title: Internet based health promotion campaign against skin cancer - Results of www.skincheck.ch in Switzerland.
abstract: Conventional skin cancer prevention programs appeal to limited populations, and the middle aged male population responds less frequently. Our objective was to establish a complementary health promotion campaign tool for skin cancer prevention. Internet-based education, instruction for self assessment and teledermatological evaluation of skin lesions by an expert commission of dermatologists was used. Compliance and clinical diagnosis was assessed in a subgroup. 12,000 users visited the educational website. There was strong interest among the middle aged male population (53% (N = 262): male; mean age: 42). 28.5% of examined lesions (N = 494) were considered suspicious. Email requests, sent to the group whose lesions where considered suspicious, were answered by 46.0% of females (N = 29) and 59.7% of males (N = 46) with a female distribution predominantly in younger ages (52.6% of females with known age: < 30 years). Males were predominantly represented over 30 years (86.2% of all males). According to user's declarations, at least 8 (8.5%) malignant lesions (1 melanoma in situ, 1 squamous cell carcinoma, 4 basal cell carcinomas, 2 malignant lesions without declared diagnosis) were finally diagnosed by physicians. We conclude that internet-based, interactive, educational programs, in addition to existing health promotion campaigns, can enhance public participation in the middle aged male population in skin cancer prevention.
authors.affiliation: Department of Dermatology, University Hospital of Zurich, CH-8091 Zurich, Switzerland.
authors.forename: Marjam-Jeanette
authors.initials: MJ
authors.lastname: Barysch
authors.forename: Antonio
authors.initials: A
authors.lastname: Cozzio
authors.forename: Isabel
authors.initials: I
authors.lastname: Kolm
authors.forename: Susanne Ruf
authors.initials: SR
authors.lastname: Hrdlicka
authors.forename: Christoph
authors.initials: C
authors.lastname: Brand
authors.forename: Robert
authors.initials: R
authors.lastname: Hunger
authors.forename: Oliver
authors.initials: O
authors.lastname: Kreyden
authors.forename: Reto
authors.initials: R
authors.lastname: Schaffner
authors.forename: Thomas
authors.initials: T
authors.lastname: Zaugg
authors.forename: Reinhard
authors.initials: R
authors.lastname: Dummer
mesh_terms: D000328:Adult; D005260:Female; D006266:Health Education; D006293:Health Promotion; D006801:Humans; D020407:Internet; D008297:Male; D008875:Middle Aged; D012878:Skin Neoplasms / Q000175:diagnosis / Q000517:prevention & control* / Q000628:therapy; D013557:Switzerland