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Anxiety, locus of control and sociodemographic factors associated with adherence to an annual clinical skin monitoring: a cross-sectional survey among 1000 high-risk French patients involved in a pilot-targeted screening programme for melanoma.

ABSTRACT: OBJECTIVE:The aim of the study was to assess whether adherence to annual clinical skin monitoring is dependent on patient sociodemographic characteristics or personality traits. DESIGN:The study was a questionnaire survey. SETTING AND PARTICIPANTS:Data were collected between February and April 2013 in a sample of 1000 patients at high risk of melanoma who participated in a pilot-targeted screening programme in western France. OUTCOME MEASURES:Sociodemographic data, overall anxiety level (State-Trait Anxiety Inventory questionnaire), locus of control (Multidimensional Health Locus of Control scale) and levels of anxiety specifically associated with screening and melanoma were collected. Actual participation in the skin monitoring examination was reported by 78 general practitioner investigators. STATISTICAL ANALYSIS:Statistical analysis was performed using R statistical software. Factors associated with non-adherence were identified by multivariate analysis. RESULTS:Our analysis included 687 responses (526 adherent patients and 161 non-adherent patients). Non-adherence was higher in younger patients and in men (OR=0.63 (0.41-0.99)). Viewing health status as dependent on external persons (OR=0.90, 95%?CI 0.83 to 0.97) or determined by chance (OR=0.89, 95%?CI 0.80 to 0.98) and overall anxiety (OR=0.98, 95%?CI 0.97 to 0.99) were also factors associated with non-adherence. In contrast, there was no link between anxiety specifically associated with the screening performed or melanoma and patient adherence to monitoring. Adherence was higher in married patients (OR=1.68 95%?CI 1.08 to 2.60). CONCLUSIONS:The results of this study suggest that sociodemographic and psychological characteristics should be considered when including patients at elevated risk of melanoma in a targeted screening programme. TRIAL REGISTRATION NUMBER:NCT01610531; Post-results.

SUBMITTER: Rat C

PROVIDER: S-EPMC5640064 | biostudies-other | 2017 Oct

REPOSITORIES: biostudies-other

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Anxiety, locus of control and sociodemographic factors associated with adherence to an annual clinical skin monitoring: a cross-sectional survey among 1000 high-risk French patients involved in a pilot-targeted screening programme for melanoma.

Rat Cédric C Hild Sandrine S Gaultier Aurelie A Khammari Amir A Bonnaud-Antignac Angelique A Quereux Gaelle G Dreno Brigitte B Nguyen Jean Michel JM

BMJ open 20171005 10

<h4>Objective</h4>The aim of the study was to assess whether adherence to annual clinical skin monitoring is dependent on patient sociodemographic characteristics or personality traits.<h4>Design</h4>The study was a questionnaire survey.<h4>Setting and participants</h4>Data were collected between February and April 2013 in a sample of 1000 patients at high risk of melanoma who participated in a pilot-targeted screening programme in western France.<h4>Outcome measures</h4>Sociodemographic data, o ...[more]

PMID: 28982813

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Project description:BACKGROUND:It has been shown in the past two decades that anxiety disorders are the most common mental disorders in general population across the world. This study sought to assess the prevalence of major anxiety disorders, their sociodemographic correlates and mental health service utilization as part of the Iranian Mental Health Survey (IranMHS). METHODS:A national household face-to-face survey was carried out on a representative sample of Iranian adults from January to June 2011 using Composite International Diagnostic Interview (CIDI 2.1). A total of 7886 subjects between 15 and 64 years who can understand Persian language were included. The 12-month prevalence of anxiety disorders according to Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV), their socio-demographic correlates, health service use and days out of role were measured in this study. RESULTS:The 12-month prevalence of anxiety disorders (not including specific phobias) was 15.6%. The prevalence was 12.0% in males and 19.4% in females. The three most prevalent anxiety disorders were generalized anxiety disorder (5.2%), obsessive-compulsive disorder (5.1%) and social phobia (3.2%), respectively. Factors found to be significantly associated with anxiety disorders were: female gender (OR?=?1.16, 95% CI: 1.09-1.23), middle (OR?=?1.23, 95%CI: 1.01-1.50) or low (OR?=?1.66, 95%CI: 1.31-2.10) socioeconomic status, unemployment (OR?=?1.98, 95%CI: 1.49-2.62), and urban residence (OR?=?1.31, 95%CI: 1.10-1.57). Comorbidity with non-anxiety disorders significantly increased service utilization. In all subgroups, service utilization was higher among females while the number of days out of role was higher among males. CONCLUSIONS:Anxiety disorders are common conditions with a higher prevalence among the female gender, unemployed individuals, and people with low socioeconomic conditions living in urban areas. Comorbidity of anxiety disorders with other psychological disorders aggravates the disability and significantly increases the number of days out of role.

Dataset Information

Anxiety, locus of control and sociodemographic factors associated with adherence to an annual clinical skin monitoring: a cross-sectional survey among 1000 high-risk French patients involved in a pilot-targeted screening programme for melanoma.

Publications

Anxiety, locus of control and sociodemographic factors associated with adherence to an annual clinical skin monitoring: a cross-sectional survey among 1000 high-risk French patients involved in a pilot-targeted screening programme for melanoma.

Similar Datasets

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