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Author Notes:

M. Saraiya, 4770 Buford Highway MS K-76, USA. Fax: +1 770 488 4286. yzs2@cdc.gov

Drs. Lakhani, Saraiya, Coleman King, and Guy, and Mr. Thompson had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis.

Study concept and design: Lakhani, Saraiya, Thompson, Coleman King, and Guy; Acquisition of data: Lakhani, Saraiya, Thompson, and Guy; Analysis and interpretation of data: Lakhani, Saraiya, Thompson, Coleman King, and Guy; Drafting of the manuscript: Lakhani, Saraiya, Thompson, Coleman King, and Guy; Critical revision of the manuscript for important intellectual content: Lakhani, Saraiya, Thompson, Coleman King, and Guy; Statistical analysis: Lakhani, Saraiya, Thompson, and Guy; Obtained funding: Not applicable; Administrative, technical, or material support: Obtained funding: Lakhani, Saraiya, Thompson, Coleman King, and Guy; Study supervision: Lakhani, Saraiya, and Thompson.

The authors declare that there are no conflicts of interests.

Authors reported no financial disclosures.


Research Funding:

This study does not have any sponsors.


  • Science & Technology
  • Life Sciences & Biomedicine
  • Public, Environmental & Occupational Health
  • Medicine, General & Internal
  • General & Internal Medicine
  • Skin cancer
  • Cancer screening
  • Early diagnosis of cancer
  • Melanoma

Total body skin examination for skin cancer screening among US adults from 2000 to 2010


Journal Title:

Preventive Medicine


Volume 61


, Pages 75-80

Type of Work:

Article | Post-print: After Peer Review


Objective: Melanoma incidence and mortality are increasing among United States adults. At present, routine skin cancer screening via total body skin examinations (TBSEs) by a physician is not recommended by the United States Preventive Services Task Force (USPSTF); while organizations such as the American Cancer Society recommend screening. Currently, there are limited data on the prevalence, correlates, and trends of TBSE among United States adults. Methods: We analyzed data by race/ethnicity, age, and skin cancer risk level, among other characteristics from three different National Health Interview Survey (NHIS) cancer control supplements conducted every five years since 2000 in random United States households. High-risk status and middle-risk status were defined based on the USPSTF criteria (age, race, sunburn, and family history). Results: Prevalence of having at least one TBSE increased from 14.5 in 2000 to 16.5 in 2005 to 19.8 in 2010 (P< 0.0001). In 2010, screening rates were higher among the elderly, the fair-skinned, those reporting sunburn(s), and individuals with a family history of skin cancer. Approximately 104.7. million (51.1%) U.S. adults are at high-risk for developing melanoma, of which 24.0% had at least one TBSE. Conclusions: TBSE rates have been increasing since 2000 both overall and among higher-risk groups. Data on screening trends could help tailor future prevention strategies.

Copyright information:

© 2014.Published by Elsevier Inc.

This is an Open Access work distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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