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Goh PH, Loh HY, Chung KR, Ramadas A. Body (dis)satisfaction and health screening behaviors: A systematic review of observational studies. J Health Psychol 2024; 29:137-155. [PMID: 37493189 PMCID: PMC10799541 DOI: 10.1177/13591053231189413] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/27/2023] Open
Abstract
Engagement in health-promoting behaviors has been argued to be dependent on psychological factors in addition to simply having knowledge or access to resources. We systematically reviewed the evidence for the association between body (dis)satisfaction and health screening behaviors using six electronic databases and supplementary manual searches in the current study. To be included in the review, studies had to be empirical, in any language, and examined the potential link between body (dis)satisfaction and health screening. Findings from the final 16 quantitative and 12 qualitative studies generally suggest that people who were more satisfied or less dissatisfied with their bodies were more likely to engage in health screening. This review also highlighted key gaps in the literature such as the limited studies that included men as participants and the lack of examination of the underlying mechanisms and contingencies of the relationship between body (dis)satisfaction and health screening behaviors.
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The Influence of Obesity on Melanoma and Sentinel Lymph Node Diagnosis: A Retrospective Monocentric Study in 1001 Patients. Cancers (Basel) 2023; 15:cancers15061806. [PMID: 36980693 PMCID: PMC10046741 DOI: 10.3390/cancers15061806] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2023] [Revised: 03/04/2023] [Accepted: 03/11/2023] [Indexed: 03/19/2023] Open
Abstract
(1) Background: While obesity is a known independent risk factor in the development of melanoma, there is no consensus on its influence on melanoma prognosis. (2) Methods: In a monocentric retrospective study, data was collected from patients who underwent sentinel lymph node (SLN) biopsy for stage IB-IIC melanoma between 2013 and 2018. Patients were divided into groups according to their body mass index (BMI). The association between BMI and melanoma features, as well as the risk factors for metastases in SLN were examined. (3) Results: Of the 1001 patients, 336 had normal weight (BMI < 25), 402 were overweight (BMI >= 25 and <30), 173 obese (BMI >= 30 and <35) and 90 extremely obese (BMI >= 35). Overweightness and obesity were associated with higher tumor thicknesses at time of diagnosis. Ulceration was not influenced by the patient’s weight. Metastases in sentinel lymph node was almost twice more likely in extremely obese patients than in normal weight patients. Independent risk factors for metastases in SLN in our study were tumor thickness, ulceration, and BMI > 35. (4) Conclusions: This is the first study to show higher metastases rates in high-BMI patients with melanoma, raising important questions regarding the screening and treatment of this specific patient population.
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3
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Cyr J, Choi B, Melkis J, Gresham L, Huang CM, Beecker J. Draping in Dermatology: A Patient's Perspective. J Cutan Med Surg 2022; 26:569-574. [PMID: 35993425 DOI: 10.1177/12034754221119502] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND/OBJECTIVES Patient dignity is a core component of the Canadian health care system; however, there may be challenges to maintaining patient dignity in clinical settings requiring total body skin examination (TBSE) for adequate assessment and diagnosis. As standardized TBSE draping practices have not been investigated in a dermatology setting, we sought out to investigate subjective patient experiences of draping practices. METHODS A cross-sectional study was performed using a paper survey in dermatology hospital clinics over a 6-month period to 150 patients. RESULTS Draping was considered important by over 50% of patients surveyed (54.7%). Respondents who indicated that draping impacted their comfort level "a lot" or "very much" had a mean age of 52 and were more likely to be females (P < .05). Females were also more likely to answer that their body weight/shape (P < .05), physician of same (P < .01) or opposite sex (P < .001), and the degree of privacy offered by drapes (P < .001) impacted their comfort level when undressing for a TBSE. Respondents who reported that any assessed factor impacted their comfort during a TBSE were also younger (P < .05), suggesting that younger and female patients were more likely to have comfort concerns than males. CONCLUSIONS Our study confirmed that most patients surveyed considered draping to be important. Our findings highlight the importance of adequate draping practices to maintain patient privacy and dignity for all patients, with special attention to younger female patients to ensure they feel as comfortable as possible. Future research should focus on how these identified patient comfort factors can be implemented into medical education.
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Affiliation(s)
- Janelle Cyr
- 12365 Department of Medicine, University of Ottawa, Ottawa, ON, Canada.,27337 Division of Dermatology, The Ottawa Hospital, Ottawa, ON, Canada
| | - Bohmyi Choi
- 12365 Department of Medicine, University of Ottawa, Ottawa, ON, Canada
| | - Justina Melkis
- 12365 Department of Medicine, University of Ottawa, Ottawa, ON, Canada
| | - Louise Gresham
- 12365 Department of Medicine, University of Ottawa, Ottawa, ON, Canada.,27337 Division of Dermatology, The Ottawa Hospital, Ottawa, ON, Canada
| | - Christina M Huang
- 12366 Department of Medicine, Division of Dermatology, University of Toronto, Toronto, ON, Canada
| | - Jennifer Beecker
- 12365 Department of Medicine, University of Ottawa, Ottawa, ON, Canada.,27337 Division of Dermatology, The Ottawa Hospital, Ottawa, ON, Canada
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Pahlevan Sharif S, Ahadzadeh AS, Ong FS, Naghavi N. Fear of negative appearance evaluation and attitude towards mammography: Moderating role of internal health locus of control,cancer worry and age. Health Promot Perspect 2020; 10:220-229. [PMID: 32802758 PMCID: PMC7420164 DOI: 10.34172/hpp.2020.35] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2019] [Accepted: 05/09/2020] [Indexed: 01/09/2023] Open
Abstract
Background: Mammography screening tends to reduce mortality rate through early detection. One of the barriers to mammography screening is fear of negative appearance evaluation(FNAE). This study investigated the impact of internal health locus of control, breast cancer worries and age on the relationship between FNAE and attitude towards mammography. Methods: A cross-sectional, questionnaire-based survey design was used. Samples were Iranian women, living in Iran, aged at least 30 years old, without any history of cancer, and had not performed mammography previously based on self-report. In total, 823 samples were collected through conducting an online survey from April to June 2016. The questionnaire consisted of several instruments including attitude toward breast cancer screening procedures scale, FNAEscale, the internal dimension of the multidimensional health locus of control, and two items to measure breast cancer worry. Using covariance-based structural equation modeling the model was tested. Results: The interaction of FNAE with internal health locus of control (β = -0.128, P<0.05,CI: -0.200, -0.056), breast cancer worry (β = 0.090, P<0.05, CI: -0.162, -0.017), and age (β =-0.095, P<0.05, CI = -0.163, -0.026) was significant. The three tested moderators dampened the positive relationship between FNAE and negative attitude towards mammography. Conclusion: More information about the screening procedure should be given to women to overcome their fear. The findings indicate the need for interventions seeking to shift women's health locus of control from external to internal. Women with low level of cancer worry need more attention.
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Affiliation(s)
- Saeed Pahlevan Sharif
- Taylor's Business School, Taylor's University Lakeside Campus, No. 1 Jalan Taylors, 47500 Subang Jaya, Selangor, Malaysia
| | - Ashraf Sadat Ahadzadeh
- Department of Journalism, Xiamen University Malaysia Campus, Jalan Sunsuria, 43900 Sepang, Selangor, Malaysia
| | - Fon Sim Ong
- Nottingham University Business School, The University of Nottingham Malaysia Campus, Malaysia
| | - Navaz Naghavi
- Taylor's Business School, Taylor's University Lakeside Campus, No. 1 Jalan Taylors, 47500 Subang Jaya, Selangor, Malaysia
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5
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Hardie CM, Elliott F, Chan M, Rogers Z, Bishop DT, Newton-Bishop JA. Environmental Exposures Such as Smoking and Low Vitamin D Are Predictive of Poor Outcome in Cutaneous Melanoma rather than Other Deprivation Measures. J Invest Dermatol 2020; 140:327-337.e2. [PMID: 31425707 PMCID: PMC6983339 DOI: 10.1016/j.jid.2019.05.033] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2018] [Revised: 05/06/2019] [Accepted: 05/08/2019] [Indexed: 01/17/2023]
Abstract
A lack of basic resources within a society (deprivation) is associated with increased cancer mortality, and this relationship has been described for melanoma. We have previously reported the association of smoking and low vitamin D levels with melanoma death. In this study, we further explored the associations of these with melanoma in addition to deprivation and socio-economic stressors. In this analysis of 2,183 population-ascertained primary cutaneous melanoma patients, clinical, demographic, and socio-economic variables were assessed as predictors of tumor thickness, melanoma death and overall death. Using the Townsend deprivation score, the most deprived group did not have thicker tumors compared to the least deprived. Of the World Health Organization 25x25 risk factors for premature death, smoking and body mass index (BMI) were independently associated with thicker tumors. Low vitamin D was also independently associated with thicker tumors. No socio-economic stressors were independent predictors of thickness. Smoking was confirmed as a key predictor of melanoma death and overall death, as were low vitamin D levels, independent of other measures of deprivation. Neither BMI nor the Townsend deprivation score were predictive in either survival analysis. We report evidence for the role of smoking, vitamin D, and BMI in melanoma progression independent of a postcode-derived measure of deprivation.
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Affiliation(s)
- C M Hardie
- Section of Epidemiology and Biostatistics, Institute of Medical Research at St James's University of Leeds, Leeds, United Kingdom.
| | - F Elliott
- Section of Epidemiology and Biostatistics, Institute of Medical Research at St James's University of Leeds, Leeds, United Kingdom
| | - M Chan
- Section of Epidemiology and Biostatistics, Institute of Medical Research at St James's University of Leeds, Leeds, United Kingdom
| | - Z Rogers
- Section of Epidemiology and Biostatistics, Institute of Medical Research at St James's University of Leeds, Leeds, United Kingdom
| | - D T Bishop
- Section of Epidemiology and Biostatistics, Institute of Medical Research at St James's University of Leeds, Leeds, United Kingdom
| | - J A Newton-Bishop
- Section of Epidemiology and Biostatistics, Institute of Medical Research at St James's University of Leeds, Leeds, United Kingdom
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Robinson JK, Hultgren B, Mallett K, Turrisi R. Self-confidence and Embarrassment About Partner-Assisted Skin Self-examination for Melanoma. JAMA Dermatol 2018; 153:342-344. [PMID: 27973675 DOI: 10.1001/jamadermatol.2016.4776] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Affiliation(s)
- June K Robinson
- Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, Illinois2Editor, JAMA Dermatology
| | - Brittney Hultgren
- Biobehavioral Health and Prevention Research Center, Pennsylvania State University, University Park
| | - Kimberly Mallett
- Biobehavioral Health and Prevention Research Center, Pennsylvania State University, University Park
| | - Rob Turrisi
- Biobehavioral Health and Prevention Research Center, Pennsylvania State University, University Park
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Stenehjem J, Veierød M, Nilsen L, Ghiasvand R, Johnsen B, Grimsrud T, Babigumira R, Støer N, Rees J, Robsahm T. Anthropometric factors and Breslow thickness: prospective data on 2570 cases of cutaneous melanoma in the population-based Janus Cohort. Br J Dermatol 2018; 179:632-641. [DOI: 10.1111/bjd.16825] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/31/2018] [Indexed: 12/28/2022]
Affiliation(s)
- J.S. Stenehjem
- Department of Research; Cancer Registry of Norway; Oslo Norway
| | - M.B. Veierød
- Oslo Center for Biostatistics and Epidemiology; Department of Biostatistics; University of Oslo; Oslo Norway
| | - L.T. Nilsen
- Norwegian Radiation Protection Authority; Østerås Norway
| | - R. Ghiasvand
- Oslo Center for Biostatistics and Epidemiology; Department of Biostatistics; University of Oslo; Oslo Norway
| | - B. Johnsen
- Norwegian Radiation Protection Authority; Østerås Norway
| | - T.K. Grimsrud
- Department of Research; Cancer Registry of Norway; Oslo Norway
| | - R. Babigumira
- Department of Research; Cancer Registry of Norway; Oslo Norway
| | - N.C. Støer
- Norwegian National Advisory Unit for Women's Health; Women's Clinic; Oslo University Hospital; Oslo Norway
| | - J.R. Rees
- New Hampshire State Cancer Registry; Lebanon NH U.S.A
- Department of Epidemiology; Geisel School of Medicine at Dartmouth; Lebanon NH U.S.A
| | - T.E. Robsahm
- Department of Research; Cancer Registry of Norway; Oslo Norway
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8
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Amber KT, Bloom R, Abyaneh MAY, Falto-Aizpurua LA, Viera M, Zaiac MN, Nouri K, Hu S. Patient Factors and Their Association with Nonmelanoma Skin Cancer Morbidity and the Performance of Self-skin Exams: A Cross-Sectional Study. THE JOURNAL OF CLINICAL AND AESTHETIC DERMATOLOGY 2016; 9:16-22. [PMID: 27878058 PMCID: PMC5110325] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Objective: Mohs micrographic surgery is widely utilized for the treatment of nonmelanoma skin cancers with the advantage of tissue sparing and higher cure rate. The preoperative tumor size and post-Mohs micrographic surgery defect size are useful surrogate measures of nonmelanoma skin cancer morbidity. The authors sought to evaluate whether gender, Hispanic ethnicity, socioeconomic status, sun-safe practices and self-skin exams affected tumor size and Mohs micrographic surgery defect size. They also investigated factors associated with self-skin exams. Design: A cross-sectional survey-based study. Setting: Two dermatologic surgery clinics-one academic-associated and the other private. Participants: Patients receiving Mohs surgery for nonmelanoma skin cancers. Measurements: Tumor size and Mohs defect size and their relationship to patient factors ascertained from a survey, as well as the number of patients performing self-skin exams. The authors used t-tests and analysis of variance to compare tumor and defect sizes for each patient factor. Chi-squared tests were used to determine the factors associated with self-skin exams performance. Results: Lower education was associated with greater head and face tumor area (95mm2 vs. 41mm2, P=0.019), but not Mohs micrographic surgery defect size. Other studied patient factors were not associated with an increased morbidity. Hispanics performed self-skin exams at a lower rate than non-Hispanics (27% vs. 46%, p=0.03). Conclusion: This study innovatively uses tumor and Mohs micrographic surgery defect area as a measure of morbidity, allowing for identification of populations at need for improved education and prevention. (J Clin Aesthet Dermatol. 2016;9(9):16-22.).
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Affiliation(s)
- Kyle T. Amber
- Department of Dermatology, University of California Irvine Medical Center, Irvine, California
| | - Romi Bloom
- Department of Dermatology & Cutaneous Surgery, University of Miami, Miller School of Medicine, Miami, Florida
| | | | - Leyre A. Falto-Aizpurua
- Department of Dermatology & Cutaneous Surgery, University of Miami, Miller School of Medicine, Miami, Florida
| | - Martha Viera
- Department of Dermatology & Cutaneous Surgery, University of Miami, Miller School of Medicine, Miami, Florida
| | - Martin N. Zaiac
- Department of Dermatology, Herbert Wertheim College of Medicine, Florida International University, Miami, Florida
| | - Keyvan Nouri
- Department of Dermatology & Cutaneous Surgery, University of Miami, Miller School of Medicine, Miami, Florida
| | - Shasa Hu
- Department of Dermatology & Cutaneous Surgery, University of Miami, Miller School of Medicine, Miami, Florida
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9
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Ahmadian M, Carmack S, Samah AA, Kreps G, Saidu MB. Psychosocial Predictors of Breast Self-Examination among Female Students in Malaysia: A Study to Assess the Roles of Body Image, Self-efficacy and Perceived Barriers. Asian Pac J Cancer Prev 2016; 17:1277-84. [DOI: 10.7314/apjcp.2016.17.3.1277] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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10
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Jiang A, Rambhatla P, Eide M. Socioeconomic and lifestyle factors and melanoma: a systematic review. Br J Dermatol 2015; 172:885-915. [PMID: 25354495 DOI: 10.1111/bjd.13500] [Citation(s) in RCA: 87] [Impact Index Per Article: 9.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/24/2014] [Indexed: 12/27/2022]
Affiliation(s)
- A.J. Jiang
- Stritch School of Medicine; Loyola University Chicago; Maywood IL U.S.A
| | - P.V. Rambhatla
- Department of Dermatology; Henry Ford Hospital; New Center One; 3031 West Grand Blvd, Suite 800 Detroit MI 48202 U.S.A
| | - M.J. Eide
- Department of Dermatology; Henry Ford Hospital; New Center One; 3031 West Grand Blvd, Suite 800 Detroit MI 48202 U.S.A
- Department of Public Health Sciences; Henry Ford Hospital; New Center One; 3031 West Grand Blvd, Suite 800 Detroit MI 48202 U.S.A
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11
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Skowron F, Bérard F, Balme B, Maucort-Boulch D. Role of obesity on the thickness of primary cutaneous melanoma. J Eur Acad Dermatol Venereol 2014; 29:262-269. [PMID: 24750303 DOI: 10.1111/jdv.12515] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2014] [Accepted: 03/17/2014] [Indexed: 12/13/2022]
Abstract
BACKGROUND Thick primary cutaneous melanoma (PCM) is associated with older age, male sex, being single, a low educational level, self-detection and general practice detection, nodular melanoma (NM) and acral lentiginous melanoma (ALM) types; and are found in the head-neck and lower limb locations. Obesity plays a direct role on melanoma tumour growth, as it has been shown in animal models, but its role in the thickness of PCM remains unknown. OBJECTIVES We investigated the impact of obesity on the thickness of invasive PCM. METHODS A cross-sectional study was performed in a prospective cohort for which we collected several clinical and histological data already known to be associated with thick PCM and the Body Mass Index from new cases of invasive PCM which were referred to the dermatology department in Valence. RESULTS Four hundred and twenty-seven patients were studied. In an univariate analysis, thick PCM was associated with low educational level, obesity, identification by the patient or the general practitioner (GP), location on the cephalic extremity, in a non-visible area of the body, the NM and ALM type, and an ulceration. In a multivariate analysis, NM, ulceration, topography of the melanoma and identification of the melanoma by the patient or GP were significantly associated with thick melanoma. When including only clinical features in the model, low educational level, mode of melanoma identification and obesity were significantly associated with a risk of thick melanoma. CONCLUSIONS Obesity is a clinical independent risk factor of thick PCM. For health policies, governments should pay greater attention to detect melanoma in obese patients. Our results encourage the basic research on tumoural growth mechanisms due to obesity in melanoma.
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Affiliation(s)
- F Skowron
- Service de Dermatologie, Centre Hospitalier de Valence, Valence, France
| | - F Bérard
- Service d'immunoallergologie, Centre Hospitalier Lyon Sud, Pierre Bénite, France
| | - B Balme
- Service de dermatopathologie, Centre Hospitalier Lyon Sud, Pierre Bénite, France
| | - D Maucort-Boulch
- Service de Biostatistiques, Hospices Civils de Lyon, Lyon, France.,CNRS UMR 5558, Equipe Biostatistique Santé, Pierre-Bénite, France.,Université Lyon I, Villeurbanne, France
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12
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Collins J. Nutrition and care considerations in the overweight and obese population within the critical care setting. Crit Care Nurs Clin North Am 2014; 26:243-53. [PMID: 24878209 DOI: 10.1016/j.ccell.2014.01.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
Nutrition and care considerations in the overweight and obese population within the critical care setting are multifaceted. Patients requiring critical care have specialized care management needs that often times challenge health care providers. When patients are obese, this further complicates the physiologic aspects of healing, thus creating challenges to meeting both the nutritional needs of the individual and hampering treatment. This article reviews the care considerations, physiology of bariatric patients, and challenges of providing safe and quality care, including current evidence-based practice strategies developed to provide optimal support for obese patients during hospitalization and within the critical care setting.
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Affiliation(s)
- Jody Collins
- Clinical Projects and Magnet Program, Memorial Hermann The Woodlands Hospital, 9250 Pinecroft, The Woodlands, TX 77380, USA.
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13
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Andrew R, Tiggemann M, Clark L. Positive body image and young women’s health: Implications for sun protection, cancer screening, weight loss and alcohol consumption behaviours. J Health Psychol 2014; 21:28-39. [DOI: 10.1177/1359105314520814] [Citation(s) in RCA: 112] [Impact Index Per Article: 11.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
This study examined the link between positive body image and a range of health behaviours. Participants were 256 women who completed an online questionnaire measuring body appreciation, body dissatisfaction, sun protection, cancer screening, seeking medical attention, weight-loss behaviour and alcohol and tobacco consumption. Results indicated that body appreciation was positively related to sun protection, skin screening and seeking medical attention and negatively related to weight-loss behaviour. Body appreciation explained unique variance, over and above body dissatisfaction, in sun protection, skin screening and weight-loss behaviour. These results have implications for interventions to improve adherence to health behaviours.
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14
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The link between women's body image disturbances and body-focused cancer screening behaviors: a critical review of the literature and a new integrated model for women. Body Image 2013; 10:149-62. [PMID: 23265838 DOI: 10.1016/j.bodyim.2012.11.003] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/23/2012] [Revised: 11/07/2012] [Accepted: 11/20/2012] [Indexed: 11/20/2022]
Abstract
A large body of literature demonstrates the association between body image disturbances and health compromising behaviors among women (e.g., pathological eating, substance use, inappropriate exercise). However, given that disturbed body image is a pervasive problem, it is likely inversely related to health maintenance behaviors. Cancer screenings for breast, skin, and cervical cancer represent an important type of health maintenance behavior, yet adherence rates are low. Given the body-focused nature of these screenings, body image may be a salient predictor. This paper reviews the literature on the relationship between body image disturbances and cancer screening behaviors among women culminating in the proposal of a theoretical model. This model posits that body shame and body avoidance predict performance of cancer screenings and that variables drawn from the cancer literature, including risk perception, health anxiety, subjective norms, and self-efficacy, may moderate this relationship. Clinical implications and suggestions for research are discussed.
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16
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Janda M, Baade P, Youl P, Aitken J, Whiteman D, Gordon L, Neale R. The skin awareness study: Promoting thorough skin self-examination for skin cancer among men 50years or older. Contemp Clin Trials 2010; 31:119-30. [DOI: 10.1016/j.cct.2009.11.003] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2009] [Revised: 10/27/2009] [Accepted: 11/03/2009] [Indexed: 10/20/2022]
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Abstract
Almost one-third of intensive care unit (ICU) patients are obese. Obese patients pose a unique challenge for preventing skin breakdown, healing wounds, and preventing complications of surgery and prolonged immobility. Yet little research to date has been done to study the effects of obesity on skin integrity and wound healing in this patient population. This article discusses common skin conditions and wound complications associated with obese patients and general treatment guidelines as they pertain to the critically ill patient.
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Affiliation(s)
- Jeanne Redlin Lowe
- School of Nursing, Biobehavioral Nursing and Health Systems, Box 357266, University of Washington, Seattle, WA 98195, USA.
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Abstract
Understanding what to look for, what is normal and what needs to be referred to a specialist, gives community nurses confidence in assessing older skin. Skin health checks should become a normal part of health surveillance in primary care. This article reviews some of the most common changes that occur as skin ages, drawing attention to features that indicate possible malignancy as well as briefly indicating some common changes due to dry skin and disease processes. The principles of sun protection, including some helpful products, and skin treatment to aid hydration and maintain health are discussed.
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Affiliation(s)
- Tracey Wheeler
- Bristol Dermatology Centre, University Hospitals Bristol NHS Foundation Trust.
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