{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T00:18:48Z","timestamp":1790036328835,"version":"4.0.1"},"reference-count":25,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2017,11,7]],"date-time":"2017-11-07T00:00:00Z","timestamp":1510012800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["1073898"],"award-info":[{"award-number":["1073898"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["552429"],"award-info":[{"award-number":["552429"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2018,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Because melanoma patients are at high risk of further disease, we aimed to study their melanoma prevention behaviours.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In a large cohort of patients newly diagnosed with high\u2010risk melanoma in Queensland, Australia, we assessed clustering of preventive behaviours using latent class analysis. We assessed associated factors with prevalence proportion ratios (PPRs) and 95% confidence intervals (CIs) estimated by Poisson regression and also if preventive behaviour was associated with better tumour prognosis at diagnosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 789 primary melanoma patients (57% male; 21% with previous melanoma), we identified 4 different behaviour clusters: \u201cno\/ low prevention\u201d (34% of cohort), \u201csun protection only\u201d (25%), \u201cskin checks only\u201d (25%), and \u201csun protection and skin checks\u201d (17%). Prevalence of clusters differed between males and females and also the component behaviours. Preventive behaviours were associated with having skin that burned and past cutaneous cancer, and for males, combined sun protective and skin checking behaviour was associated with higher education and non\u2010smoking. In patients with no past history of cutaneous cancer, males in the \u201cskin checks only\u201d cluster had significantly reduced chances of a thick (poor prognosis) melanoma (PPR\u00a0=\u00a00.79, 95% CI 0.68, 0.91) and females in the \u201csun protection and skin checks\u201d cluster were significantly less likely to have an ulcerated melanoma (PPR\u00a0=\u00a00.85, 95% CI 0.74, 0.98) compared with the \u201cno\/ low prevention\u201d cluster.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>These findings allow tailoring of preventive advice to melanoma patients to reduce their risk of future primary and recurrent disease.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pon.4565","type":"journal-article","created":{"date-parts":[[2017,10,17]],"date-time":"2017-10-17T02:52:37Z","timestamp":1508208757000},"page":"1442-1449","source":"Crossref","is-referenced-by-count":6,"title":["Clustering of prevention behaviours in patients with high\u2010risk primary melanoma"],"prefix":"10.1002","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2753-4841","authenticated-orcid":false,"given":"Ad\u00e8le C.","family":"Green","sequence":"first","affiliation":[{"name":"Cancer and Population Studies Group QIMR Berghofer Medical Research Institute  Brisbane Qld Australia"},{"name":"CRUK Manchester Institute, and Faculty of Biology Medicine and Health, University of Manchester  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Celia B.","family":"Hughes","sequence":"additional","affiliation":[{"name":"Cancer and Population Studies Group QIMR Berghofer Medical Research Institute  Brisbane Qld Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lena A.","family":"von Schuckmann","sequence":"additional","affiliation":[{"name":"Cancer and Population Studies Group QIMR Berghofer Medical Research Institute  Brisbane Qld Australia"},{"name":"School of Public Health The University of Queensland  Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiarash","family":"Khosrotehrani","sequence":"additional","affiliation":[{"name":"Experimental Dermatology Group The University of Queensland Diamantina Institute  Brisbane Qld Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B. Mark","family":"Smithers","sequence":"additional","affiliation":[{"name":"Queensland Melanoma Project, Discipline of Surgery The University of Queensland  Brisbane Qld Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,11,7]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"262","article-title":"Familial melanoma and multiple primary melanoma","volume":"152","author":"Simone P","year":"2017","journal-title":"Giornale italiano di dermatologia e venereologia: organo ufficiale, Societa italiana di dermatologia e sifilografia"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2010.10.002"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00432-015-2086-z"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-16-0854"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/dji019"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-14-0431"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0078820"},{"key":"e_1_2_7_9_1","unstructured":"National Collaborating Centre for Cancer.National Institute for Health and Care Excellence: Clinical Guidelines. Melanoma: Assessment and Management. London: National Institute for Health and Care Excellence (UK) Copyright (c) National Collaborating Centre for Cancer;2015."},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.1510"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.2017"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.14104"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/3874572"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/jso.24013"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.23424"},{"key":"e_1_2_7_16_1","unstructured":"The Methodology Center.PROC LCA & PROC LTA (Version 1.3.2) [Software]. 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