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Prim\u00e4r- und Sekund\u00e4rpr\u00e4vention sind entscheidend, um die Krankheitslast von Hautkrebs zu senken. Verschiedene Studien deuten allerdings auf ein unzureichendes Pr\u00e4ventionsverhalten insbesondere der Landbev\u00f6lkerung hin.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ziel der Arbeit<\/jats:title>\n                <jats:p>Ziel war, das Risiko- und Pr\u00e4ventionsverhalten von l\u00e4ndlichen Bev\u00f6lkerungen zu untersuchen und Subgruppen mit hohem Handlungsbedarf bez\u00fcglich Pr\u00e4ventionsma\u00dfnahmen zu identifizieren.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Material und Methoden<\/jats:title>\n                <jats:p>In einer Querschnittstudie wurden im ersten Quartal 2017 in nichtdermatologischen Arztpraxen im Bayerischen Wald (Deutschland) Patienten und deren Begleitpersonen (\u226518\u00a0Jahre) in den Wartezimmern zum Thema Prim\u00e4r- und Sekund\u00e4rpr\u00e4vention befragt. Die Daten wurden mittels anonymisierter Papierfrageb\u00f6gen erhoben. Assoziationen wurden mittels logistischer Regression berechnet.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Insgesamt wurden 880\u00a0Personen (57,7\u202f% weibliche, mittleres Alter 49,5\u00a0Jahre) eingeschlossen, von denen 53,6\u202f% bisher mindestens 1\u2011mal ein Hautkrebsscreening in Anspruch genommen hatten. Sonnencreme war die am h\u00e4ufigsten verwendete Sonnenschutzma\u00dfnahme. Das m\u00e4nnliche Geschlecht und die Altersgruppen 18 bis 34\u00a0Jahre hatten ein signifikant h\u00f6heres Risiko f\u00fcr die Nichtverwendung von fast allen Pr\u00e4ventionsma\u00dfnahmen (abh\u00e4ngig von der Ma\u00dfnahme: OR [Odds Ratio]: 1,4\u20132,4 bzw. 1,8\u20133,7). Keine Inanspruchnahme von Hautkrebsscreening war zudem mit einer solaren UV-Exposition von \u00fcber 6\u202fh pro Tag assoziiert (OR: 1,8, 95\u202f%-KI [Konfidenzintervall]: 1,14\u20132,97).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Schlussfolgerung<\/jats:title>\n                <jats:p>Zuk\u00fcnftige Pr\u00e4ventionsstrategien sollten vermehrt auf junge Erwachsene, insbesondere auf M\u00e4nner und Personen mit einer hohen UV-Exposition ausgerichtet werden, um der Krankheitslast von Hautkrebs in der l\u00e4ndlichen Region langfristig gerecht werden zu k\u00f6nnen.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00105-020-04566-7","type":"journal-article","created":{"date-parts":[[2020,3,10]],"date-time":"2020-03-10T13:03:15Z","timestamp":1583845395000},"page":"365-373","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Prim\u00e4r- und Sekund\u00e4rpr\u00e4vention von Hautkrebs in l\u00e4ndlichen Regionen","Primary and secondary prevention of skin cancer in rural areas"],"prefix":"10.1007","volume":"71","author":[{"given":"Stefanie","family":"Ziehfreund","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia","family":"Krause","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Markus","family":"Rotter","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tilo","family":"Biedermann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Zink","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,3,9]]},"reference":[{"key":"4566_CR1","unstructured":"Bundesinstitut f\u00fcr Bau\u2011, Stadt- und Raumforschung (2020) Siedlungsstrukturelle Kreistypen. https:\/\/www.bbsr.bund.de\/BBSR\/DE\/Raumbeobachtung\/Raumabgrenzungen\/deutschland\/kreise\/Kreistypen2\/kreistypen_node.html. 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Die Studie wurde von der zust\u00e4ndigen Ethikkommission der Fakult\u00e4t f\u00fcr Medizin der Technischen Universit\u00e4t M\u00fcnchen genehmigt (Aktenzeichen 584\/16\u00a0S). Die Arbeit wurde im Einklang mit nationalem Recht sowie gem\u00e4\u00df der Deklaration von Helsinki von 1975 (in der aktuellen, \u00fcberarbeiteten Fassung) durchgef\u00fchrt. Von allen beteiligten Patienten liegt eine Einverst\u00e4ndniserkl\u00e4rung vor.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}