statistics & numerical data*; D015999:Multivariate Analysis; D009790:Occupations / Q000145:classification* / Q000706:statistics & numerical data*; D010808:Physical Examination / Q000379:methods / Q000706:statistics & numerical data; D011159:Population Surveillance; D015995:Prevalence; D012878:Skin Neoplasms / Q000175:diagnosis / Q000453:epidemiology / Q000517:prevention & control*; D014481:United States / Q000453:epidemiology