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. 2022 Jul 24;13(7):587–598. doi: 10.5306/wjco.v13.i7.587

Table 4.

Perceived barriers to implementation of photoprotection practices in patients with malignant melanoma, those with atypical mole syndrome, and controls


Patients with a PMH of MM, n = 26
Patients with AMS, n = 47
Control group, n = 48
All participants, n = 121
P value
Have any of the following barriers discouraged you from practicing sun protection? n (%)
No 7/26 (26.9%) 27/47 (57.4%) 24/48 (50%) 58/121 (47.9%) 0.656
Yes 19/26 (73.1%) 20/47 (42.6%) 24/48 (50%) 63/121 (52.1%)
Skepticism (“I do not believe skin cancer is a serious health threat”), n (%)
No 22/26 (84.6%) 43/47 (91.5%) 45/48 (93.8%) 110/121 (90.9%) 0568
Yes 4/26 (15.4%) 4/47 (8.5%) 3/48 (6.3%) 11/121 (9.1%)
Hassle/lack of time, n (%)
No 21/26 (80.8%) 35/47 (74.5%) 38/48 (79.2%) 94/121 (77.7%) 0.639
Yes 5/26 (19.2%) 12/47 (25.5%) 10/48 (20.8%) 27/121 (22.3%)
Concerns over adequate Vitamin D, n (%)
No 20/26 (76.9%) 34/47 (72.3%) 32/48 (66.7%) 86/121 (71.1%) 0.486
Yes 6/26 (23.1%) 13/47 (27.7%) 16/48 (33.3%) 35/121 (28.9%)
Cost/financial concerns. n (%)
No 25/26 (96.2%) 38/47 (80.9%) 39/48 (81.3%) 102/121 (84.3%) 0.810
Yes 1/26 (3.8%) 9/47 (19.1%) 9/48 (18.8%) 19/121 (15.7%)
Appearance (“I do not like how using sun protection will make me look”), n (%)
No 24/26 (92.3%) 44/47 (93.6%) 48/48 (100%) 116/121 (95.9%) 0.090
Yes 2/26 (7.7%) 3/47 (6.4%) 0/48 (0%) 5/121 (4.1%)
Difficulty obtaining materials (sunscreen, sunglasses, hats, etc), n (%)
No 25/26 (96.2%) 44/47 (93.6%) 114/121 (94.2%) 0.962
Yes 1/26 (3.8%) 3/47 (6.4%) 7/121 (5.8%)
Sunscreen is uncomfortable or unpleasant, n (%)
No 22/26 (84.6%) 43/48 (91.5%) 47/48 (97.9%) 112/121 (93%) 0.149
Yes 4/26 (15.4%) 4/48 (8.5%) 1/48 (2.1%) 9/121 (7%)
Previous “bad” reaction to sunscreen (please specify), n (%)
No 25/26 (96.2%) 47/47 (100%) 48/48 (100%) 120/121 (99.2%) 0.765
Yes 1/26 (3.8%) 0/47 (0%) 0/48 (0%) 1/121 (0.8%)
None/no barriers have discouraged me, n (%)
No 14/26 (53.8%) 21/121 (44.7%) 23/48 (47.9%) 58/121 (47.9%) 0.840
Yes 12/26 (46.2%) 26/121 (55.3%) 25/48 (52.1% 63/121 (52.1%)

PMH: Past medical history; MM: Malignant melanoma; AMS: Atypical mole syndrome.