ABSTRACT
BACKGROUND: Melanoma skin cancer affects many young adults, yet few practice skin self-examination (SSE). We collected detailed information about young adult SSE practices, which can be used to guide the development of SSE interventions that target this age group. METHODS: We surveyed 190 US university students to assess their SSE practices, including thoroughness of self-exams and reasons for not performing SSE. RESULTS: Just 33.2% of respondents had ever performed SSE, and only 5.8% had checked their entire body. The three most commonly cited reasons for failing to practice SSE were not knowing what to look for (55.9%), never thinking of it (54.3%), and not knowing it should be done (33.1%). CONCLUSIONS: Interventions to promote early melanoma detection must raise awareness about the importance of beginning SSE practice in young adulthood and conducting thorough self-exams. They should target all young adults, including those who already practice SSE.
