{"doi":"10.1002/cam4.5520","title":"Prevalence and correlates of skin examination among ethnically diverse young adult survivors of childhood cancer","abstract":"BACKGROUND: Skin cancer is the most common secondary malignancy among young adult childhood cancer survivors (YA-CCS). Skin examination to detect skin cancer early (including melanoma as well as basal or squamous cell skin cancers), both physician-based (PSE) and self-skin exam (SSE), is recommended, particularly for radiotherapy-exposed YA-CCS who are at high risk of developing skin cancer. METHODS: Awareness and prevalence of skin examination and demographic, clinical, and healthcare correlates were examined in a population-based sample of YA-CCS with diverse cancer types excluding melanoma. Descriptive frequencies and logistic regression models were conducted using sample weights to correct for non-response bias with PSE, SSE and adherence to both as outcomes. RESULTS: The sample comprised 1064 participants with 53% Latino. Eight percent of participants were aware of the need for skin examination; 9% reported receipt of PSE within past 2 years; 35% reported regular SSE; and 6% were adherent to both. Among the radiotherapy-treated, 10% were aware of the need for skin examination, 10% reported recent PSE; 38% reported regular SSE; and 8% were adherent to both. Healthcare and clinical factors including healthcare self-efficacy, engagement in cancer-related follow-up care, greater treatment intensity and greater number of treatment-related late effects were positively associated with PSE and SSE. Latino YA-CCS were less likely to engage in PSE and SSE. CONCLUSION(S): Adherence to recommended screening for skin cancer was low in this at-risk population, notably for YA-CCS exposed to radiotherapy. The development of effective strategies to expand skin cancer screening is needed in this at-risk population.","journal":"Cancer Medicine","year":2022,"id":268391,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":5,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9649,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2022-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":930536,"name":"Angela A. Li","orcid":null,"position":1,"is_corresponding":false},{"id":930069,"name":"Katherine Y. Wojcik","orcid":"0000-0002-7044-9634","position":2,"is_corresponding":false},{"id":805242,"name":"Julia Stal","orcid":"0000-0002-7911-7388","position":3,"is_corresponding":false},{"id":292294,"name":"Myles Cockburn","orcid":"0000-0003-3658-6720","position":4,"is_corresponding":false},{"id":748460,"name":"Gino K. In","orcid":"0000-0002-7060-5123","position":5,"is_corresponding":false},{"id":230928,"name":"David R. Freyer","orcid":"0000-0001-5280-990X","position":6,"is_corresponding":false},{"id":361428,"name":"Ann S. Hamilton","orcid":"0000-0001-5898-2308","position":7,"is_corresponding":false},{"id":383866,"name":"Joel Milam","orcid":"0000-0001-9489-8015","position":8,"is_corresponding":false},{"id":751069,"name":"Kimberly A. Miller","orcid":"0000-0002-0742-3730","position":0,"is_corresponding":true}],"reference_count":48,"raw_metadata":null,"created_at":"2026-07-19T00:27:10.233250Z","pmid":"36495004","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}