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Assessing Skin Cancer Risk Factors, Sun Safety Behaviors and Melanoma Concern in Atlantic Canada: A Comprehensive
François Lagacé1, Bibi Nuzha Noorah2, Santina Conte3
1Division of Dermatology, Faculty of Medicine, McGill University, Montréal, QC H4A 3J1, Canada.
Cancers
|August 12, 2023
Summary
Cutaneous melanoma (CM) incidence is rising, with higher rates in Atlantic Canada linked to increased sun exposure. Despite this, individuals in high-incidence areas show more sun protection behaviors, suggesting targeted interventions are needed.
Area of Science:
- Dermatology and Public Health
- Epidemiology of Skin Cancer
Background:
- Rising global incidence of cutaneous melanoma (CM).
- Identified significant regional disparities in CM incidence within Atlantic Canada.
- Need to understand factors contributing to these regional differences.
Purpose of the Study:
- Compare ultraviolet (UV) exposure levels.
- Assess sun protective behaviors.
- Evaluate CM knowledge and worry across high- versus low-incidence CM provinces and demographic groups.
Main Methods:
- Cross-sectional survey conducted in Atlantic Canada (July 2020 - August 2022).
- Included 7861 participants aged 16 years and older.
- Statistical analysis using Z-tests and logistic regression to compare groups.
Main Results:
- High CM incidence provinces (PEI, NS) showed significantly higher rates of sunburns, total sun exposure, recreational sun exposure, and tanning.
- Conversely, individuals in high-incidence provinces reported less tanning bed use, more frequent skin checks, and greater overall sun protection.
- Further analyses explored variations based on education, income, sexual orientation, and gender.
Conclusions:
- Findings indicate a complex relationship between sun exposure, protective behaviors, and CM incidence.
- Suggests that public health efforts to reduce CM burden in Atlantic Canada require tailored strategies for specific geographic and demographic groups.
- Study limitations include potential lack of representativeness due to recruitment strategies.
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