{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T14:16:36Z","timestamp":1777990596841,"version":"3.51.4"},"reference-count":84,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2024,12,9]],"date-time":"2024-12-09T00:00:00Z","timestamp":1733702400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,12,9]],"date-time":"2024-12-09T00:00:00Z","timestamp":1733702400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Cancer Surviv"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Based on current clinical practice guidelines, melanoma survivors should be advised on the need for sun protection and regular healthcare, as well as smoking cessation, but differences from adults without cancer history are unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We pooled data from the National Health and Nutrition Examination Survey (2003\u20132006, 2009\u20132018), matching 249 melanoma survivors with 498 adults without a cancer history. Adjusted prevalence odds ratios (aPOR) and 95% confidence intervals (CI) were calculated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>One-third of melanoma survivors used multiple sun protection methods, slightly more than adults without cancer. Both groups had\u2009&lt;\u200950% overall sun protection use with long sleeves being the least used. Melanoma survivors who were male (aPOR\u2009=\u20092.91; CI\u2009=\u20091.05\u20138.06) or had lower education (aPOR\u2009=\u20094.12; CI\u2009=\u20091.65\u201310.29) were more likely to be current smokers. Older survivors (aPOR\u2009=\u20091.07; CI\u2009=\u20091.03\u20131.11) were more likely to have health insurance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our findings highlight the relatively low use of sun protective practices for melanoma survivors and suggest the need for better counseling on sun protection and smoking cessation, especially for lower education levels and males.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Cancer Survivors<\/jats:title>\n                    <jats:p>These findings underscore the importance of enhancing counseling services for sun protection among melanoma survivors and prioritizing smoking cessation support, especially for males and individuals with lower education levels among this population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11764-024-01727-8","type":"journal-article","created":{"date-parts":[[2024,12,9]],"date-time":"2024-12-09T08:38:04Z","timestamp":1733733484000},"page":"1264-1273","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Sun protection behaviors, healthcare access, and smoking among melanoma survivors"],"prefix":"10.1007","volume":"20","author":[{"given":"Jingjing","family":"Xie","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maija","family":"Kiuru","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brad H.","family":"Pollock","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Theresa H. M.","family":"Keegan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,12,9]]},"reference":[{"key":"1727_CR1","unstructured":"Scott JF, Gerstenblith MR. Melanoma of unknown primary. Noncutaneous melanoma. 2018 [cited 2023 May 7]; Available from: https:\/\/exonpublications.com\/index.php\/exon\/issue\/view\/3"},{"issue":"8","key":"1727_CR2","doi-asserted-by":"publisher","first-page":"1664","DOI":"10.1002\/(SICI)1097-0142(19981015)83:8<1664::AID-CNCR23>3.0.CO;2-G","volume":"83","author":"AE Chang","year":"1998","unstructured":"Chang AE, Karnell LH, Menck HR. The National Cancer Data Base report on cutaneous and noncutaneous melanoma: a summary of 84,836 cases from the past decade. The american college of surgeons commission on cancer and the american cancer society. Cancer. 1998;83(8):1664\u201378.","journal-title":"Cancer"},{"key":"1727_CR3","unstructured":"Cancer Treatment & Survivorship Facts & Figures (2022\u20132024). 2022 [cited 2023 May 7]; Available from: https:\/\/www.cancer.org\/content\/dam\/cancer-org\/research\/cancer-facts-and-statistics\/cancer-treatment-and-survivorship-facts-and-figures\/2022-cancer-treatment-and-survivorship-fandf-acs.pdf.\u00a0Accessed 28 Feb 2023."},{"issue":"8","key":"1727_CR4","first-page":"739","volume":"5","author":"M Mihajlovic","year":"2012","unstructured":"Mihajlovic M, et al. Primary mucosal melanomas: a comprehensive review. Int J Clin Exp Pathol. 2012;5(8):739\u201353.","journal-title":"Int J Clin Exp Pathol"},{"issue":"26","key":"1727_CR5","doi-asserted-by":"publisher","first-page":"3182","DOI":"10.1200\/JCO.2012.47.7836","volume":"31","author":"FS Hodi","year":"2013","unstructured":"Hodi FS, et al. Imatinib for melanomas harboring mutationally activated or amplified KIT arising on mucosal, acral, and chronically sun-damaged skin. J Clin Oncol. 2013;31(26):3182\u201390.","journal-title":"J Clin Oncol"},{"issue":"3","key":"1727_CR6","doi-asserted-by":"publisher","first-page":"161","DOI":"10.2217\/mmt-2017-0014","volume":"4","author":"JC Kuo","year":"2017","unstructured":"Kuo JC. Immune checkpoint inhibitors in the treatment of advanced mucosal melanoma. Melanoma Manag. 2017;4(3):161\u20137.","journal-title":"Melanoma Manag"},{"issue":"21","key":"1727_CR7","doi-asserted-by":"publisher","first-page":"3354","DOI":"10.1002\/cncr.30259","volume":"122","author":"AN Shoushtari","year":"2016","unstructured":"Shoushtari AN, et al. The efficacy of anti-PD-1 agents in acral and mucosal melanoma. Cancer. 2016;122(21):3354\u201362.","journal-title":"Cancer"},{"issue":"1","key":"1727_CR8","doi-asserted-by":"publisher","first-page":"208","DOI":"10.1016\/j.jaad.2018.08.055","volume":"80","author":"SM Swetter","year":"2019","unstructured":"Swetter SM, et al. Guidelines of care for the management of primary cutaneous melanoma. J Am Acad Dermatol. 2019;80(1):208\u201350.","journal-title":"J Am Acad Dermatol"},{"key":"1727_CR9","unstructured":"NCCN clinical practice guidelines in oncology (NCCN Guidelines\u00ae) Melanoma: cutaneous, version 1. 2023. [cited 2023 2\/14]; Available from: https:\/\/www.nccn.org\/professionals\/physician_gls\/pdf\/cutaneous_melanoma.pdf."},{"key":"1727_CR10","unstructured":"Party, A.C.N.M.G.R.W. Clinical practice guidelines for the management of melanoma in Australia and New Zealand. 2008 [cited 2022 11\/18]; Available from: https:\/\/www.health.govt.nz\/system\/files\/documents\/publications\/melanoma-guideline-nov08-v2.pdf."},{"issue":"12","key":"1727_CR11","doi-asserted-by":"publisher","first-page":"1884","DOI":"10.1093\/annonc\/mdz411","volume":"30","author":"O Michielin","year":"2019","unstructured":"Michielin O, et al. Cutaneous melanoma: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-updagger. Ann Oncol. 2019;30(12):1884\u2013901.","journal-title":"Ann Oncol"},{"key":"1727_CR12","unstructured":"Melanoma: assessment and management. 2022 [cited 2023 2\/14]; Available from: https:\/\/www.nice.org.uk\/guidance\/ng14\/chapter\/Recommendations."},{"issue":"6","key":"1727_CR13","doi-asserted-by":"publisher","first-page":"393","DOI":"10.1097\/CMR.0b013e3282f05039","volume":"17","author":"C Garbe","year":"2007","unstructured":"Garbe C, et al. Evidence and interdisciplinary consense-based German guidelines: diagnosis and surveillance of melanoma. Melanoma Res. 2007;17(6):393\u20139.","journal-title":"Melanoma Res"},{"key":"1727_CR14","doi-asserted-by":"publisher","DOI":"10.4414\/smw.2016.14279","volume":"146","author":"R Dummer","year":"2016","unstructured":"Dummer R, et al. The updated Swiss guidelines 2016 for the treatment and follow-up of cutaneous melanoma. Swiss Med Wkly. 2016;146: w14279.","journal-title":"Swiss Med Wkly"},{"key":"1727_CR15","unstructured":"NCCN clinical practice guidelines in oncology (NCCN Guidelines\u00ae) Melanoma: Uveal version 2. 2022. [cited 2023 2\/14]; Available from: https:\/\/www.nccn.org\/professionals\/physician_gls\/pdf\/uveal.pdf."},{"key":"1727_CR16","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1016\/j.ejca.2020.07.017","volume":"138","author":"P Nenclares","year":"2020","unstructured":"Nenclares P, et al. Head and neck mucosal melanoma: the United Kingdom national guidelines. Eur J Cancer. 2020;138:11\u20138.","journal-title":"Eur J Cancer"},{"key":"1727_CR17","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1016\/j.ejca.2020.04.030","volume":"135","author":"HG Smith","year":"2020","unstructured":"Smith HG, et al. Ano-uro-genital mucosal melanoma UK national guidelines. Eur J Cancer. 2020;135:22\u201330.","journal-title":"Eur J Cancer"},{"key":"1727_CR18","unstructured":"NCCN clinical practice guidelines in oncology (NCCN Guidelines\u00ae) Mucosal Melanoma of the head and neck version 1.2012. 2012 [cited 2023 2\/14]; Available from: https:\/\/jnccn.org\/downloadpdf\/journals\/jnccn\/10\/3\/article-p320.xml."},{"key":"1727_CR19","unstructured":"NCCN clinical practice guidelines in oncology (NCCN Guidelines\u00ae) Vulvar cancer version 1. 2023 [cited 2023 2\/14]; Available from: https:\/\/www.nccn.org\/professionals\/physician_gls\/pdf\/vulvar.pdf."},{"issue":"4","key":"1727_CR20","doi-asserted-by":"publisher","first-page":"607","DOI":"10.1158\/1055-9965.EPI-16-0854","volume":"26","author":"RI Vogel","year":"2017","unstructured":"Vogel RI, et al. Sun exposure and protection behaviors among long-term melanoma survivors and population controls. Cancer Epidemiol Biomarkers Prev. 2017;26(4):607\u201313.","journal-title":"Cancer Epidemiol Biomarkers Prev"},{"issue":"10","key":"1727_CR21","doi-asserted-by":"publisher","first-page":"1106","DOI":"10.1002\/pon.1510","volume":"18","author":"UJ Mujumdar","year":"2009","unstructured":"Mujumdar UJ, et al. Sun protection and skin self-examination in melanoma survivors. Psychooncology. 2009;18(10):1106\u201315.","journal-title":"Psychooncology"},{"issue":"12","key":"1727_CR22","doi-asserted-by":"publisher","first-page":"1285","DOI":"10.1002\/pon.2017","volume":"21","author":"D Bowen","year":"2012","unstructured":"Bowen D, et al. Skin care behaviors among melanoma survivors. Psychooncology. 2012;21(12):1285\u201391.","journal-title":"Psychooncology"},{"issue":"3","key":"1727_CR23","doi-asserted-by":"publisher","first-page":"222","DOI":"10.1016\/S1470-2045(08)70032-9","volume":"9","author":"MT Halpern","year":"2008","unstructured":"Halpern MT, et al. Association of insurance status and ethnicity with cancer stage at diagnosis for 12 cancer sites: a retrospective analysis. Lancet Oncol. 2008;9(3):222\u201331.","journal-title":"Lancet Oncol"},{"issue":"1","key":"1727_CR24","doi-asserted-by":"publisher","first-page":"53","DOI":"10.1016\/j.det.2011.08.002","volume":"30","author":"KJ Buster","year":"2012","unstructured":"Buster KJ, Stevens EI, Elmets CA. Dermatologic health disparities. Dermatol Clin. 2012;30(1):53\u20139 (viii).","journal-title":"Dermatol Clin"},{"issue":"16","key":"1727_CR25","doi-asserted-by":"publisher","first-page":"1409","DOI":"10.1093\/jnci\/91.16.1409","volume":"91","author":"RG Roetzheim","year":"1999","unstructured":"Roetzheim RG, et al. Effects of health insurance and race on early detection of cancer. J Natl Cancer Inst. 1999;91(16):1409\u201315.","journal-title":"J Natl Cancer Inst"},{"issue":"1","key":"1727_CR26","doi-asserted-by":"publisher","first-page":"15","DOI":"10.1016\/j.jss.2013.05.058","volume":"185","author":"JK Smith","year":"2013","unstructured":"Smith JK, et al. Does increasing insurance improve outcomes for US cancer patients? J Surg Res. 2013;185(1):15\u201320.","journal-title":"J Surg Res"},{"key":"1727_CR27","doi-asserted-by":"publisher","first-page":"adv00860","DOI":"10.2340\/actadv.v103.3209","volume":"103","author":"K Mattila","year":"2023","unstructured":"Mattila K, et al. Smoking is an independent marker of poor prognosis in cutaneous melanoma. Acta Dermato-Venereol. 2023;103:adv00860.","journal-title":"Acta Dermato-Venereol."},{"issue":"2","key":"1727_CR28","doi-asserted-by":"publisher","first-page":"e2354751","DOI":"10.1001\/jamanetworkopen.2023.54751","volume":"7","author":"KM Jackson","year":"2024","unstructured":"Jackson KM, et al. Smoking status and survival in patients with early-stage primary cutaneous melanoma. Jama Network Open. 2024;7(2):e2354751.","journal-title":"Jama Network Open"},{"issue":"7","key":"1727_CR29","doi-asserted-by":"publisher","first-page":"e209072","DOI":"10.1001\/jamanetworkopen.2020.9072","volume":"3","author":"ER Gritz","year":"2020","unstructured":"Gritz ER, et al. Smoking behaviors in survivors of smoking-related and non-smoking-related cancers. JAMA Netw Open. 2020;3(7):e209072.","journal-title":"JAMA Netw Open"},{"issue":"4","key":"1727_CR30","doi-asserted-by":"publisher","first-page":"1011","DOI":"10.1007\/s00403-022-02334-2","volume":"315","author":"AE Stenzel","year":"2023","unstructured":"Stenzel AE, et al. Cross-sectional study of physical activity among long-term melanoma survivors and population controls. Arch Dermatol Res. 2023;315(4):1011\u20136.","journal-title":"Arch Dermatol Res"},{"key":"1727_CR31","unstructured":"National Center fo Healt Statistics. Analytic and reporting guidelines. The National Health and Nutrition Examination Survey (NHANES). [cited 2023 May 7]. Available from: https:\/\/wwwn.cdc.gov\/nchs\/nhanes\/analyticguidelines.aspx. Accessed 28 Feb 2023."},{"key":"1727_CR32","first-page":"1","volume":"50","author":"CD Fryar","year":"2012","unstructured":"Fryar CD, et al. Trends in nutrient intakes and chronic health conditions among Mexican-American adults, a 25-year profile: United States, 1982\u20132006. Natl Health Stat Report. 2012;50:1\u201320.","journal-title":"Natl Health Stat Report"},{"issue":"4","key":"1727_CR33","doi-asserted-by":"publisher","first-page":"313","DOI":"10.1007\/s11764-010-0127-9","volume":"4","author":"TS Tseng","year":"2010","unstructured":"Tseng TS, et al. Disparities in smoking and cessation status among cancer survivors and non-cancer individuals: a population-based study from National Health and Nutrition Examination Survey. J Cancer Survivorship-Res Pract. 2010;4(4):313\u201321.","journal-title":"J Cancer Survivorship-Res Pract"},{"issue":"2","key":"1727_CR34","doi-asserted-by":"publisher","first-page":"371","DOI":"10.1016\/j.jaad.2016.02.1236","volume":"75","author":"AH Fischer","year":"2016","unstructured":"Fischer AH, et al. Sunburn and sun-protective behaviors among adults with and without previous nonmelanoma skin cancer (NMSC): a population-based study. J Am Acad Dermatol. 2016;75(2):371-379.e5.","journal-title":"J Am Acad Dermatol"},{"issue":"2","key":"1727_CR35","doi-asserted-by":"publisher","first-page":"328","DOI":"10.1111\/bjd.19128","volume":"184","author":"M Lotz","year":"2021","unstructured":"Lotz M, et al. Molecular subtype, biological sex and age shape melanoma tumour evolution. Br J Dermatol. 2021;184(2):328\u201337.","journal-title":"Br J Dermatol"},{"issue":"7","key":"1727_CR36","doi-asserted-by":"publisher","first-page":"624","DOI":"10.2340\/00015555-2944","volume":"98","author":"S Ribero","year":"2018","unstructured":"Ribero S, et al. Effect of age on melanoma risk, prognosis and treatment response. Acta Derm Venereol. 2018;98(7):624\u20139.","journal-title":"Acta Derm Venereol"},{"issue":"1","key":"1727_CR37","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1016\/0190-9622(92)70007-3","volume":"26","author":"PY Lee","year":"1992","unstructured":"Lee PY, et al. Level of education and the risk of malignant melanoma. J Am Acad Dermatol. 1992;26(1):59\u201363.","journal-title":"J Am Acad Dermatol"},{"issue":"4","key":"1727_CR38","doi-asserted-by":"publisher","first-page":"733","DOI":"10.1016\/j.jaad.2021.12.062","volume":"87","author":"K Shao","year":"2022","unstructured":"Shao K, Hooper J, Feng H. Racial and ethnic health disparities in dermatology in the United States. Part 2: Disease-specific epidemiology, characteristics, management, and outcomes. J Am Acad Dermatol. 2022;87(4):733\u201344.","journal-title":"J Am Acad Dermatol"},{"issue":"4","key":"1727_CR39","doi-asserted-by":"publisher","first-page":"885","DOI":"10.1111\/bjd.13500","volume":"172","author":"AJ Jiang","year":"2015","unstructured":"Jiang AJ, Rambhatla PV, Eide MJ. Socioeconomic and lifestyle factors and melanoma: a systematic review. Br J Dermatol. 2015;172(4):885\u2013915.","journal-title":"Br J Dermatol"},{"issue":"8","key":"1727_CR40","doi-asserted-by":"publisher","first-page":"e670","DOI":"10.1016\/S2468-2667(22)00157-8","volume":"7","author":"D Wang","year":"2022","unstructured":"Wang D, et al. Association between socioeconomic status and health behaviour change before and after non-communicable disease diagnoses: a multicohort study. Lancet Public Health. 2022;7(8):e670\u201382.","journal-title":"Lancet Public Health"},{"key":"1727_CR41","doi-asserted-by":"publisher","first-page":"107","DOI":"10.1111\/j.1749-6632.2011.06202.x","volume":"1248","author":"R Hiscock","year":"2012","unstructured":"Hiscock R, et al. Socioeconomic status and smoking: a review. Ann N Y Acad Sci. 2012;1248:107\u201323.","journal-title":"Ann N Y Acad Sci"},{"key":"1727_CR42","doi-asserted-by":"publisher","first-page":"101119","DOI":"10.1016\/j.ssmph.2022.101119","volume":"18","author":"J Woo","year":"2022","unstructured":"Woo J, Lawrence E, Mollborn S. Racial\/ethnic and gender differences in smoking in early middle adulthood. SSM Popul Health. 2022;18:101119.","journal-title":"SSM Popul Health"},{"issue":"4","key":"1727_CR43","doi-asserted-by":"publisher","first-page":"624","DOI":"10.1016\/j.amepre.2022.04.004","volume":"63","author":"L Phan","year":"2022","unstructured":"Phan L, et al. U.S. trends in age of cigar smoking initiation by race\/ethnicity and education. Am J Prev Med. 2022;63(4):624\u20139.","journal-title":"Am J Prev Med"},{"issue":"1","key":"1727_CR44","doi-asserted-by":"publisher","first-page":"119","DOI":"10.1186\/s13690-020-00497-w","volume":"78","author":"AD Azad","year":"2020","unstructured":"Azad AD, et al. The gender gap and healthcare: associations between gender roles and factors affecting healthcare access in Central Malawi, June-August 2017. Arch Public Health. 2020;78(1):119.","journal-title":"Arch Public Health"},{"issue":"5","key":"1727_CR45","doi-asserted-by":"publisher","first-page":"561","DOI":"10.1001\/jamadermatol.2018.0028","volume":"154","author":"DM Holman","year":"2018","unstructured":"Holman DM, et al. Prevalence of sun protection use and sunburn and association of demographic and behaviorial characteristics with sunburn among US adults. JAMA Dermatol. 2018;154(5):561\u20138.","journal-title":"JAMA Dermatol"},{"key":"1727_CR46","doi-asserted-by":"publisher","unstructured":"McKenzie C, Pulavarty AN, Zampella JG. Sun-protective behaviours of adult men stratified by sexual orientation: a retrospective cross-sectional analysis of National Health Interview Survey. J Eur Acad Dermatol Venereol. 2023. https:\/\/doi.org\/10.1111\/jdv.19210.","DOI":"10.1111\/jdv.19210"},{"key":"1727_CR47","doi-asserted-by":"publisher","first-page":"565","DOI":"10.1186\/s12889-016-3197-4","volume":"16","author":"S Pettigrew","year":"2016","unstructured":"Pettigrew S, et al. Predictors of sun protection behaviours and sunburn among Australian adolescents. BMC Public Health. 2016;16:565.","journal-title":"BMC Public Health"},{"key":"1727_CR48","doi-asserted-by":"publisher","first-page":"346","DOI":"10.1016\/j.pmedr.2018.12.006","volume":"13","author":"TA Calderon","year":"2019","unstructured":"Calderon TA, et al. Correlates of sun protection behaviors in racially and ethnically diverse U.S. adults. Prev Med Rep. 2019;13:346\u201353.","journal-title":"Prev Med Rep"},{"issue":"2","key":"1727_CR49","doi-asserted-by":"publisher","first-page":"147","DOI":"10.1097\/CMR.0b013e328328f802","volume":"20","author":"E Soto","year":"2010","unstructured":"Soto E, et al. Behavioral factors of patients before and after diagnosis with melanoma: a cohort study - are sun-protection measures being implemented? Melanoma Res. 2010;20(2):147\u201352.","journal-title":"Melanoma Res"},{"issue":"4","key":"1727_CR50","doi-asserted-by":"publisher","first-page":"520","DOI":"10.1111\/j.1468-3083.2006.02019.x","volume":"21","author":"N Meyer","year":"2007","unstructured":"Meyer N, et al. Awareness, knowledge and attitudes towards sun protection among skin cancer-treated patients in France. J Eur Acad Dermatol Venereol. 2007;21(4):520\u20135.","journal-title":"J Eur Acad Dermatol Venereol"},{"issue":"1","key":"1727_CR51","doi-asserted-by":"publisher","first-page":"139","DOI":"10.1016\/j.jaad.2018.06.068","volume":"80","author":"LA von Schuckmann","year":"2019","unstructured":"von Schuckmann LA, et al. Sun protection behavior after diagnosis of high-risk primary melanoma and risk of a subsequent primary. J Am Acad Dermatol. 2019;80(1):139-148.e4.","journal-title":"J Am Acad Dermatol"},{"key":"1727_CR52","doi-asserted-by":"publisher","unstructured":"Heckman CJ, et al. Correlates of sun protection behaviors among melanoma survivors. Bmc Public Health, 2021;21(1). https:\/\/doi.org\/10.1186\/s12889-021-10951-1.","DOI":"10.1186\/s12889-021-10951-1"},{"key":"1727_CR53","unstructured":"How to practice safe sun. 2022 [cited 2023 8\/1]; Available from: https:\/\/www.aad.org\/public\/everyday-care\/sun-protection\/shade-clothing-sunscreen\/practice-safe-sun."},{"key":"1727_CR54","unstructured":"How do i protect myself from ultraviolet (UV) rays? 2019 [cited 2023 8\/1]; Available from: https:\/\/www.cancer.org\/cancer\/risk-prevention\/sun-and-uv\/uv-protection.html."},{"issue":"1","key":"1727_CR55","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1016\/0190-9622(92)70150-E","volume":"27","author":"L Fritschi","year":"1992","unstructured":"Fritschi L, Green A, Solomon PJ. Sun exposure in Australian adolescents. J Am Acad Dermatol. 1992;27(1):25\u20138.","journal-title":"J Am Acad Dermatol"},{"issue":"1","key":"1727_CR56","doi-asserted-by":"publisher","first-page":"57","DOI":"10.1001\/jamadermatol.2019.3353","volume":"156","author":"KG Paulson","year":"2020","unstructured":"Paulson KG, et al. Age-specific incidence of melanoma in the United States. JAMA Dermatol. 2020;156(1):57\u201364.","journal-title":"JAMA Dermatol"},{"issue":"3","key":"1727_CR57","doi-asserted-by":"publisher","first-page":"853","DOI":"10.1542\/peds.2005-3109","volume":"118","author":"V Cokkinides","year":"2006","unstructured":"Cokkinides V, et al. Trends in sunburns, sun protection practices, and attitudes toward sun exposure protection and tanning among US adolescents, 1998\u20132004. Pediatrics. 2006;118(3):853\u201364.","journal-title":"Pediatrics"},{"issue":"4","key":"1727_CR58","doi-asserted-by":"publisher","first-page":"958","DOI":"10.1111\/bjd.15938","volume":"178","author":"NJ Downs","year":"2018","unstructured":"Downs NJ, Harrison SL. A comprehensive approach to evaluating and classifying sun-protective clothing. Br J Dermatol. 2018;178(4):958\u201364.","journal-title":"Br J Dermatol"},{"issue":"11","key":"1727_CR59","doi-asserted-by":"publisher","first-page":"3646","DOI":"10.1002\/cam4.3924","volume":"10","author":"SS Coughlin","year":"2021","unstructured":"Coughlin SS, Chen J, Cortes JE. Health care access and utilization among adult cancer survivors: results from the National Institutes of Health \u201cAll of Us\u201d Research Program. Cancer Med. 2021;10(11):3646\u201354.","journal-title":"Cancer Med"},{"issue":"3","key":"1727_CR60","doi-asserted-by":"publisher","first-page":"304","DOI":"10.1016\/j.amepre.2013.04.021","volume":"45","author":"K Robin Yabroff","year":"2013","unstructured":"Robin Yabroff K, et al. Access to preventive health care for cancer survivors. Am J Prev Med. 2013;45(3):304\u201312.","journal-title":"Am J Prev Med"},{"issue":"14","key":"1727_CR61","doi-asserted-by":"publisher","first-page":"3493","DOI":"10.1002\/cncr.25209","volume":"116","author":"KE Weaver","year":"2010","unstructured":"Weaver KE, et al. Forgoing medical care because of cost: assessing disparities in healthcare access among cancer survivors living in the United States. Cancer. 2010;116(14):3493\u2013504.","journal-title":"Cancer"},{"key":"1727_CR62","unstructured":"Services, T.U.S.C.f.M.a.M. Parts of Medicare. [cited 2024 0122]; Available from: https:\/\/www.medicare.gov\/basics\/get-started-with-medicare\/medicare-basics\/parts-of-medicare#:~:text=Medicare%20is%20federal%20health%20insurance,with%20limited%20income%20and%20resources."},{"key":"1727_CR63","unstructured":"Services, U.S.D.o.H.a.H. About the affordable care act. [cited 2024 0122]; Available from: https:\/\/www.hhs.gov\/healthcare\/about-the-aca\/index.html."},{"issue":"6","key":"1727_CR64","doi-asserted-by":"publisher","first-page":"702","DOI":"10.1016\/j.ypmed.2004.09.011","volume":"40","author":"EJ Coups","year":"2005","unstructured":"Coups EJ, Ostroff JS. A population-based estimate of the prevalence of behavioral risk factors among adult cancer survivors and noncancer controls. Prev Med. 2005;40(6):702\u201311.","journal-title":"Prev Med"},{"issue":"1","key":"1727_CR65","first-page":"289","volume":"29","author":"SKH Bohn","year":"2021","unstructured":"Bohn SKH, et al. Lifestyle among long-term survivors of cancers in young adulthood. Support Care Cancer. 2021;29(1):289\u2013300.","journal-title":"Support Care Cancer"},{"key":"1727_CR66","doi-asserted-by":"crossref","unstructured":"Walter AW, et al. The effect of neighborhood socioeconomic disadvantage on smoking status, quit attempts, and receipt of cessation support among adults with cancer: results from nine ECOG-ACRIN Cancer Research Group (EA) trials. Cancer. 2024;130(3):439\u201352.","DOI":"10.1002\/cncr.35039"},{"issue":"11","key":"1727_CR67","doi-asserted-by":"publisher","first-page":"1493","DOI":"10.1001\/archderm.137.11.1493","volume":"137","author":"AM Goldstein","year":"2001","unstructured":"Goldstein AM, Tucker MA. Genetic epidemiology of cutaneous melanoma - A global perspective. Arch Dermatol. 2001;137(11):1493\u20136.","journal-title":"Arch Dermatol"},{"issue":"3","key":"1727_CR68","doi-asserted-by":"publisher","first-page":"395","DOI":"10.1016\/j.jaad.2015.08.038","volume":"74","author":"E Soura","year":"2016","unstructured":"Soura E, et al. Hereditary melanoma: update on syndromes and management Genetics of familial atypical multiple mole melanoma syndrome. J Am Acad Dermatol. 2016;74(3):395\u2013407.","journal-title":"J Am Acad Dermatol"},{"issue":"2","key":"1727_CR69","doi-asserted-by":"publisher","first-page":"218","DOI":"10.1111\/jdv.18796","volume":"37","author":"R van Doorn","year":"2023","unstructured":"van Doorn R. Surveillance, and survival of familial melanoma. J Eur Acad Dermatol Venereol. 2023;37(2):218\u20139.","journal-title":"J Eur Acad Dermatol Venereol"},{"issue":"6","key":"1727_CR70","doi-asserted-by":"publisher","first-page":"1219","DOI":"10.1111\/j.1365-2133.2011.10551.x","volume":"165","author":"V Nikolaou","year":"2011","unstructured":"Nikolaou V, et al. Comprehensive mutational analysis of CDKN2A and CDK4 in Greek patients with cutaneous melanoma. Br J Dermatol. 2011;165(6):1219\u201322.","journal-title":"Br J Dermatol"},{"issue":"4","key":"1727_CR71","doi-asserted-by":"publisher","first-page":"472","DOI":"10.1038\/ejhg.2010.198","volume":"19","author":"RR McWilliams","year":"2011","unstructured":"McWilliams RR, et al. Prevalence of mutations in pancreatic cancer patients: implications for genetic counseling. Eur J Hum Genet. 2011;19(4):472\u20138.","journal-title":"Eur J Hum Genet"},{"issue":"15","key":"1727_CR72","doi-asserted-by":"publisher","first-page":"1260","DOI":"10.1093\/jnci\/92.15.1260","volume":"92","author":"\u00c5 Borg","year":"2000","unstructured":"Borg \u00c5, et al. High frequency of multiple melanomas and breast and pancreas carcinomas in CDKN2A mutation-positive melanoma families. J Natl Cancer Inst. 2000;92(15):1260\u20136.","journal-title":"J Natl Cancer Inst"},{"issue":"21","key":"1727_CR73","doi-asserted-by":"publisher","first-page":"7151","DOI":"10.1158\/1078-0432.CCR-08-0403","volume":"14","author":"FA de Snoo","year":"2008","unstructured":"de Snoo FA, et al. Increased risk of cancer other than melanoma in CDKN2A founder mutation (p16-Leiden)-positive melanoma families. Clin Cancer Res. 2008;14(21):7151\u20137.","journal-title":"Clin Cancer Res"},{"issue":"1","key":"1727_CR74","doi-asserted-by":"publisher","first-page":"53","DOI":"10.1007\/s11764-019-00826-1","volume":"14","author":"KL Taylor","year":"2020","unstructured":"Taylor KL, et al. Implementation of the smoking treatment and recovery (STAR) program: healthy cancer survivorship through integrated tobacco control. J Cancer Surviv. 2020;14(1):53\u20138.","journal-title":"J Cancer Surviv"},{"issue":"2","key":"1727_CR75","doi-asserted-by":"publisher","first-page":"279","DOI":"10.1007\/s11764-014-0412-0","volume":"9","author":"DJ Bowen","year":"2015","unstructured":"Bowen DJ, et al. Effects of web-based intervention on risk reduction behaviors in melanoma survivors. J Cancer Surviv. 2015;9(2):279\u201386.","journal-title":"J Cancer Surviv"},{"issue":"1","key":"1727_CR76","first-page":"e7","volume":"16","author":"JK Robinson","year":"2014","unstructured":"Robinson JK, et al. Skin self-examination education for early detection of melanoma: a randomized controlled trial of internet, workbook, and in-person interventions. J Med Intern Res. 2014;16(1):e7.","journal-title":"J Med Intern Res"},{"issue":"9","key":"1727_CR77","doi-asserted-by":"publisher","first-page":"945","DOI":"10.1001\/jamadermatol.2015.0690","volume":"151","author":"R Turrisi","year":"2015","unstructured":"Turrisi R, et al. Comparison of efficacy of differing partner-assisted skin examination interventions for melanoma patients: a randomized clinical trial. JAMA Dermatol. 2015;151(9):945\u201351.","journal-title":"JAMA Dermatol"},{"issue":"3","key":"1727_CR78","doi-asserted-by":"publisher","first-page":"391","DOI":"10.1016\/j.jaad.2006.10.028","volume":"56","author":"JK Robinson","year":"2007","unstructured":"Robinson JK, Turrisi R, Stapleton J. Examination of mediating variables in a partner assistance intervention designed to increase performance of skin self-examination. J Am Acad Dermatol. 2007;56(3):391\u20137.","journal-title":"J Am Acad Dermatol"},{"issue":"5","key":"1727_CR79","doi-asserted-by":"publisher","first-page":"739","DOI":"10.1016\/j.jaad.2008.12.015","volume":"60","author":"DL O'Riordan","year":"2009","unstructured":"O\u2019Riordan DL, et al. Validity of covering-up sun-protection habits: association of observations and self-report. J Am Acad Dermatol. 2009;60(5):739\u201344.","journal-title":"J Am Acad Dermatol"},{"issue":"7","key":"1727_CR80","doi-asserted-by":"publisher","first-page":"786","DOI":"10.1097\/JOM.0b013e3181a86671","volume":"51","author":"ME Short","year":"2009","unstructured":"Short ME, et al. How accurate are self-reports? Analysis of self-reported health care utilization and absence when compared with administrative data. J Occup Environ Med. 2009;51(7):786\u201396.","journal-title":"J Occup Environ Med"},{"issue":"1","key":"1727_CR81","doi-asserted-by":"publisher","first-page":"91","DOI":"10.1093\/eurpub\/ckt079","volume":"24","author":"W Peersman","year":"2014","unstructured":"Peersman W, et al. Validity of self-reported utilization of physician services: a population study. Eur J Public Health. 2014;24(1):91\u20137.","journal-title":"Eur J Public Health"},{"issue":"6","key":"1727_CR82","doi-asserted-by":"publisher","first-page":"693","DOI":"10.1037\/a0023443","volume":"30","author":"DE Ramo","year":"2011","unstructured":"Ramo DE, Hall SM, Prochaska JJ. Reliability and validity of self-reported smoking in an anonymous online survey with young adults. Health Psychol. 2011;30(6):693\u2013701.","journal-title":"Health Psychol"},{"issue":"1","key":"1727_CR83","first-page":"47","volume":"23","author":"SL Wong","year":"2012","unstructured":"Wong SL, et al. Assessment of validity of self-reported smoking status. Health Rep. 2012;23(1):47\u201353.","journal-title":"Health Rep"},{"issue":"7","key":"1727_CR84","doi-asserted-by":"publisher","first-page":"1086","DOI":"10.2105\/AJPH.84.7.1086","volume":"84","author":"DL Patrick","year":"1994","unstructured":"Patrick DL, et al. The validity of self-reported smoking: a review and meta-analysis. Am J Public Health. 1994;84(7):1086\u201393.","journal-title":"Am J Public Health"}],"container-title":["Journal of Cancer Survivorship"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11764-024-01727-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11764-024-01727-8","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11764-024-01727-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T14:04:05Z","timestamp":1777989845000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11764-024-01727-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,9]]},"references-count":84,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["1727"],"URL":"https:\/\/doi.org\/10.1007\/s11764-024-01727-8","relation":{},"ISSN":["1932-2259","1932-2267"],"issn-type":[{"value":"1932-2259","type":"print"},{"value":"1932-2267","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,9]]},"assertion":[{"value":"13 August 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 December 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 December 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The data released by the National Center for Health Statistics (NCHS) were fully deidentified. The UC Davis Research Ethics Committee has confirmed that no ethical approval is required.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}