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Understanding barriers to preventive behaviors such as skin self\u2010examination (SSE) could help to define interventions for increasing the frequency of early detection. To determine melanoma knowledge and beliefs across three high\u2010incidence US states, 15,000 surveys were sent to a population\u2010representative sample. We aimed to assess (1) melanoma literacy (i.e., knowledge about melanoma risks, attitudes, and preventive behaviors) and (2) self\u2010reported SSE and its association with melanoma literacy, self\u2010efficacy, and belief in the benefits of SSE. Of 2326 respondents, only 21.2% provided responses indicating high knowledge of melanoma, and 62.8% reported performing an SSE at any time in their lives. Only 38.3% and 7.3% reported being \u201cfairly\u201d or \u201cvery\u201d confident about doing SSE, respectively. SSE performance among respondents was most strongly associated with higher melanoma knowledge, higher self\u2010efficacy, and personal history of melanoma. Melanoma literacy among survey respondents was modest, with greater literacy associated with a higher likelihood of reported preventive behavior. This assessment establishes a baseline and provides guidance for public health campaigns designed to increase prevention and early detection of this lethal cancer.<\/jats:p>","DOI":"10.1111\/pcmr.13106","type":"journal-article","created":{"date-parts":[[2023,8,14]],"date-time":"2023-08-14T04:30:25Z","timestamp":1691987425000},"page":"481-500","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Melanoma literacy among the general population of three western <scp>US<\/scp> states"],"prefix":"10.1111","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9140-0648","authenticated-orcid":false,"given":"Sancy A.","family":"Leachman","sequence":"first","affiliation":[{"name":"Department of Dermatology Oregon Health &amp; Science University  Portland Oregon USA"},{"name":"Melanoma &amp; Skin Cancer Program Knight Cancer Institute, Oregon Health &amp; Science University  Portland Oregon USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emile","family":"Latour","sequence":"additional","affiliation":[{"name":"Biostatistics Shared Resource Knight Cancer Institute, Oregon Health &amp; 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