title: Total body skin examination for skin cancer screening among U.S. adults from 2000 to 2010.
abstract: OBJECTIVE
  Melanoma incidence and mortality are increasing among United States adults. At present, routine skin cancer screening via total body skin examinations (TBSEs) by a physician is not recommended by the United States Preventive Services Task Force (USPSTF); while organizations such as the American Cancer Society recommend screening. Currently, there are limited data on the prevalence, correlates, and trends of TBSE among United States adults.
  
  
  METHODS
  We analyzed data by race/ethnicity, age, and skin cancer risk level, among other characteristics from three different National Health Interview Survey (NHIS) cancer control supplements conducted every five years since 2000 in random United States households. High-risk status and middle-risk status were defined based on the USPSTF criteria (age, race, sunburn, and family history).
  
  
  RESULTS
  Prevalence of having at least one TBSE increased from 14.5 in 2000 to 16.5 in 2005 to 19.8 in 2010 (P<0.0001). In 2010, screening rates were higher among the elderly, the fair-skinned, those reporting sunburn(s), and individuals with a family history of skin cancer. Approximately 104.7million (51.1%) U.S. adults are at high-risk for developing melanoma, of which 24.0% had at least one TBSE.
  
  
  CONCLUSIONS
  TBSE rates have been increasing since 2000 both overall and among higher-risk groups. Data on screening trends could help tailor future prevention strategies.
authors.affiliation: Emory University School of Medicine, USA. Electronic address: Naheeda786@gmail.com.
authors.forename: Naheed A
authors.initials: NA
authors.lastname: Lakhani
authors.affiliation: Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Division of Cancer Prevention and Control, USA. Electronic address: yzs2@cdc.gov.
authors.forename: Mona
authors.initials: M
authors.lastname: Saraiya
authors.affiliation: Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Division of Cancer Prevention and Control, USA. Electronic address: tkt2@cdc.gov.
authors.forename: Trevor D
authors.initials: TD
authors.lastname: Thompson
authors.affiliation: Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Division of Cancer Prevention and Control, USA. Electronic address: fjq9@cdc.gov.
authors.forename: Sallyann Coleman
authors.initials: SC
authors.lastname: King
authors.affiliation: Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Division of Cancer Prevention and Control, USA. Electronic address: irm2@cdc.gov.
authors.forename: Gery P
authors.initials: GP
authors.lastname: Guy
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D055088:Early Detection of Cancer / Q000523:psychology / Q000706:statistics & numerical data; D019317:Evidence-Based Medicine; D005260:Female; D006306:Health Surveys; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008403:Mass Screening / Q000523:psychology* / Q000706:statistics & numerical data; D008875:Middle Aged; D010808:Physical Examination / Q000523:psychology*; D012111:Residence Characteristics; D018570:Risk Assessment; D012878:Skin Neoplasms / Q000175:diagnosis* / Q000517:prevention & control / Q000628:therapy; D014481:United States; D055815:Young Adult
keywords: Cancer screening; Early diagnosis of cancer; Melanoma; Skin cancer