Open AccessPhysician skin cancer screening among U.S. military veterans: Results from the National Health Interview Survey
Author(s) -
Elliot J. Coups,
Baichen Xu,
Carolyn J. Heckman,
Sharon L. Manne,
Jerod L. Stapleton
Publication year - 2021
Publication title -
plos one
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.99
H-Index - 332
ISSN - 1932-6203
DOI - 10.1371/journal.pone.0251785
Subject(s) - medicine , national health interview survey , skin cancer , veterans affairs , military personnel , population , family medicine , logistic regression , health information national trends survey , psychological intervention , cancer , national health and nutrition examination survey , gerontology , health care , environmental health , psychiatry , political science , law , economics , health information , economic growth
Although military veterans are at increased risk for skin cancer, little is known about the extent to which they have been screened for skin cancer. The study objective was to examine the prevalence and correlates of physician skin cancer screening among U.S. military veterans. Methods Data were drawn from the National Health Interview Survey. The study sample consisted of 2,826 individuals who reported being military veterans. Receipt of a physician skin examination was measured using a single question that asked participants whether they had ever had all of their skin from head to toe checked for cancer by a dermatologist or some other kind of doctor. Results Less than a third (30.88%) of participants reported ever having a physician skin examination. Factors positively associated with receipt of a physician skin examination in a multivariable logistic regression analysis included: older age, greater educational level, non-Hispanic white race/ethnicity, having TRICARE (military) health insurance, greater skin sensitivity to the sun, and engagement in more sun protection behaviors. Conclusions The majority of military veterans have never been screened for skin cancer by a physician. Screening rates were higher among individuals with one or more skin cancer risk factors. Future research is warranted to test targeted skin cancer screening interventions for this at risk and understudied population.