title: Skin cancer surveillance behaviors among US Hispanic adults.
abstract: BACKGROUND
  Little skin cancer prevention research has focused on the US Hispanic population.
  
  
  OBJECTIVE
  This study examined the prevalence and correlates of skin cancer surveillance behaviors among Hispanic adults.
  
  
  METHODS
  A population-based sample of 788 Hispanic adults residing in 5 southern and western states completed an online survey in English or Spanish in September 2011. The outcomes were ever having conducted a skin self-examination (SSE) and having received a total cutaneous examination (TCE) from a health professional. The correlates included sociodemographic, skin cancer-related, and psychosocial factors.
  
  
  RESULTS
  The rates of ever conducting a SSE or having a TCE were 17.6% and 9.2%, respectively. Based on the results of multivariable logistic regressions, factors associated with ever conducting a SSE included older age, English linguistic acculturation, a greater number of melanoma risk factors, more frequent sunscreen use, sunbathing, job-related sun exposure, higher perceived skin cancer risk, physician recommendation, more SSE benefits, and fewer SSE barriers. Factors associated with ever having a TCE were older age, English linguistic acculturation, a greater number of melanoma risk factors, ever having tanned indoors, greater skin cancer knowledge, higher perceived skin cancer severity, lower skin cancer worry, physician recommendation, more TCE benefits, and fewer SSE barriers.
  
  
  CONCLUSIONS
  The cross-sectional design limits conclusions regarding the causal nature of observed associations.
  
  
  CONCLUSIONS
  Few Hispanic adults engage in skin cancer surveillance behaviors. The study highlights Hispanic subpopulations that are least likely to engage in skin cancer surveillance behaviors and informs the development of culturally appropriate interventions to promote these behaviors.
authors.affiliation: The Cancer Institute of New Jersey, New Brunswick, New Jersey; Department of Medicine, University of Medicine and Dentistry of New Jersey-Robert Wood Johnson Medical School, New Brunswick, New Jersey; Department of Health Education and Behavioral Science, University of Medicine and Dentistry of New Jersey-School of Public Health, Piscataway, New Jersey. Electronic address: coupsej@umdnj.edu.
authors.forename: Elliot J
authors.initials: EJ
authors.lastname: Coups
authors.affiliation: The Cancer Institute of New Jersey, New Brunswick, New Jersey; Department of Medicine, University of Medicine and Dentistry of New Jersey-Robert Wood Johnson Medical School, New Brunswick, New Jersey.
authors.forename: Jerod L
authors.initials: JL
authors.lastname: Stapleton
authors.affiliation: The Cancer Institute of New Jersey, New Brunswick, New Jersey; Department of Family Medicine and Community Health, University of Medicine and Dentistry of New Jersey-Robert Wood Johnson Medical School, New Brunswick, New Jersey; Department of Health Education and Behavioral Science, University of Medicine and Dentistry of New Jersey-School of Public Health, Piscataway, New Jersey.
authors.forename: Shawna V
authors.initials: SV
authors.lastname: Hudson
authors.affiliation: The Cancer Institute of New Jersey, New Brunswick, New Jersey.
authors.forename: Amanda
authors.initials: A
authors.lastname: Medina-Forrester
authors.affiliation: The Cancer Institute of New Jersey, New Brunswick, New Jersey.
authors.forename: Stephen A
authors.initials: SA
authors.lastname: Rosenberg
authors.affiliation: The Cancer Institute of New Jersey, New Brunswick, New Jersey.
authors.forename: Marsha
authors.initials: M
authors.lastname: Gordon
authors.affiliation: Department of Medicine, University of Medicine and Dentistry of New Jersey-New Jersey Medical School, Newark, New Jersey.
authors.forename: Ana
authors.initials: A
authors.lastname: Natale-Pereira
authors.affiliation: The Cancer Institute of New Jersey, New Brunswick, New Jersey; Department of Surgery, University of Medicine and Dentistry of New Jersey-Robert Wood Johnson Medical School, New Brunswick, New Jersey.
authors.forename: James S
authors.initials: JS
authors.lastname: Goydos
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D015438:Health Behavior / Q000208:ethnology*; D006630:Hispanic or Latino; D006801:Humans; D008297:Male; D015999:Multivariate Analysis; D015995:Prevalence; D012878:Skin Neoplasms / Q000453:epidemiology / Q000517:prevention & control*; D014481:United States