Difference in Sun Exposure Habits Between Individuals with High and Low Risk of Skin Cancer

Background: Skin cancer incidence is rapidly increasing. The main risk factor, sun exposure, can be modified. Informational campaigns can be effective in raising skin cancer awareness and target the high-risk population. Still, sun exposure habits in people at high risk of skin cancer are not well-known. Objective: To investigate if and how sun exposure habits differ between low-risk and high-risk individuals. Methods: During the Swedish Euromelanoma campaign of 2018, questionnaires were collected containing information regarding sun exposure habits and risk factors for skin cancer. Data on 4,141 participants was used to investigate the association between risk factors and sun exposure habits. Results: A fair skin type and a previous history of skin cancer were significantly associated with enhanced sun protective behavior. Family history of skin cancer, childhood sunburns and the presence of large/atypical nevi had no effect on sun exposure habits. Going on sunny holidays were particularly unaffected by being at high risk of skin cancer. Conclusion: Individuals at high risk of developing skin cancer showed suboptimal sun exposure habits and harmful traveling behaviors. We suggest that future skin cancer campaigns inform on accurate sun protection behavior during sunny holidays and associated risk factors. Risk factors such as childhood sunburns, numerous common and large/atypical nevi, as well as family history of skin cancer seem to be less recognized by the population.

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SCREENING FAKTOR RESIKO DIABETES MELITUS PADA INDIVIDU DENGAN RIWAYAT KELUARGA DIABETES MELITUS DI RSUD JAILOLO

JURNAL KEPERAWATAN ◽

10.35790/jkp.v8i1.28410 ◽

2020 ◽

Vol 8 (1) ◽

pp. 44

Author(s):

Relin Watta ◽

Gresty Masi ◽

Mario E. Katuuk

Keyword(s):

Physical Activity ◽

Diabetes Mellitus ◽

Risk Factors ◽

Family History ◽

High Risk ◽

Low Risk ◽

Eating Patterns ◽

Family History Of Diabetes ◽

History Of ◽

Diabetes Melitus

AbstractBackgroud: Diabetes mellitus is a chronic metabolic disorder characterized by an increase in blood glucose. The purpose of this study is to describe the risk factors for diabetes mellitus in individuals with a family history of diabetes mellitus. This method used a descriptive design with a Survey approach. The sample in this study were 100 people in family members who have a family history of diabetes mellitus. The test results obtained are a family history of diabetes mellitus with a high risk of 96 respondents (96%). The description of knowledge on high-risk eating patterns was 80 respondents (80%), while attitudes toward eating patterns show 81 respondents (81%) were at high risk. The description of knowledge about physical activity shawed that 76 respondents (76%) had a high risk, while the attitude towards physical activity showed 37 respondents (37%) had a high risk and 63 respondents (63%) had a low risk. Conclusion there is a high risk of diabetes mellitus in individuals with a family history of diabetes, most respondents have low knowledge and attitudes about eating patterns so that they have a high risk of diabetes, and respondents' knowledge about high-risk physical activity but attitudes to low-risk physical activity.Keywords: Screening, Risk factors, Diabetes mellitusAbstrakLatar belakang: Diabetes melitus adalah penyakit gangguan metabolisme kronis yang ditandai dengan peningkatan glukosa darah. Tujuan penelitian diketahui gambaran faktor resiko diabetes melitus pada individu dengan riwayat keluarga diabetes melitus . Metode penelitian deskriptif dengan metode Survey. Sampel dalam penelitian ini adalah 100 orang pada anggota keluarga yang memiliki riwayat keluarga diabetes melitus. Hasil hasil uji diperoleh yaitu gambaran riwayat keluarga diabetes melitus yang beresiko tinggi sebanyak 96 orang responden (96%). Gambaran pengetahuan pada pola makan yang beresiko tinggi sebanyak 80 orang responden (80%), sedangkan sikap pada pola makan menunjukan 81 orang responden (81%) beresiko tinggi. Gambaran pengetahuan tentang aktivitas fisik menunjukan 76 orang responden (76%) beresiko tinggi, sedangkan sikap pada aktivitas fisik yang menunjukan 37 orang responden (37%) beresiko tinggi dan 63 orang responden (63%) yang beresiko rendah. Kesimpulan terdapat resiko tinggi diabetes melitus pada individu dengan riwayat keluarga diabetes, sebagian besar responden memiliki pengetahuan dan sikap yang rendah tentang pola makan sehingga memiliki resiko tinggi terhadap diabetes, dan pengetahuan responden tentang aktivitas fisik beresiko tinggi tetapi sikap pada aktivitas fisik beresiko rendah.Kata Kunci : Screening, Faktor Resiko, Diabetes Melitus.

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Comparing Melanoma Invasiveness in Dermatologist- versus Patient-Detected Lesions: A Retrospective Chart Review

Journal of Skin Cancer ◽

10.1155/2012/187963 ◽

2012 ◽

Vol 2012 ◽

pp. 1-5 ◽

Cited By ~ 3

Author(s):

Cindy L. Lamerson ◽

Kristina Eaton ◽

Joel L. Sax ◽

Mohammed Kashani-Sabet

Keyword(s):

Family History ◽

Skin Cancer ◽

Early Detection ◽

Chart Review ◽

Retrospective Chart Review ◽

Sun Exposure ◽

Tumor Location ◽

Less Invasive ◽

Dermatology Clinic ◽

History Of

This study examined whether patient-identified melanomas were more advanced than dermatologist-identified tumors at routine clinic visits, and whether a personal or family history of skin cancer was associated with patterns of detection. A retrospective chart review was performed on melanoma patients (N=201) in a private dermatology clinic. Variables included age, gender, pattern of detection (i.e., patient or a board certified dermatologist), personal or family history of skin cancer, skin type, and previous sun exposure, as well as tumor location and severity. Dermatologist-diagnosed melanomas were less invasive (P<0.0005), and more likely present on the chest, back, and legs (P<0.01). Conversely, patient-identified lesions were more likely to occur on the face, neck and scalp, be associated with younger patients, and a family history of melanoma, but not other types of skin cancer (P<0.01). In a post-hoc analysis examining these factors as predictors of tumor invasiveness, only diagnostic source was significant. Specifically, dermatologist-identified tumors were significantly less invasive than patient-identified tumors. Although age, family history, and tumor location played roles in the early detection of melanomas, the most important factor was diagnostic source. Thus, board-certified dermatologists play a key role in the early detection of malignant melanoma.

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The Risk of Stroke Using CHA2 DS2 -VASc Score in Hemodialysis Patients at a Tertiary Hospital in Riyadh, Saudi Arabia

Journal of Clinical Review & Case Reports ◽

10.33140/jcrc.04.07.01 ◽

2019 ◽

Vol 4 (7) ◽

Keyword(s):

Risk Factors ◽

High Risk ◽

Stroke Risk ◽

Hemodialysis Patients ◽

Low Risk ◽

High Risk Patients ◽

Stroke Risk Factors ◽

Increased Risk ◽

Risk Patients ◽

History Of

Introduction: Patients undergoing hemodialysis are at increased risk of stroke. However, less known about the impact of some of the stroke risk factors, and the value of stroke risk scores in determining the risk in those patients. Our main goal. To assess the risk factors for stroke in hemodialysis patients and the use of the new CHA2DS2-VASc score for stroke assessment. Methods: Single center, retrospective cohort study of 336 patients undergoing hemodialysis from June 24, 2018, to September 6, 2018, was recruited. Baseline demographics, clinical, and laboratory data were collected. We calculated the CHA2 DS2 -VASc score for stroke assessment in all patients and categorized them into high, moderate and low risk patients according to CHA2 DS2 - VASc score and subcategorized them to two groups atrial fibrillation (AFib) and Non- Atrial fibrillation (Non AFib) patients. Results: 336 patients were included in our study; the majority of patients were at high risk with a CHA2 DS2 -VASc Score mean of 2.9± 1.5, although history of stroke was observed only in 15 patients (4.46%). According to CHA2 DS2 - VASc score, 280 patients were at high risk, 172 (51.19%) were high-risk patients on treatment (anticoagulant or antiplatelet) and 108(32.14%) patients were high risk patients not on treatment 48 were at moderate risk (14.28%) and 8 were at low risk (2.38 %). Patients were divided into subgroups as non-AFib and AFib. In non-AFib patients 320 (95.23%), high-risk patients 103 (32.18%) were not treated; high-risk patients with treatment are 162 (50.62%), moderate patients were 47 (14.68%), 8(2.5%) was in low risk. AFib patients were 16 with a mean CHA2 DS2 -VASc score of 4.4±1.1. Patients with AFib were all at high risk except 1 was at moderate risk (6.25%). There were 11 (68.75%) patients on treatment and 5 (31.25%) patients not on treatment. The risk factors for stroke that were statistically significant in increasing score risk for all patients were: age > 65 (95% CI, -2.04– -1.29; p = 0.000), being female (95% CI, -1.36– -0.68; p = 0.000) hypertension (95% CI, -2.59– -1.37; p = 0.000), diabetes (95% CI, -2.10– -1.50; p = 0.000), CVD (95% CI, -2.07– -1.24; p=0.000), history of stroke or TIA (95% CI, -3.70– -2.03; p = 0.000), CHF or LVEF (95% CI, -2.28– - 0.91; p = 0.000). Conclusions: The risk of stroke in hemodialysis patients is significant according to the use of CHA2 DS2 -VASc score in Non-AFib hemodialysis patients shows supportive evidence of increased risk of stroke in those patients, which suggest the importance of close monitoring of patients with stroke risk factors by the nephrologist and the stroke team which will lead to the initiation of early prophylaxis in those patients.

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Prevalence of stroke and stroke related risk factors: a population based cross sectional survey in southwestern China

10.21203/rs.2.17357/v4 ◽

2019 ◽

Author(s):

Xingyang Yi ◽

Hua Luo ◽

Ju Zhou ◽

Ming Yu ◽

Xiaorong Chen ◽

...

Keyword(s):

Risk Factors ◽

Family History ◽

High Risk ◽

Population Attributable Risk ◽

Southwestern China ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Stroke Population ◽

History Of ◽

Lack Of Exercise

Abstract Background: Stroke and its risk factors epidemiological survey can help identify individuals at higher risk and therefore promote stroke prevention strategies. The aim of this study was to estimate the current prevalence of stroke and high risk stroke population, and evaluate stroke associated risk factors in southwestern China. Methods: This was a multi-center, cross sectional survey in southwestern China from May 2015 to September 2015. The 8 communities were selected at random, and 17413 residents aged ≥ 40 years volunteered to participate in this survey. Data were collected through face-to-face survey using a structured questionnaire. 521 participants with incomplete questionnaires on stroke history or risk factors records were excluded. Results: A total of 16892 people included in analysis. The overall prevalence of stroke was 3.1% (95% CI 2.6% - 3.9%), 17.1% of participants were the high risk stroke population. After full adjustments, hypertension, diabetes, dyslipidemia, overweight, lack of exercise and family history of stroke were significantly associated with overall stroke and ischemic stroke. The largest contributor was hypertension (population-attributable risk 23.6%), followed by dyslipidemia, physical inactivity, family history of stroke, diabetes, and overweight. However, only hypertension (OR = 3.66, 95% CI 1.82-8.23) was significantly associated with hemorrhagic stroke. Conclusions: The prevalence of stroke and high risk stroke population was high among adults aged ≥ 40 years in southwestern China. Hypertension, dyslipidemia and lack of exercise were stronger contributors for stroke, these findings suggest that individual-level and population-level interventions for these leading risk factors are necessary to prevent stroke.

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Prevalence of stroke and stroke related risk factors: a population based cross sectional survey in southwestern China

BMC Neurology ◽

10.1186/s12883-019-1592-z ◽

2020 ◽

Vol 20 (1) ◽

Cited By ~ 4

Author(s):

Xingyang Yi ◽

Hua Luo ◽

Ju Zhou ◽

Ming Yu ◽

Xiaorong Chen ◽

...

Keyword(s):

Risk Factors ◽

Family History ◽

High Risk ◽

Population Attributable Risk ◽

Southwestern China ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Stroke Population ◽

History Of ◽

Lack Of Exercise

Abstract Background Stroke and its risk factors epidemiological survey can help identify individuals at higher risk and therefore promote stroke prevention strategies. The aim of this study was to estimate the current prevalence of stroke and high risk stroke population, and evaluate stroke associated risk factors in southwestern China. Methods This was a multi-center, cross sectional survey in southwestern China from May 2015 to September 2015. The eight communities were selected at random, and 17,413 residents aged ≥40 years volunteered to participate in this survey. Data were collected through face-to-face survey using a structured questionnaire. Five hundred twenty-one participants with incomplete questionnaires on stroke history or risk factors records were excluded. Results A total of 16,892 people included in analysis. The overall prevalence of stroke was 3.1% (95% CI 2.6–3.9%), 17.1% of participants were the high risk stroke population. After full adjustments, hypertension, diabetes, dyslipidemia, overweight, lack of exercise and family history of stroke were significantly associated with overall stroke and ischemic stroke. The largest contributor was hypertension (population-attributable risk 23.6%), followed by dyslipidemia, physical inactivity, family history of stroke, diabetes, and overweight. However, only hypertension (OR = 3.66, 95% CI 1.82–8.23) was significantly associated with hemorrhagic stroke. Conclusions The prevalence of stroke and high risk stroke population was high among adults aged ≥40 years in southwestern China. Hypertension, dyslipidemia and lack of exercise were stronger contributors for stroke, these findings suggest that individual-level and population-level interventions for these leading risk factors are necessary to prevent stroke.

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The Validity and Utility of Risk Assessment for Inpatient Suicide

Australasian Psychiatry ◽

10.3109/10398562.2011.610505 ◽

2011 ◽

Vol 19 (6) ◽

pp. 507-512 ◽

Cited By ~ 46

Author(s):

Matthew Large ◽

Christopher Ryan ◽

Olav Nielssen

Keyword(s):

Risk Factors ◽

High Risk ◽

Risk Model ◽

Psychiatric Patients ◽

Meta Analysis ◽

Low Risk ◽

Prior History ◽

Inpatient Suicide ◽

History Of ◽

Self Harm

Objective: It is widely assumed that identifying clinical risk factors can allow us to determine which patients are at high risk of suicide while in hospital, and that identifying those patients can help prevent inpatient suicide. We aimed to examine the validity and utility of categorizing psychiatric patients to be at either high or low risk of committing suicide while in hospital. Method: The assumption that high-risk categorizations are valid was examined by comparing factors included in high-risk models derived from individual studies of inpatient suicide with the results of a meta-analysis of factors associated with inpatient suicide. A valid high-risk model was then applied to a hypothetical clinical setting in order to test the assumption that high-risk categorizations are useful. Results: The existing models for assessing whether inpatients are at high risk of suicide all include one or more factors that were not found to be associated with inpatient suicide by meta-analysis and were probably chance associations. Depressed mood and a prior history of self-harm are the only well-established independent risk factors for inpatient suicide. Using these risk factors to classify patients as being at high or low risk would prevent few, if any, suicides, and would come at a considerable cost in terms of more restrictive care of many patients and the reduced level of care available to the remaining patients. Conclusions: Risk categorization of individual patients has no role to play in preventing the suicide of psychiatric inpatients.

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M1947 Does a Family History of Breast Cancer Trump a Family History of Colorectal Cancer for Colonic Neoplasia in a Prospectively Evaluated High Risk Population?

Gastroenterology ◽

10.1016/s0016-5085(09)62082-5 ◽

2009 ◽

Vol 136 (5) ◽

pp. A-453

Author(s):

Jeffrey J. Easler ◽

Mary A. Rambus ◽

James S. Hatfield ◽

Rasna Gupta ◽

Pragnesh Patel ◽

...

Keyword(s):

Breast Cancer ◽

Colorectal Cancer ◽

Family History ◽

High Risk ◽

High Risk Population ◽

Risk Population ◽

Colonic Neoplasia ◽

History Of

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Melanoma Prevention: Comparison of Different Screening Methods for the Selection of a High Risk Population

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18041953 ◽

2021 ◽

Vol 18 (4) ◽

pp. 1953

Author(s):

Nevio Dubbini ◽

Antonella Puddu ◽

Grazia Salimbeni ◽

Stefano Malloggi ◽

Daniele Gandini ◽

...

Keyword(s):

Risk Factors ◽

High Risk ◽

Multivariable Analysis ◽

High Risk Population ◽

Screening Methods ◽

Risk Melanoma ◽

Effective Selection ◽

History Of ◽

Melanoma Screening ◽

Selection Of

Background: Guidelines recommend limiting melanoma screening in a population with known risk factors, but none indicates methods for efficient recruitment. The purpose of this study is to compare three different methods of recruiting subjects to be screened for melanoma to detect which, if any, is the most efficient. Methods: From 2010 to 2019, subjects were recruited as follows: (1) regular skin examinations (RS), mainly conducted through the Associazione Contro il Melanoma network; (2) occasional melanoma screening (OS), during annual public campaigns; (3) and selective screening (SS), where people were invited to undergo a skin check after filling in a risk evaluation questionnaire, in cases where the assigned outcome was intermediate/high risk. Melanoma risk factors were compared across different screening methods. Generalized Linear Mixed Models were used for multivariable analysis. Results: A total of 2238 subjects (62.7% women) were recruited, median age 44 years (2–85), and 1094 (48.9 %) records were collected through RS, 826 (36.9 %) through OS, and 318 (14.2 %) through SS. A total of 131 suspicious non-melanoma skin cancers were clinically diagnosed, 20 pathologically confirmed, and 2 melanomas detected. SS performed significantly better at selecting subjects with a family history of melanoma and I-II phototypes compared to OS. Conclusions: Prior evaluation of melanoma known risk factors allowed for effective selection of a population to screen at higher risk of developing a melanoma.

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Head and neck cancer risk factors in the French West Indies

BMC Cancer ◽

10.1186/s12885-021-08787-4 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Aviane Auguste ◽

Clarisse Joachim ◽

Jacqueline Deloumeaux ◽

Stanie Gaete ◽

Léah Michineau ◽

...

Keyword(s):

Risk Factors ◽

Family History ◽

High Risk ◽

Head And Neck ◽

Tobacco Smoking ◽

Alcohol Drinking ◽

West Indies ◽

History Of ◽

Low Bmi ◽

High Risk Hpv

Abstract Objectives The incidence of head and neck squamous cell carcinoma (HNSCC) in the French West Indies (FWI) is relatively high, despite a low prevalence of tobacco smoking and alcohol drinking. Little is known about other risk factors in the FWI. We assessed associations between several factors and HNSCC risk, their population attributable fractions (PAF) in the FWI, and compared these PAFs by subsite, sex and age. Materials and methods We conducted a population-based case-control study (145 cases and 405 controls). We used logistic regression models to estimate adjusted odds-ratios (OR), PAFs and their 95% confidence intervals (CI). Results Tobacco smoking, alcohol drinking, high-risk HPV, family history of HNC, low BMI and several occupations and industries were significantly associated to the occurrence of HNSCC. The majority of HNSCC cases were attributable to tobacco smoking (65.7%) and alcohol (44.3%). The PAF for the combined consumption of tobacco and/or alcohol was 78.2% and was considerably larger in men (85%) than in women (33%). The PAFs for the remaining risk factors were 9% for family history of HNSCC, 9% for low BMI, 15% for high-risk HPV, and 25% for occupations. The overall PAF for all risk factors combined was 89.0% (95% CI = 82.0–93.2). The combined PAFs by sex were significantly greater in men (93.4%, 95% CI = 87.5–96.5) than in women (56.4%, 95% CI = 18.7–76.6). Conclusion Tobacco and alcohol appeared to have the greatest impact on HNSCC incidence among the studied risk factors, especially among men. Prevention programs for HNSCC in the FWI should target tobacco and alcohol cessation, particularly in men. Future research should emphasise on the role of occupational factors to better understand this disease.

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