title: Barriers to Seeking Help for Skin Cancer Detection in Rural Australia.
abstract: This study explores rural South Australians' barriers to help-seeking for skin cancer detection. A total of 201 randomly selected rural adults (18-94 years, 66% female) were presented with a skin-cancer-related scenario via telephone and were asked the extent to which various barriers would impede their help-seeking, based on an amended version of the Barriers to Help-Seeking Scale. Older (≥63 years) and less educated participants endorsed barriers more strongly than their younger, more educated counterparts in the following domains; "Concrete barriers and distrust of caregivers", "Emotional control", "Minimising problem and Normalisation", "Need for control and self-reliance" (every domain other than "Privacy"). Socioeconomic disadvantage, gender, and farmer status did not predict stronger overall barriers, but some gender and occupation-related differences were detected at the item level. Farmers were also more likely to endorse the "Minimising problem and normalization" domain than their non-farmer working rural counterparts. Widely endorsed barriers included the tendency to minimise the problem, a desire to remain in control/not be influenced by others, reluctance to show emotion or complain, and having concerns about privacy or waiting times.
authors.affiliation: Flinders Centre for Innovation in Cancer, School of Medicine, Flinders University, Sturt Road, Bedford Park 5042, South Australia, Australia. kate.fennell@unisa.edu.au.|Cancer Council SA, 202 Greenhill Road, Eastwood 5063, South Australia, Australia. kate.fennell@unisa.edu.au.|Freemasons Foundation Centre for Men's Health, The University of Adelaide, Adelaide 5005, South Australia, Australia. kate.fennell@unisa.edu.au.|Sansom Institute for Health Research, University of South Australia, Adelaide 5001, South Australia, Australia. kate.fennell@unisa.edu.au.
authors.forename: Kate M
authors.initials: KM
authors.lastname: Fennell
authors.affiliation: Cancer Council SA, 202 Greenhill Road, Eastwood 5063, South Australia, Australia. kimberley.martin@sahmri.com.|South Australian Health and Medical Research Institute, Adelaide 5001, South Australia, Australia. kimberley.martin@sahmri.com.
authors.forename: Kimberley
authors.initials: K
authors.lastname: Martin
authors.affiliation: Flinders Centre for Innovation in Cancer, School of Medicine, Flinders University, Sturt Road, Bedford Park 5042, South Australia, Australia. carlene.wilson@flinders.edu.au.|Cancer Council SA, 202 Greenhill Road, Eastwood 5063, South Australia, Australia. carlene.wilson@flinders.edu.au.
authors.forename: Carlene J
authors.initials: CJ
authors.lastname: Wilson
authors.affiliation: Flinders Centre for Innovation in Cancer, School of Medicine, Flinders University, Sturt Road, Bedford Park 5042, South Australia, Australia. camilla.trenerry@flinders.edu.au.|Cancer Council SA, 202 Greenhill Road, Eastwood 5063, South Australia, Australia. camilla.trenerry@flinders.edu.au.|Freemasons Foundation Centre for Men's Health, The University of Adelaide, Adelaide 5005, South Australia, Australia. camilla.trenerry@flinders.edu.au.|School of Psychology, The University of Adelaide, Adelaide 5005, South Australia, Australia. camilla.trenerry@flinders.edu.au.
authors.forename: Camilla
authors.initials: C
authors.lastname: Trenerry
authors.affiliation: Cancer Council SA, 202 Greenhill Road, Eastwood 5063, South Australia, Australia. greg.sharplin@unisa.edu.au.
authors.forename: Greg
authors.initials: G
authors.lastname: Sharplin
authors.affiliation: Freemasons Foundation Centre for Men's Health, The University of Adelaide, Adelaide 5005, South Australia, Australia. james.dollman@unisa.edu.au.|Sansom Institute for Health Research, University of South Australia, Adelaide 5001, South Australia, Australia. james.dollman@unisa.edu.au.|Alliance for Research in Exercise, Nutrition and Activity, School of Health Sciences, University of South Australia, Adelaide 5001, South Australia, Australia. james.dollman@unisa.edu.au.
authors.forename: James
authors.initials: J
authors.lastname: Dollman
keywords: barrier; cancer; help; help-seeking; physician-patient relations; psychosocial; rural; skin