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Skin-cancer screening preferences and trust in clinicians among outdoor enthusiasts: preference for specialist-led checks
Journal article   Open access   Peer reviewed

Skin-cancer screening preferences and trust in clinicians among outdoor enthusiasts: preference for specialist-led checks

Mike Climstein, Michael Stapelberg, Ian J. Miller, Nedeljka Rosic, Jeremy Hudson, Paul Coxon, Nathaniel Milani, Chris Robinson and Joe Walsh
PeerJ, Vol.14, pp.1-22
08/06/2026
DOI: https://doi.org/10.7717/peerj.21222
Appears in  Recent Faculty of Health Publications
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Abstract

Skin neoplasms Early detection Patient preference Primary health care Early detection of skin cancer Basal cell carcinoma Squamous cell carcinoma Melanoma
Introduction: Australian outdoor enthusiasts are at heightened risk of skin cancer due to high levels of ultraviolet (UV) exposure. Regular screening is essential for early detection; little is known about how trust in clinician expertise and screening frequency shape behaviors in this cohort . Methods: A cross-sectional survey of 1,403 adult outdoor enthusiasts attending a skin cancer clinic collected data on UV exposure, screening habits, clinician preference and time since last skin check. Group comparisons and multivariable logistic regression identified predictors of specialist preference, and screening intervals were correlated with cancer detection. Results: Over half of participants (54.9%) performed regular self/partner skin checks, while 7.8% had never had a clinical check. Trust in clinician expertise was strongly influential, with 84.2% prioritising who performed the check, 63.6% most recently screened by a skin-cancer specialist. Multivariable analysis, a prior skin cancer diagnosis (OR = 2.13, p < 0.001), regular self-examination (OR = 1.61, p = 0.002), and sunscreen use (OR = 1.49, p = 0.047) independently predicted specialist preference. Age, gender, skin type, family history, cumulative UV exposure, and activity were not significant predictors. Cancer diagnoses, including melanoma, were most common among those screened within the past 12–24 months, declining sharply beyond two years. Conclusion: Prior skin cancer experience and proactive protective behaviors strongly influenced specialist preference. The temporal distribution of diagnoses observed in this cohort was compatible with the potential value of regular screening among UVexposed outdoor enthusiasts; however, causal inference cannot be drawn from this cross-sectional design.

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