{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,9]],"date-time":"2025-11-09T03:38:36Z","timestamp":1762659516337},"reference-count":38,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2016,12,6]],"date-time":"2016-12-06T00:00:00Z","timestamp":1480982400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"National Institutes of Health\/National Cancer Institute","award":["T32 CA009461","K07 CA98106","R01 CA112524","U01 CA83180"],"award-info":[{"award-number":["T32 CA009461","K07 CA98106","R01 CA112524","U01 CA83180"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Melanoma patients are advised to perform regular risk\u2010reduction practices, including sun protection as well as skin self\u2010examinations (SSEs) and physician\u2010led examinations. Melanoma\u2010specific communication regarding family risk and screening may promote such behaviors. To this end, associations between patients' melanoma\u2010specific communication and risk reduction were examined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Melanoma patients (<jats:italic>N<\/jats:italic>\u00a0=\u00a0169) drawn from a population\u2010based cancer registry reported their current risk\u2010reduction practices, perceived risk of future melanoma, and communication with physicians and relatives about melanoma risk and screening.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patients were, on average, 56\u00a0years old and 6.7\u00a0years' post diagnosis; 51% were male, 93% reported \u201cfair\/very fair\u201d skin color, 75% completed at least some college, and 22% reported a family history of melanoma. Patients reported varying levels of regular (<jats:italic>always<\/jats:italic>\/<jats:italic>nearly always<\/jats:italic>) sun protection: sunscreen use (79%), shade seeking (60%), hat use (54%), and long\u2010sleeve shirt use (30%). Only 28% performed thorough SSE regularly, whereas 92% reported undergoing physician\u2010led skin examinations within the past year. Participants who were female, younger, and had a higher perceived risk of future melanoma were more likely to report past communication. In adjusted analyses, communication remained uniquely associated with increased sunscreen use and SSE.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Encouraging melanoma patients to have a more active role in discussions concerning melanoma risk and screening with relatives and physicians alike may be a useful strategy to promote 2 key risk\u2010reduction practices post melanoma diagnosis and treatment. Future research is needed to identify additional strategies to improve comprehensive risk reduction in long\u2010term melanoma patients.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pon.4315","type":"journal-article","created":{"date-parts":[[2016,11,16]],"date-time":"2016-11-16T19:19:57Z","timestamp":1479323997000},"page":"2142-2148","source":"Crossref","is-referenced-by-count":9,"title":["Communication about melanoma and risk reduction after melanoma diagnosis"],"prefix":"10.1002","volume":"26","author":[{"given":"Vivian M.","family":"Rodr\u00edguez","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Memorial Sloan Kettering Cancer Center  New York NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marianne","family":"Berwick","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine and Dermatology University of New Mexico  Albuquerque NM USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer L.","family":"Hay","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Memorial Sloan Kettering Cancer Center  New York NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,12,6]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"National Cancer Institute.SEER stat fact sheets: melanoma of the skin.2016;http:\/\/seer.cancer.gov\/statfacts\/html\/melan.html. 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