Investigating Skin Cancer Risk and Sun Safety Practices Among LGBTQ+ Communities in Canada.

IF 2.8 4区 医学 Q2 ONCOLOGY
François Lagacé, Farhan Mahmood, Santina Conte, Lorena A Mija, Amina Moustaqim-Barrette, Jonathan LeBeau, Alyson McKenna, Mahan Maazi, Johnny Hanna, Alexandra Sarah Victoria Kelly, Raquel Lazarowitz, Elham Rahme, Travis J Hrubeniuk, Ellen Sweeney, Ivan V Litvinov
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Abstract

Background: Skin cancer prevention relies on effective sun safety practices. Previous studies have shown that LGBTQ+ individuals exhibit lower sunscreen use and higher tanning bed usage compared to their non-LGBTQ+ counterparts. This study is the first to assess skin cancer risk factors, sun-protective behaviors, and skin cancer concerns among LGBTQ+ individuals across Canada.

Methods: A national survey study was conducted between July 2020 and March 2024 and included LGBTQ+ respondents aged ≥ 16 years who had completed the survey. Responses were summarized using frequency counts/percentages for categorical variables and means/standard deviations for continuous variables. Logistic regression models were used to calculate age- and gender-adjusted odds ratios for subgroup analyses.

Results: Of the 700 LGBTQ+ participants included (59.3% women; median age 38 years), the majority had a Fitzpatrick skin phototype (FSP) I-III (76.4%). Concerningly, 60% reported >10 lifetime sunburns, 58% reported ≥1 blistering sunburn, 34% had used a tanning bed ≥1 time in their lifetime, and 69% reported having a tan in the last 12 months. Sunscreen was worn regularly by only half of the respondents, and half of the participants agreed or strongly agreed with "I look better and/or healthier with a tan". Additional comparisons are presented based on gender, FSP, education, and income.

Conclusion: The findings of this study highlight the need for public health campaigns tailored to the LGBTQ+ community, emphasizing culturally sensitive sun safety education, particularly for LGBTQ+ men, individuals with FSP IV-VI, and those with lower education levels, to help reduce future skin cancer risk.

调查加拿大LGBTQ+社区的皮肤癌风险和防晒措施。
背景:皮肤癌的预防依赖于有效的防晒措施。之前的研究表明,与非LGBTQ+人群相比,LGBTQ+人群的防晒霜使用量更低,而晒黑床的使用率更高。这项研究首次评估了加拿大各地LGBTQ+人群的皮肤癌风险因素、防晒行为和皮肤癌担忧。方法:在2020年7月至2024年3月期间进行全国性调查研究,包括年龄≥16岁的LGBTQ+受访者。分类变量使用频率计数/百分比,连续变量使用均值/标准差对响应进行总结。逻辑回归模型用于计算亚组分析的年龄和性别调整的优势比。结果:在700名LGBTQ+参与者中,女性占59.3%;中位年龄38岁),大多数为菲茨帕特里克皮肤光型(FSP) I-III型(76.4%)。值得关注的是,60%的人报告一生晒伤10次以上,58%的人报告≥1次起泡性晒伤,34%的人一生中使用过晒黑床≥1次,69%的人报告在过去12个月内晒黑。只有一半的受访者经常涂防晒霜,一半的参与者同意或非常同意“晒黑后我看起来更好更健康”。根据性别、FSP、教育和收入提供了额外的比较。结论:本研究结果强调,需要针对LGBTQ+社区开展公共卫生活动,强调具有文化敏感性的太阳安全教育,特别是针对LGBTQ+男性、FSP IV-VI患者和教育水平较低的人群,以帮助降低未来患皮肤癌的风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Current oncology
Current oncology ONCOLOGY-
CiteScore
3.30
自引率
7.70%
发文量
664
审稿时长
1 months
期刊介绍: Current Oncology is a peer-reviewed, Canadian-based and internationally respected journal. Current Oncology represents a multidisciplinary medium encompassing health care workers in the field of cancer therapy in Canada to report upon and to review progress in the management of this disease. We encourage submissions from all fields of cancer medicine, including radiation oncology, surgical oncology, medical oncology, pediatric oncology, pathology, and cancer rehabilitation and survivorship. Articles published in the journal typically contain information that is relevant directly to clinical oncology practice, and have clear potential for application to the current or future practice of cancer medicine.
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