Research Article

Interest and Utility of MC1R Testing for Melanoma Risk in Dermatology Patients with a History of Nonmelanoma Skin Cancer

Table 1

Participant baseline characteristics, overall, and saliva sample return status.

CharacteristicGroupAll (n = 50)Noncompleters (n = 29)Completers (n = 21)-value

DEMOGRAPHICS
GenderFemale28 (56%)14 (48%)14 (67%)0.20
EducationNo college degree9 (18%)6 (21%)3 (14%)0.74
College graduate18 (36%)8 (28%)10 (48%)
Graduate degree23 (46%)15 (52%)8 (38%)
Age (years)Mean (SD) [35–78]63.6 (10.7)62.9 (10.8)64.6 (10.8)0.11
Born outside USYes8 (16%)6 (21%)2 (10%)0.29
Marital Status (n = 49)Single6 (12%)4 (14%)2 (10%)0.51
Married/Cohabitating39 (80%)23 (82%)16 (76%)
Divorced/Separated3 (6%)1 (4%)2 (10%)
Widowed1 (2%)0 (0%)1 (5%)
EmployedYes26 (52%)18 (62%)8 (38%)0.09

SKIN CANCER RISK FACTORS
Other CancerYes16 (32%)8 (28%)8 (38%)0.43
Family History (n = 48)Yes31 (65%)17 (61%)14 (70%)0.51
Burnability (n = 48)Severe1 (2%)0 (0%)1 (5%)0.13
Painful/peeling20 (42%)10 (36%)10 (50%)
Mild/tan27 (56%)18 (64%)9 (45%)
Tannability (n = 45)Very brown & tanned6 (13%)3 (12%)3 (15%)0.26
Moderately tanned13 (29%)10 (40%)3 (15%)
Mild tan/some peeling16 (36%)8 (32%)8 (40%)
Freckle/no tan10 (22%)4 (16%)6 (30%)
Lifetime number of sunburns (n = 48)010 (21%)7 (25%)3 (15%)0.48
1–214 (29%)9 (32%)5 (25%)
3–511 (23%)5 (18%)6 (30%)
6–96 (13%)3 (11%)3 (15%)
10–144 (8%)2 (7%)2 (10%)
15–191 (2%)1 (4%)0 (0%)
20 or more2 (4%)1 (4%)1 (5%)

PSYCHOSOCIAL
Perceived risk (absolute)Unlikely to get SC4 (8%)3 (10%)1 (5%)0.67
Likely to get SC40 (80%)22 (76%)18 (86%)
No idea6 (12%)4 (14%)2 (10%)
Perceived risk (absolute)1 No chance3 (6%)1 (3%)2 (10%)0.29
2 Very Unlikely1 (2%)1 (3%)0 (0%)
3 Unlikely3 (6%)3 (10%)0 (0%)
4 Moderate Chance13 (26%)9 (31%)4 (19%)
5 Likely17 (34%)11 (38%)6 (29%)
6 Very Likely12 (24%)4 (14%)8 (38%)
7 Certain to happen1 (2%)0 (0%)1 (5%)
Perc. risk (abs.)Mean (SD) [1–7]4.60 (1.36)4.38 (1.18)4.90 (1.55)0.18
Perceived risk (comparative) (n = 49)1 Well below average0 (0%)0 (0%)0 (0%)0.11
2 Below average2 (4%)2 (7%)0 (0%)
3 Average16 (33%)10 (36%)6 (29%)
4 Above average27 (55%)15 (54%)12 (57%)
5 Well above average4 (8%)1 (4%)3 (14%)
Perc. risk (comp.)Mean (SD) [1–5]3.67 (0.69)3.54 (0.69)3.86 (0.65)0.11
Worry about SC1 Rarely or never28 (56%)17 (59%)11 (52%)0.81
2 Sometimes11 (22%)5 (17%)6 (29%)
3 Often10 (20%)7 (24%)3 (14%)
4 All the time1 (2%)0 (0%)1 (5%)
Worry about SCMean (SD) [1–4]1.68 (0.87)1.66 (0.86)1.71 (0.90)0.81
Concern about SC1 Not at all concerned24 (48%)15 (52%)9 (43%)0.84
210 (20%)4 (14%)6 (29%)
311 (22%)6 (21%)5 (24%)
4 Very concerned5 (10%)4 (14%)1 (5%)
Concern about SCMean (SD) [1–4]1.94 (1.06)1.97 (1.15)1.90 (0.94)0.84
Importance of learning about your genes1 Not at all important2 (4%)0 (0%)2 (10%)0.25
21 (2%)0 (0%)1 (5%)
30 (0%)0 (0%)0 (0%)
4 Neither unimportant nor important4 (8%)3 (10%)1 (5%)
55 (10%)4 (14%)1 (5%)
68 (16%)4 (14%)4 (19%)
7 Very important30 (60%)18 (62%)12 (57%)
ImportanceMean (SD) [1–7]6.06 (1.54)6.28 (1.07)5.76 (2.02)0.25

INFORMATION SEEKING
SCYes44 (88%)26 (90%)18 (86%)0.67
Genetic testingYes13 (26%)9 (31%)4 (19%)0.34

Note that -values for continuous variables (e.g., age) are based on independent samples t-tests; purely categorical variables (e.g., gender and marital status) are based on the Chi-square test; and ordinal variables (e.g., education or number of lifetime sunburns) are based on Mantel-Haenszel Chi-square test. SC denotes skin cancer. “Noncompleters” includes the 29 participants who either did not log on to the study website (n = 26), logged on and did not register a decision to test (n = 2) or requested a kit but did not return it (n = 1).