Skin Cancer Knowledge, Attitudes and Sun Protection Practices in the Hispanic Population: A Cross-Sectional Survey

Jake Besch-Stokes, Caitlin M. Brumfiel, Meera H. Patel, Jamison Harvey, Jordan Montoya, Kevin J. Severson, Helen Cumsky, Matthew Buras, J. Eduardo González Fagoaga, Collin M. Costello, Mark R. Pittelkow, Aaron R. Mangold

Research output: Contribution to journalArticlepeer-review


Hispanics are more likely to be diagnosed with skin cancer at a later stage and experience worse overall survival than Whites. The objective of this cross-sectional study was to assess the skin cancer knowledge, attitudes, perceived risk, and sun protection practices among an underserved population in the Phoenix area. We recruited participants from the greater Phoenix area to undergo skin examination and complete a questionnaire. 208 participants were included. The majority were Hispanic (64.9%). Of this Hispanic group, most were from Mexico (87.9%). The Hispanic cohort had an overall mean skin cancer knowledge score of 3.68/6, the lowest of any other racial/ethnic group, but had the highest desire to learn more about skin cancer (64.6%, “strongly agree”). They were the most concerned about developing skin cancer (50.4%, “very concerned”) but had relatively lower rates of sun protection practices (7.9% “always use” sunscreen, 22.0% “always use” sun-protective clothing). Limitations of this study include a small sample size, lack of validation for the skin cancer knowledge score, lack of season as a covariate in the multivariate analysis, lack of follow-up, and lack of robust skin cancer risk assessment. In conclusion, despite poorer skin cancer knowledge and sun protection practices, the Hispanic population had the highest concern for developing skin cancer and desire to learn more about skin cancer. Targeted and culturally relevant skin cancer and sun protection education for this group is needed.

Original languageEnglish (US)
Pages (from-to)1293-1303
Number of pages11
JournalJournal of Racial and Ethnic Health Disparities
Issue number3
StatePublished - Jun 2023

ASJC Scopus subject areas

  • Health(social science)
  • Anthropology
  • Sociology and Political Science
  • Health Policy
  • Public Health, Environmental and Occupational Health


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