Melanoma and Skin Cancer Awareness Toolkit

Skin Cancer Awareness Toolkit

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We would like to acknowledge the National Association of Chronic Disease Directors (NACDD) for their assistance with revising this toolkit for people with disabilities.

About Melanoma and Skin Cancer Awareness Month

Melanoma and Skin Cancer Awareness Month is an annual opportunity to raise awareness about melanoma and skin cancer. According to the Centers for Disease Control and Prevention (CDC), skin cancer is the most common form of cancer in the United States.[1]

There are several types of skin cancers, the most common are:

  • Basal
  • Squamous
  • Melanoma

Less common forms are:

  • Merkel
    A rare but aggressive cancer that usually appears as a painless, flesh-colored or bluish-red nodule.
  • Cutaneous T-Cell Lymphoma
    A type of lymphoma that starts in immune cells in the skin. One subtype is mycosis fungoides.
  • Kaposi Sarcoma
    Cancer that develops from blood vessel lining cells and may appear as purple, red, or brown lesions.
  • Sebaceous Carcinoma
    Rare cancer arising from oil glands, often around the eyelids.
  • Dermatofibrosarcoma Protuberans (DFSP)
    A rare soft tissue skin cancer that grows slowly but can invade nearby tissue.
  • Adnexal Skin Cancers
    Rare tumors that begin in hair follicles or sweat glands.
  • Angiosarcoma of the Skin
    A rare cancer of blood or lymphatic vessels, often affecting the scalp or face.

Basal and squamous cell carcinomas are the most common types of skin cancer and begin in the top layers of the skin but rarely lead to death. Melanoma develops in melanocytes, the cells that produce pigment in the skin, and is the most dangerous form of skin cancer due to its tendency to spread to other parts of the body. Merkel cell carcinoma is a very rare type of cancer that forms in the skin and is the second most common cause of skin cancer death after melanoma.[2] Melanoma causes the majority of skin cancer-related deaths. [3]

Most skin cancers are caused by overexposure to ultraviolet (UV) light, which damages skin cells over time. Ultraviolet light can come from the sun, tanning beds, or sunlamps. Some individuals are more at risk of developing skin cancers. Risk factors include having a family history of skin cancer, frequent sun exposure, use of indoor tanning, having many moles, or having lighter skin tones.[4]

Data and Statistics

According to the most recent data available from the CDC, more than 90,000 new cases of melanoma are diagnosed each year in the United States, and over 8,000 people die from the disease annually. For every 100,000 people, approximately 23 new cases of melanoma are reported, and about 2 people die from melanoma.[5] According to the American Cancer Society (ACS), melanoma accounts for approximately one percent of all skin cancers but causes the majority of skin cancer–related deaths.[6]

The ACS also estimates that more than 5 million basal cell and squamous cell skin cancers are diagnosed each year in the United States.[7] These cancers are not routinely reported to most cancer registries, which limits the availability of national data for these common skin cancers.

Note about terminology: The most recent North American Association of Central Cancer Registries (NAACCR) data dictionary only allows categorization by binary sex categories (male or female). We advocate for systematic collection of sex assigned at birth, gender identity, sexual orientation, and intersex status to inform and advance evidence-based guidelines. We use gender-neutral language when possible. Until better data are available, it is reasonable to assume sex and gender are conflated in most data sources. Refer to each source’s data dictionary to fully understand how data items are defined.

Early detection and prevention remain critical strategies for reducing the burden of melanoma in the United States. The U.S. Preventive Services Task Force (USPSTF) recommends counseling children, adolescents, young adults, and parents of young children aged six months to twenty-four years about minimizing UV radiation exposure to reduce skin cancer risk.[8] The USPSTF currently concludes that there is insufficient evidence to assess the balance of benefits and harms of visual skin examinations to screen for skin cancer in asymptomatic adults.[9]


The American Academy of Dermatology recommends that individuals regularly perform skin self-examinations, including the use of tools such as body mole maps.[10] Individuals at higher risk for skin cancer may benefit from regular professional skin examinations, as recommended by their health care provider.[11]

Best Practices for Communicating About Melanoma and Skin Cancer

Messages around melanoma and skin cancer prevention should (1) provide education about risk factors and prevention strategies; (2) highlight the dangers of indoor tanning and correct misinformation about tanning and pro-tan social norms; and (3) emphasize the importance of policy, systems and environmental (PSE) change strategies to reduce the impact of skin cancer and melanoma at the community level. When crafting materials and messages, always consider the health literacy level of your audience and use plain language.

Provide education about prevention strategies:

  • Promote sun protection: Encourage sunscreen, protective clothing, and seeking shade, especially during peak UV hours.[12]
  • Encourage daily sun protection: Remind individuals that ultraviolet (UV) exposure can occur even on cloudy days or indoors near windows.
  • Advocate for regular skin checks: Discuss the importance of routine skin self-examinations and professional skin exams to detect changes early.
  • Engage young adult populations: Actively use social media and digital platforms to encourage skin cancer prevention behaviors.[13]
  • Use clear and accessible resources: Provide prevention and screening information that is easy to understand and incorporates visuals or graphics. Particularly for skin cancer, audiences may respond well to loss-framed messaging, which emphasizes the potential consequences of not practicing sun protection.[14]
  • Encourage family discussions: Promote conversations about skin cancer risk, sun protection behaviors, and skin cancer screening among family members.[15]

Provide education about risk factors:

  • Highlight individual risk factors: Emphasize factors such as family history, skin type, number of moles, and UV exposure, while clearly acknowledging that people of all skin tones can develop skin cancer.
  • Include darker skin tones in education: Discuss how skin cancer may present differently on darker skin, with attention to areas such as the palms, soles of the feet, and under the nails, where melanoma is more likely to occur.[16]
  • Raise awareness of UV exposure risk: Remind audiences that skin cancer risk is linked to cumulative UV exposure over time (not only to sunburns) and that everyone is at risk regardless of skin type.
  • Address common misconceptions: Clarify myths such as the belief that people with darker skin do not need sun protection. [17] Address the misconception that a “base tan” provides protection, emphasizing that there is no safe level of ultraviolet (UV) exposure and that any tan represents skin damage.[18]

Address and combat stigma associated with skin cancer diagnosis:[19]

  • Normalize skin cancer as a treatable condition: Use supportive and empowering language to convey that skin cancer can be successfully treated, especially if caught early.

Remind patients about the importance of self-screening and advocacy:

  • Teach self-examination skills: Encourage regular self-checks for all skin tones, focusing on the ABCDE’s of moles: Asymmetry, Border, Color, Diameter, Evolution.[20]
  • Provide clear instructions on how to perform proper skin self-examinations, including interactive tools and customizable resources.[21]
  • Highlight different signs on darker skin: Explain that skin cancer may appear in less sun-exposed areas in people with darker skin, including under the nails, on the palms of the hands, and on the soles of the feet.
  • Promote patient advocacy: Encourage individuals to speak with their health care providers about any skin concerns or changes, regardless of skin tone or whether a mole appears unusual.

Address barriers to screening:

  • Reduce fear and discomfort by providing clear, reassuring information about what to expect during a skin cancer screening to help ease anxiety and uncertainty.
  • Share information about low-cost or free skin cancer screening services, including community-based programs and events.[22]
  • Highlight virtual options: Promote teledermatology as a convenient and accessible option for individuals who may face geographic, transportation, or financial barriers to in-person visits.[23]

Emphasize the importance of policy, systems and environmental (PSE) change strategies to reduce the impact of melanoma and skin cancer at the community level. [24]

Graphic diagram of sample PSE change ideas to consider. Branches include pictures of a tree for provision of shade, indoor tanning bed for tanning legislation, image of construction workers for policies for outdoor workers, and image of school for school policies.

Focus on long-term care and survivorship:

  • Support mental and emotional well-being: Acknowledge the physical, emotional, and psychological challenges associated with skin cancer treatment and survivorship, and provide resources for mental health and emotional support.
  • Discuss regular follow-up care: Highlight the importance of ongoing skin monitoring and follow-up visits after treatment to support long-term skin health and early detection of recurrence.
  • Offer survivorship resources: Provide information on support groups, lifestyle changes, and coping strategies that cater to diverse experiences and needs.[25]

Healthcare professional-specific recommendations:

  • Encourage proactive screening: Promote routine skin cancer risk assessment and screening for at-risk patients, particularly in primary care and community health settings.[26]
  • Providers can mitigate common barriers to screening and lack of knowledge by offering office-based education, clear examination procedures, and patient-friendly materials to address common screening barriers. [27]
  • Promote continuity of care: Emphasize the importance of follow-up visits and clear communication about next steps in care and monitoring.
  • Foster patient-centered care: Encourage shared decision-making by ensuring patients receive detailed, understandable information about treatment options, risks, and benefits.[28]
Use gender-neutral language, when possible. Current data is collected on reported sex (based on only two options: male or female) and does not necessarily correlate with the gender identity of those affected by cancer. Ensure language is inclusive; reflect the words used by your patients to refer to themselves as terminology evolves and varies across communities.

Communicating with Diverse Audiences

Certain groups experience disparities in melanoma and skin cancer incidence, mortality, and survival. Cancer health disparities are complex and influenced by multiple factors, including social determinants of health, health behaviors, biology, genetics, access to care, and structural barriers within health systems.[29]

When developing communication campaigns, consider the information most useful and relevant to diverse populations. Many individuals experience multiple forms of marginalization within health care and public health systems. This overlapping experience of disadvantage, shaped by social identities such as race, ethnicity, gender, socioeconomic status, and geography, is often described as intersectionality. Effective communication strategies should acknowledge these intersecting factors and tailor messages, resources, and delivery methods to meet the needs of diverse communities.

Melanoma is substantially more common in White persons than in Black persons. However, Black persons are more often diagnosed at later stages of disease, when melanoma is more difficult to treat, and experience worse survival outcomes. The five-year survival rate for Black persons is 71% compared to 93% for White persons.[31] Black patients are more likely to experience higher rates of melanoma-specific deaths compared to their White counterparts.[20] Black patients may present with more aggressive melanoma subtypes.[32] Even when diagnosed at the same stage, Black patients experience higher rates of mortality compared to White counterparts.[33]

Studies suggest that Black patients may engage in fewer sun-protective behaviors and may have limited access to education about sun safety and skin cancer prevention.[34] Educational interventions, particularly those that include medical photographs and examples tailored to darker skin tones, have been shown to improve knowledge and may contribute to earlier detection and improved outcomes.[35]

Additional risk factors for Black populations may include genetic markers, pre-existing health conditions, and barriers to accessing specialized dermatologic care. Studies indicate that living in areas with a higher density of dermatologists is associated with improved outcomes for melanoma and Merkel cell carcinoma; however, Black communities may face reduced access to dermatology services, high-quality care, or specialty providers.[36]

How to use this information: Tailor messaging to address methods to reduce skin cancer risk. Educate on topics such as sun protection factor (SPF) levels and recognition of skin cancer signs and symptoms on darker skin tones, and how sunburn or other adverse skin reactions may present differently in skin of color.

Over the past two decades, melanoma incidence among Hispanic persons in the United States has increased.[37] Compared to other racial and ethnic groups, Hispanic persons have the third highest incidence of melanoma.[38] Hispanic individuals are often diagnosed at younger ages, present with more advanced stages of disease, and experience lower survival rates compared to White persons. Even when diagnosed at the same stage, Hispanic patients experience higher melanoma-specific mortality compared to White patients.[39]

Research indicates that Hispanic populations may perceive a lower personal risk for skin cancer and may be less likely to perform regular skin self-examinations or seek timely medical evaluation concerning skin changes.[40]

Hispanic persons are also disproportionately represented in outdoor occupations such as landscaping, construction, agriculture, and day labor.[41] Studies show that Hispanic outdoor workers frequently experience sunburns and symptoms of heat illness during summer work, both of which increase skin cancer risk. [42] Occupational messaging can address the creation of workplaces that provide sun protection and the addition of sun safety to workplace policies to increase sun protective behaviors and reduce skin cancer risks among Hispanic outdoor workers.[43]

How to use this information: Provide linguistically and culturally appropriate education on sun-safety practices. Tailor messaging using medical photography that demonstrates how skin cancer can present across a range of skin tones. Address common misperceptions about skin cancer risk and emphasize the importance of skin self-examinations. Partner with trusted community-based organizations and worker advocacy groups to deliver sun-safety education and resources, and to support access to sunscreen and screening services.[44]

Data on Asian American populations and Native Hawaiian and Pacific Islander populations are often aggregated, which can obscure important differences in health outcomes and mask significant disparities within and between these groups.

Asian American populations are diagnosed with skin cancer less frequently than White populations. However, when diagnosed, they often experience poorer survival outcomes and are more likely to be diagnosed at later stages of disease.[45]

Research suggests that Asian American individuals are more likely to seek shade and wear long-sleeved clothing but report lower usage of sunscreen.[46] For example, some studies have shown differences in sunscreen use and hat-wearing between Asian Indian and Chinese populations.[47] Sun-protective knowledge and behaviors may vary widely across Asian American ethnic subgroups; however, the use of sunscreen is extremely important no matter the clothing protection.

Sun-protective behaviors and attitudes may also vary based on place of upbringing and level of acculturation. Exposure to U.S. social norms may increase interest in tanning among some individuals.[49] But despite these norms, the use of tanning bed and excessive tanning is extremely dangerous for the skin and increases the overall risk for melanoma.

How to use this information: Tailor culturally and linguistically appropriate messaging to raise awareness about skin cancer and underdiagnosed melanoma in Asian American populations. Use educational materials that reflect a range of skin tones and cultural contexts to support skin self-examinations and promote sun-protective behaviors. Advocate for data disaggregation to improve understanding of disparities across populations and inform future evidence-based interventions. Engage trusted community leaders and culturally relevant health campaigns to promote early detection and increase awareness.

Data on Asian American and Native Hawaiian and Pacific Islander (NHPI) populations are often aggregated, which can obscure important differences in health outcomes and mask significant disparities experienced by Native Hawaiian and Pacific Islander communities.

Native Hawaiian and Pacific Islander populations are diagnosed with skin cancer less frequently than White populations; however, when diagnosed, they often experience poorer survival outcomes and are more likely to be diagnosed at later stages of disease.[50] Research indicates that when Asian American and Native Hawaiian or Pacific Islander populations are analyzed together, these aggregated groups experience higher melanoma-specific mortality rates compared to White patients.[51]

How to use this information: Tailor culturally and linguistically appropriate messaging to raise awareness about skin cancer prevention, early detection, and treatment. Utilize educational materials featuring a variety of skin tones to educate on self-examinations and sun-protective behaviors. Advocate for data disaggregation to improve understanding of disparities across populations and inform future evidence-based interventions. Engage trusted community leaders and culturally relevant health campaigns to promote early detection and increase awareness.

Cancer incidence data for Native American, Indigenous, and Alaska Native populations in the United States have historically been underreported and misclassified. This limits accurate understanding of skin cancer burden and outcomes in these communities. Recent community-based research also highlights gaps in skin cancer awareness, understanding of risk, and recognition of early signs among Native American populations.[52]

American Indian and Alaska Native (AI/AN) populations experience higher rates of late-stage melanoma diagnosis compared to many other racial and ethnic groups. Recent analyses highlight that delayed diagnosis among AI/AN patients is strongly influenced by geographic and health system–level barriers, including limited access to dermatology specialists.[53] In a cross-sectional study, incidence rates varied across geographic regions and county-level attributes.[54] Although the overall incidence of melanoma among AI/AN populations is lower than that of White populations, AI/AN individuals experience some of the highest rates of late-stage diagnosis, and certain regions (particularly the Southern Plains) report higher melanoma occurrence.[55] Few studies have examined the incidence and outcomes of non-melanoma skin cancers in AI/AN populations, highlighting significant gaps in available data.

Barriers to care for Native and Indigenous populations include socioeconomic challenges, geographic distance, and limited access to high-quality dermatologic care.[56] American Indian and Alaska Native communities are more likely to reside in areas with low dermatologist density, which can delay diagnosis and treatment of suspicious skin lesions.[57]

How to use this information: Use culturally relevant stories and personal narratives to build trust and resonance in messaging. Collaborate with Tribal health leaders and community organizations to integrate sun protection and skin cancer education into community events, cultural gatherings, and existing health programs particularly in regions with limited access to specialty care.[58] Improve awareness of skin cancer by tailoring messaging about the causes and treatment of skin cancer, paired with personal narratives and family experiences.[59]

Skin cancer (including basal cell carcinoma, squamous cell carcinoma, and melanoma) is among the most common cancers affecting lesbian, gay, bisexual, transgender, queer, intersex, and other sexual and gender minority (LGBTQI+) populations.[60]

Health communication efforts should highlight the risks of indoor tanning and skin cancer as an LGBTQI+ community health issue. Messaging that addresses the negatives of indoor tanning, such as skin wrinkles, skin aging and high costs, may be effective at discouraging individuals from indoor tanning.[61]

LGBTQI+ individuals may delay or avoid seeking care due to prior experiences of discrimination or concerns about bias in health care settings. Research shows that sexual and gender minority individuals (particularly sexual minority cisgender men) experience higher rates of indoor tanning and higher skin cancer prevalence compared to heterosexual men.[62] LGBTQI+ cancer survivors report experiencing gaps in tailored dermatologic care.[63]

How to use this information: Tailor sexual and gender minority (SGM)–specific cancer education and prevention messaging. Share directories of LGBTQI+-affirming providers and information about inclusive care environments. Ensure that educational materials and visuals reflect diverse sexual orientations, gender identities, and skin tones.

Provider specific: Integrate gender-affirming information and inclusive practices into skin cancer treatment, follow-up, and survivorship care plans.&[64]

Research indicates that rural populations experience a higher prevalence of skin cancer history across racial and ethnic groups. Rural White populations report higher skin cancer prevalence compared to their urban counterparts, while rates among rural Black, Hispanic, and other racial and ethnic groups are approximately twice as high as those seen in urban populations.[65] Rural patients with melanoma are also more likely to be diagnosed at later stages of disease and often must travel longer distances to access dermatologic and oncology care.[66]

Additional studies have found that rural residents experience poorer outcomes for certain skin cancers, including higher likelihood of major amputation and reduced survival for rare cancers such as sebaceous carcinoma.[67] Barriers to care in this population include transportation challenges, geographic isolation, limited access to specialty care, and reduced availability of high-quality dermatologic services.

How to use this information: Provide information on transportation assistance, teledermatology, and other access-related resources for rural populations. Tailor messaging to emphasize the importance of skin self-examinations, early detection, and knowing when to seek evaluation for concerning skin changes.

A survey of dermatology clinic patients found that sunscreen cost may be a barrier to sunscreen utilization but recommendations from dermatology providers are associated with higher rates of sunscreen use.[68] Limited geographic access may also play a role. Studies have identified “sunscreen deserts,” or areas with limited availability of sunscreen for purchase, which are more commonly located in predominantly Black communities and in low-income or low-access areas.[69]

How to use this information: Develop partnerships with community organizations, public health agencies, and local retailers to increase access to sun-protective resources, including sunscreen and protective clothing. Promote low-cost or free skin cancer screening opportunities, such as the American Academy of Dermatology’s free skin cancer screening program and provide education on affordable sun-safety strategies.[70]

People with physical, sensory, intellectual and other disabilities experience significantly higher health disparities than their non-disabled peers, leading to poorer health outcomes. While much more research is needed, survey data has shown that adults with disabilities have elevated odds of skin cancer.[71]

Although melanoma rates vary across disability type, people with disabilities are more likely to face barriers when accessing preventive health care services, including routine skin examinations and timely cancer screening.[72] Common barriers include physical inaccessibility of health care facilities, screening equipment, such as exam tables, inaccessible transportation, communication barriers, and limited provider training in inclusive care.[73] Because of these barriers, individuals with disabilities may be diagnosed with cancer at later stages, which can lead to worse outcomes compared to people without disabilities.[74] Below are recommendations for integrating the needs of people with disabilities into dermatological care. It’s important to note that these recommendations are not exhaustive, as each patient should be accommodated according to their individual needs. See the resources at the end of this article for more information.

Accessible Skin Cancer Prevention Education 

People with disabilities may receive less education about skin cancer prevention or the information may not be accessible. Health information is not always provided in accessible formats, which can reduce awareness of skin cancer warning signs and prevention behaviors.[75] While it’s important to note that accommodations can vary, ways to address educational barriers include: 

  • Ensuring that educational spaces are accessible to those using mobility devices (e.g. uncluttered, minimum 3-ft-wide pathway throughout)
  • Health information shared in plain language (4th to 6th grade reading level) without medical jargon
  • Educational videos in plain language, with captioning and audio descriptions
  • Paper documents available in large print and Braille
  • Easy-Read or plain language information with supplemental graphics and images
  • Providing qualified sign language interpreters during all medical appointments
  • Web sites, apps, and PDFs are WCAG 2.1, AA or Section 508 compliant

Accessible and inclusive campaign messaging 

For messaging to encourage any healthy behavior, readers have to “see” themselves in it. Skin cancer prevention information should be communicated in ways that are accessible and meaningful to people with disabilities. Campaign elements should include:

  • Portraying people in images and in written descriptions with a variety of disabilities (e.g., mobility, vision, hearing and intellectual disabilities) 
  • Showing people with and without disabilities together
  • Simple, memorable messages without jargon
  • Accessible social media
  • Getting input from and/or led or co-led by members of the disability community 

Healthcare provider understanding

Provider awareness of disability, accessibility accommodations, and inclusive preventive care is critical to improving early detection and timely diagnosis of melanoma among people with disabilities. Providers and even caregivers may unintentionally prioritize other health concerns and overlook preventive counseling.  Some individuals with disabilities may also have increased risk from sun exposure due to medications that cause photosensitivity, use of outdoor mobility supports, or difficulty checking their skin for changes. It’s important that practitioners who work with patients with disabilities and their support network find individualized approaches to skin cancer prevention. Some recommendations include, but are not limited to: 

  • Having height adjustable exam tables and an exam room for patients with mobility devices (at least a 5’ x 5’ turnaround space)
  • Staff knowledgeable about accessible transportation options in the area
  • Using telehealth when appropriate 
  • Involving caregivers or support personnel in performing at-home skin checks 
  • Flexible appointment scheduling and acclimatization visits 
  • Increasing frequency of appointments for higher-risk patients when regular self-checks are not possible 
  • Talking to the patient to fully understand their ability to apply topicals or use other treatments  

Policies and Procedures

Policies play an important role in the ability of patients with disabilities to access cancer prevention care, and for practices to sustain a focus on providing that care.  As described above, both the built environment and programmatic elements must be considered. To sustain high quality care for patients with disabilities, all healthcare providers, including dermatologists, can implement policies and practices such as:

  • In-service training on working with patients with different disabilities
  • Improving familiarity with accessibility regulations such as the Americans with Disabilities Act (ADA) and Section 504 of the Rehabilitation Act
  • Partnering with people with disabilities/disability organizations to serve in advisory roles
  • Budgeting for accessibility improvements and accessible equipment

Melanoma and Skin Cancer Resources

ResourceDescription
Access Starts with PartnershipThe National Association of Chronic Disease Directors and Lakeshore Foundation created a short document to assist with building partnerships to be inclusive of people with disabilities. 
Access to Medical Care for Individuals with Mobility DisabilitiesThe U.S. Department of Justice website offers guidance on access. Accessibility is not only legally required, it is important medically so that minor problems can be detected and treated before turning into major and possibly life-threatening problems. 
American Academy of Dermatology Association

Partner Skin Check Guide
The American Academy of Dermatology has free education resources to help you spread sun-safety messages and increase public awareness about skin cancer. 
American Cancer Society skin cancer prevention and detection resourcesLearn about some of the damaging effects that too much ultraviolet (UV) radiation exposure can have on the skin. You’ll also find tips to help you protect yourself and your family from getting too much sun.
American Cancer Society Skin Cancer Prevention InfographicEasy-to-follow tips to help you be sun sensible and reduce your risk of skin cancer.
Basic Information about Skin CancerThis resource from the CDC includes information on skin cancer, the risks, symptoms, prevention, and treatments.
Best Practices for Communicating with People with DisabilitiesLearn effective communication strategies, such as using plain language and offering alternate formats, from the National Association of Chronic Disease Directors and Lakeshore Foundation.
CDC’s Melanoma DashboardThis interactive data visualization tool provides the latest relevant state- and county-level data on melanoma incidence and mortality, UV levels, and other relevant data to inform skin cancer prevention efforts at the local level.
Dermatology NetThis resource offers skin cancer information and clinical photos of skin cancers, melanomas and other skin diseases.
Great Plans Tribal Leaders Health Board Skin Cancer Awareness Fact sheetThis fact sheet explains what skin cancer is, its causes (mainly UV exposure), and that people of all skin tones, including Native Americans, can get skin cancer.
GW Cancer Center: Action for Policy, Systems, and Environmental (PSE) Change: A TrainingThis training provides background information on the seven-step PSE change process, stepwise worksheets, a PSE action plan template, real world examples from comprehensive cancer control programs, an extensive resource list and approaches to help grow the PSE change evidence base.
GW Cancer Center: Together, Equitable, Accessible, Meaningful (TEAM) TrainingThis training aims to improve health equity by supporting organizational changes at the systems level. The training will help organizations implement quality improvements to advance equitable, accessible and patient-centered cancer care through improved patient-provider communication, cultural sensitivity, shared decision-making and attention to health literacy.
Hawaii Skin Cancer CoalitionThe Hawaii Skin Cancer Coalition has fact sheets, glossaries and other resources to understand skin cancer and sun-protective behaviors.
Inclusive Provider Self-Audit ToolThe Inclusive Provider Self-Audit Tool is designed to help you assess and improve the inclusivity of your healthcare organization to people with disabilities – specifically individuals with intellectual and developmental disabilities (IDD). The goal of this tool is for you to develop a concrete action plan that enables your organization to make meaningful progress towards inclusion each year.
How to SPOT Skin CancerThis infographic from the American Academy of Dermatology Association can be used to regularly check skin.
Interactive Dermatology AtlasThis resource is an interactive atlas of clinical skin cancer photos. 
Melanoma EducationThis resource from the Melanoma Research Foundation offers information for survivors and caregivers, as well as educational materials for clinical settings.
Moles to Melanoma: Recognizing the ABCDE FeaturesThis resource from the National Cancer Institute provides photographs of different pigmented skin lesions to help patients and other individuals recognize common moles, atypical moles, and melanomas.
Plain Language and Easy Read Communication GuideOn this page you can find Plain Language and Easy Read resources, including a self-paced online course, “How to Make Information Easier to Understand,” inclusive communication guides, plain language fact sheet, and a social media toolkit.
Preventing Skin Cancer: Community Wide InterventionsThese interventions from the Community Preventive Services Task Force seek to increase preventative behaviors within a community by targeting a large part of the population in a defined area.
Resources to ShareCDC offers scientifically accurate information about skin cancer in a variety of formats.
Skin Cancer FoundationThis organization empowers people to take a proactive approach to daily sun protection by offering educational resources on prevention, skin care information, risk factors, early detection, and treatment. 
Skin Cancer in People of Color Photo GalleryThis resource provides photographs of different pigmented areas on people of color to help individuals and patients recognize moles, atypical moles, and melanomas.
Skin Cancer Image GalleryThis picture gallery from the American Cancer Society contains examples of the more common types of skin cancer, as well as some other non-cancerous types of skin growths.
Skin Cancer (including Melanoma)-Patient VersionResource provided by the National Cancer Institute that provides an overview of skin cancer, information on treatment, causes and prevention, screening and coping with skin cancer. Also includes the latest on skin cancer research and statistics.
Sun Safety Evidence-Based Programs ListingThis list of sun-safety interventions from the NCI’s Evidence-Based Cancer Control Programs website (formerly RTIPS) is a searchable database of evidence-based cancer control programs that provides program planners and public health practitioners easy and immediate access to: 1) programs tested in a research study, 2) publication(s) of the study findings, and 3) program materials used with a particular study population in a specific setting.
Sun SafetyThis resource from the Environmental Protection Agency has information on UV radiation and how to stay sun safe.
The Big See CampaignThe Big See Campaign from the Skin Cancer Foundation aims to inspire you to open your eyes, get to know your skin, look in the mirror and keep these 3 words in mind: NEW, CHANGING or UNUSUAL. 

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Melanoma and Skin Cancer Awareness Messages and Graphics

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Did you know that May is #skincancer awareness month? Explore CDC’s #MelanomaDashboard to access recent data that can help strengthen skin cancer prevention efforts. https://bit.ly/33mzgRA 
#TAPforSkinCancer #gwcctap


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Communities across the country are using innovative approaches to reduce the burden of #skincancer and #melanoma. Learn more from their success stories. https://bit.ly/4a7oRw7 #TAPforSkinCancer #gwcctap


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Communities across the country are using innovative approaches to reduce the burden of #skincancer and #melanoma. Learn more from their success stories. https://bit.ly/4a7oRw7 #TAPforSkinCancer #gwcctap


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A family history of melanoma can increase your risk of skin cancer. Knowing your family history can help inform conversations about skin health and screening. https://bit.ly/4krk9N7 #TAPforSkinCancer #gwcctap


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A family history of melanoma can increase your risk of skin cancer. Knowing your family history can help inform conversations about skin health and screening. https://bit.ly/4krk9N7 #TAPforSkinCancer #gwcctap


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What can you do to reduce your risk of skin cancer, including #melanoma? Avoid indoor tanning, use sunscreen, and stay in the shade during midday hours: https://bit.ly/4kukXkH#TAPforSkinCancer #gwcctap 


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What can you do to reduce your risk of skin cancer, including #melanoma? Avoid indoor tanning, use sunscreen, and stay in the shade during midday hours: https://bit.ly/4kukXkH #TAPforSkinCancer #gwcctap


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Tanning your skin in the sun or in a tanning bed damages your skin. Over time, this damage can lead to premature skin aging, such as wrinkles and uneven skin tone, and in some cases, #skincancer. #TAPforSkinCancer #gwcctap


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A tan isn’t worth the risk. Tanning beds or sun tanning significantly increase your risk of melanoma. Your skin deserves better. #TAPforSkinCancer #gwcctap 


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Tanning your skin in the sun or a tanning bed damages your skin. Over time, this damage can lead to premature skin aging, wrinkles, uneven skin tone, and in some cases, skin cancer. #TAPforSkinCancer #gwcctap


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There is no safe amount of tan. Love the skin you have and skip the tanning bed. Your skin deserves better. #TAPforSkinCancer #gwcctap


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A short time in a tanning bed can leave lasting effects on your skin including wrinkles, age spots, and skin cancer. Your skin deserves better. #TAPforSkinCancer #gwcctap


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Show off your sun-safe style! Share your #SunSafeSelfie and join the conversation to raise awareness about the benefits of sun protection. https://bit.ly/4qmShv1 #TAPforSkinCancer #gwcctap


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Show off your sun-safe style! Share your #SunSafeSelfie and join the conversation to raise awareness about the benefits of sun protection. https://bit.ly/4qmShv1
#TAPforSkinCancer #gwcctap


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Protecting your skin from the sun can help reduce your risk of skin cancer. Use sunscreen, seek shade during peak sun hours, and wear protective clothing when outdoors. More tips here: https://bit.ly/4kukXkH 
#TAPforSkinCancer #gwcctap


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Looking for evidence-based interventions to prevent #melanoma and other skin cancers in your community? NCI’s Evidence-Based Cancer Control Programs (EBCCP) is a great place to start: https://bit.ly/36H483Z
#TAPforSkinCancer #gwcctap


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The Friday before Memorial Day is “Don’t Fry Day!” Help us raise awareness and reduce the rates of skin cancer, including melanoma: https://bit.ly/4r86c9B #TAPforSkinCancer #gwcctap


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Schools play an important role in protecting students from harmful UV exposure. CDC’s school guidelines offer practical strategies to help create sun-safe environments for students and staff: https://bit.ly/4tshIOE 
#TAPforSkinCancer #gwcctap


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Not sure what to look for when checking your skin? The ABCDEs are a simple way to spot changes that could be signs of melanoma. Keeping track of changes over time matters. https://bit.ly/4aDpzkW 
#TAPforSkinCancer #gwcctap


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Comprehensive Cancer Control professionals can explore evidence-based strategies to prevent skin cancer in the U.S. Surgeon General’s Call to Action to Prevent Skin Cancer. This resource highlights policy, systems, and environmental approaches that support prevention at the community level: https://bit.ly/3O8WtBi 
#TAPforSkinCancer #gwcctap


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Protecting your skin from the sun can help reduce your risk of skin cancer.  Use sunscreen, seek shade during peak sun hours, and wear protective clothing when outdoors. More tips here: https://bit.ly/4kukXkH 
#TAPforSkinCancer #gwcctap


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The Friday before Memorial Day is “Don’t Fry Day!” Help us raise awareness and reduce the rates of skin cancer, including melanoma: https://bit.ly/4r86c9B #TAPforSkinCancer #gwcctap 


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It’s #SkinCancer Awareness Month and this is a reminder to raise awareness and reduce the rates of skin cancer, including melanoma: https://bit.ly/4r86c9B #TAPforSkinCancer #gwcctap
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Wear SPF 15 sunscreen or higher and re-apply often. During #SkinCancer Awareness Month it’s a good time to remember the basics of skin cancer prevention. More tips here: https://bit.ly/4kukXkH 
#TAPforSkinCancer #gwcctap

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Messages for Black & African American Persons
For Black persons, #melanoma can occur in areas that get little sun exposure, like the palms of the hands, soles of the feet, and nail areas. Know the facts: https://bit.ly/2QTkezv
#TAPforSkinCancer #gwcctap #BlackHealthMatters #POCHealth #TAPforSkinCancer #gwcctap

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For people of color, when skin cancer develops in non-sun-exposed areas, it’s often in a late stage when diagnosed. You can find skin cancer early! Learn more at networks like the @SkinofColorSociety Check out these tips on how you can look for warning signs: https://bit.ly/3dwS59o
#TAPforSkinCancer #gwcctap #POCHealth #SkinOfColor

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Messages for Asian American Persons
Asian Americans are diagnosed with skin cancer less often, but more likely at later stages. Early detection matters for everyone. Check your skin. Don’t ignore changes.
#AsianAmericanHealth #TAPforSkinCancer #gwcctap

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Shade and protective clothing help—but sunscreen is still essential. Tanning increases #melanoma risk, no matter your skin tone. Protect your skin every day.
#TAPforSkinCancer #gwcctap

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Messages for Hispanics & Latine Persons
In the past 20 years, #melanoma cases have risen by 20% for people who are Hispanic. Learn more and find support through @NuestrosVoces No one is immune to skin cancer. Get the facts: https://bit.ly/2QTkezv
#TAPforSkinCancer #gwcctap

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People who are Hispanic have the third highest rate of developing #melanoma, often diagnosed at younger ages and find it late. Learn more and find support through @NuestrosVoces No one is immune to skin cancer. https://bit.ly/2QTkezv
#TAPforSkinCancer #gwcctap

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Messages for Native Hawaiian & Pacific Islander Persons
Skin cancer can affect anyone, but it’s often diagnosed later in people from Hawaii and the Pacific Islands. Learn more at the @Hawai’i Skin Cancer Coalition website: https://bit.ly/431v1JH    #TAPforSkinCancer #gwcctap
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Even during the winter months in Hawaii over exposure to the sun’s ultraviolet radiation (UV) not only causes painful sunburn, but can lead to serious health problems, including melanoma. Learn more from the @Hawai’i Skin Cancer Coalition website: https://bit.ly/431v1JH #TAPforSkinCancer #gwcctap
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Messages for Native & Indigenous Persons
People of all colors, including those with brown skin, get skin cancer. When skin cancer develops in Native Americans, it’s often in a late stage when it gets diagnosed. Use this fact sheet from the @Great Plains tribal Leaders Health Board for more information to spread awareness for skin cancer. https://bit.ly/4d4xpnT  #TAPforSkinCancer #gwcctap
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People who are American Indian or Alaska Native have the second highest rate of melanoma. Read about an Osage woman’s experience with skin cancer here in the @AMA Journal of Ethics: https://bit.ly/3pOkVbU
#TAPforSkinCancer #gwcctap

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Messages for LGBTQI+ Persons
There is no such thing as a safe tan. Skip the tanning bed which can lead to wrinkles, age spots and even skin cancer. Check your skin and check your partner’s skin with this @American Academy of Dermatology Association guide: https://bit.ly/4utC7Cw #TAPforSkinCancer #gwcctap
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Did you know that men who identify as gay or bisexual are twice as likely to have skin cancer and six times more likely to use tanning beds compared to heterosexual men? Learn more about these disparities: https://bit.ly/3HSuI71
#TAPforSkinCancer #gwcctap

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Protecting your skin from the sun and not using tanning beds can help reduce your risk of skin cancer. More tips here: https://bit.ly/4kukXkH #TAPforSkinCancer #gwcctap
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Messages for Rural Communities
#Rural communities face unique barriers to #skincancer prevention and early detection. Addressing these structural challenges is essential to improving outcomes across the cancer continuum. #TAPforSkinCancer #gwcctap
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People working outside are exposed more to the sun and have a higher chance of developing #skincancer or #melanoma. Keeping track of changes over time matters. https://bit.ly/4aDpzkW #TAPforSkinCancer #gwcctap
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Farmers need protection from the sun and to remember the basics of #skincancer prevention. More tips here: https://bit.ly/4kukXkH 
#TAPforSkinCancer #gwcctap 

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Messages for People with Disabilities
People with disabilities experience persistent barriers to #Skincancer screening, including inaccessible equipment, transportation challenges, and gaps in provider training. Explore this report to support inclusive cancer prevention efforts in your community: https://bit.ly/4qvwcdS #TAPforSkinCancer #gwcctap
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Skin cancer prevention information should be communicated in ways that are accessible and meaningful to people with disabilities. Learn more from @NACDD at https://bit.ly/4nbftMI. #TAPforSkinCancer #gwcctap
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Some individuals with disabilities may also have increased risk from sun exposure due to medications that cause photosensitivity, use of outdoor mobility supports, or difficulty checking their skin for changes. Learn more from @NACDD at https://bit.ly/4nbftMI. #TAPforSkinCancer #gwcctap
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Messages for People with Low Income or Limited Resources
Cost and access barriers can delay #skincancer diagnosis. The @American Academy of Dermatology Foundation offers FREE community skin cancer screenings. Find events at: https://bit.ly/46o0w35  #TAPforSkinCancer #gwcctap
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Cost and access barriers can delay #skincancer diagnosis. The @American Academy of Dermatology Foundation offers FREE community skin cancer screenings. Find events at: https://bit.ly/46o0w35  #TAPforSkinCancer #gwcctap
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Don’t let the cost of a #skincancer screening get in the way. The @American Academy of Dermatology Foundation offers FREE community skin cancer screenings. Find events at: https://bit.ly/46o0w35  #TAPforSkinCancer #gwcctap
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Messages for Occupations
Employers can help prevent #skincancer.
Provide:
• Sunscreen
• Shade
• Sun safety education
Protect your team.
#WorkplaceWellness #SunSafety#TAPforSkinCancer #gwcctap

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What can you do in your community to help prevent #skincancer? Community-based programs can prevent future cases and lower treatment costs: https://bit.ly/42jcdFI #TAPforSkinCancer #gwcctap
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Download All Messages and Graphics

Social media management tools like Hootsuite and Sprout Social offer bulk scheduling options for uploading multiple messages at once. The spreadsheet below can be adapted to fit multiple scheduling platforms or services. It is currently formatted to work with Sprout Social’s bulk scheduling option. Please review the bulk scheduling format requirements for your specific platform before posting. Messages are sorted by network.

If you would like to download all images in this social media toolkit, click on each network below for a zip file with each network’s graphics. Please note that these image sizes are slightly smaller than the links above due to file size limitations. If you would like to download full resolution versions, simply click on the “Download Graphic” link below each image in the message tables above. 

Template Graphics

Need to adjust our designs? Use our Canva Templates for GW TAP’s Melanoma and Skin Cancer Awareness Month Graphics.

References

Centers for Disease Control and Prevention. (2025, June 10). Melanoma of the skin statistics. U.S. Department of Health and Human Services. https://www.cdc.gov/skin-cancer/statistics/index.html

National Cancer Institute. (2025, May 16). Merkel cell carcinoma treatment (PDQ®)–Patient version. U.S. Department of Health and Human Services, National Institutes of Health.

Centers for Disease Control and Prevention. (2024, July 1). Skin cancer basics. U.S. Department of Health and Human Services. https://www.cdc.gov/skin-cancer/about/index.html

Centers for Disease Control and Prevention. (2024, July 1). Skin cancer risk factors. U.S. Department of Health and Human Services. https://www.cdc.gov/skin-cancer/risk-factors/index.html

Centers for Disease Control and Prevention & National Cancer Institute. (n.d.). U.S. Cancer Statistics Data Visualizations Tool. U.S. Department of Health and Human Services. https://gis.cdc.gov/Cancer/USCS/#/

American Cancer Society. (2026, January 13). Key statistics for melanoma skin cancer. https://www.cancer.org/cancer/types/melanoma-skin-cancer/about/key-statistics.html

American Cancer Society. (2023, October 31). Key statistics for basal and squamous cell skin cancers. https://www.cancer.org/cancer/types/basal-and-squamous-cell-skin-cancer/about/key-statistics.html

U.S. Preventive Services Task Force. (2023, April 18). Skin cancer: Screening. https://www.uspreventiveservicestaskforce.org/uspstf/document/RecommendationStatementFinal/skin-cancer-screening

U.S. Preventive Services Task Force. (2023, April 18). Skin cancer: Screening. https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/skin-cancer-screening

American Academy of Dermatology. (n.d.). Skin cancer screenings. https://www.aad.org/public/public-health/skin-cancer-screenings

American Academy of Dermatology. (2023, April 18). AAD statement on USPSTF recommendation on skin cancer screening. https://www.aad.org/news/aad-statement-uspstf-cancer-screeening

Centers for Disease Control and Prevention. (2026, February 10). Sun safety facts. U.S. Department of Health and Human Services. https://www.cdc.gov/skin-cancer/sun-safety/

Heckman, C. J., Mitarotondo, A., Lin, Y., Khavjou, O., Riley, M., Manne, S. L., Yaroch, A. L., Niu, Z., & Glanz, K. (2024). Digital Interventions to Modify Skin Cancer Risk Behaviors in a National Sample of Young Adults: Randomized Controlled Trial. Journal of medical Internet research, 26, e55831. https://doi.org/10.2196/55831

Ainiwaer, A., Zhang, S., Ainiwaer, X., & Ma, F. (2021). Effects of Message Framing on Cancer Prevention and Detection Behaviors, Intentions, and Attitudes: Systematic Review and Meta-analysis. Journal of medical Internet research, 23(9), e27634. https://doi.org/10.2196/27634

Banerjee, S. C., Sussman, A., Schofield, E., Guest, D. D., Dailey, Y. S., Schwartz, M. R., Buller, D. B., Hunley, K., Kaphingst, K. A., Berwick, M., & Hay, J. L. (2021). “Let’s Talk about Skin Cancer”: Examining Association between Family Communication about Skin Cancer, Perceived Risk, and Sun Protection Behaviors. Journal of health communication, 26(8), 576–585. https://doi.org/10.1080/10810730.2021.1966686

Skin Cancer Foundation. (n.d.). Skin cancer in skin of color. https://www.skincancer.org/skin-cancer-information/skin-cancer-skin-of-color/

American Cancer Society. (n.d.). What people of color need to know about sun protection and skin cancer. Cancer.org. https://www.cancer.org/cancer/latest-news/what-people-of-color-need-to-know-about-sun-protection-and-skin-cancer.html

American Cancer Society. (2024, June 26). How to do a skin self-exam. https://www.cancer.org/cancer/risk-prevention/sun-and-uv/skin-exams.html

Bowers, J. M., Nosek, S., & Moyer, A. (2022). Young adults’ stigmatizing perceptions about individuals with skin cancer: the influence of potential cancer cause, cancer metaphors, and gender. Psychology & health, 37(5), 615–632. https://doi.org/10.1080/08870446.2020.1869738

American Cancer Society. (n.d.). Skin exams: Sun and UV. https://www.cancer.org/cancer/risk-prevention/sun-and-uv/skin-exams.html

Niu, Z., & Heckman, C. J. (2022). Digital Educational Strategies to Teach Skin Self-examination to Individuals at Risk for Skin Cancer. Journal of health communication, 27(11-12), 790–800. https://doi.org/10.1080/10810730.2022.2157910

Sar-Graycar, L., Rotemberg, V. M., Matsoukas, K., Halpern, A. C., Marchetti, M. A., & Hay, J. L. (2021). Interactive skin self-examination digital platforms for the prevention of skin cancer: A narrative literature review. Journal of the American Academy of Dermatology, 84(5), 1459–1468. https://doi.org/10.1016/j.jaad.2020.07.014

Young, J. N., Krishnamurthy, N., Chang, A., Poplausky, D., Gulati, N., & Ungar, J. (2023). Outcomes and Follow-Up Data From Two Skin Cancer Screening Events. Cureus, 15(8), e43938. https://doi.org/10.7759/cureus.43938

Nikolakis, G., Vaiopoulos, A. G., Georgopoulos, I., Papakonstantinou, E., Gaitanis, G., & Zouboulis, C. C. (2024). Insights, Advantages, and Barriers of Teledermatology vs. Face-to-Face Dermatology for the Diagnosis and Follow-Up of Non-Melanoma Skin Cancer: A Systematic Review. Cancers, 16(3), 578. https://doi.org/10.3390/cancers16030578

Centers for Disease Control and Prevention. (2025, October 1). Skin cancer prevention (PCD issue 2024;24:0165). https://www.cdc.gov/pcd/issues/2024/24_0165.htm

American Cancer Society. (n.d.). Follow-up care for basal and squamous cell skin cancer. https://www.cancer.org/cancer/types/basal-and-squamous-cell-skin-cancer/after-treatment/follow-up.html

Belkaïd, S., Schenck, M., Marcoux, M., Chabaud, S., Darnis, S., & Amini-Adle, M. (2024). Role of the primary care physician in skin cancer screening: Perspectives of skin cancer patients. Annales de dermatologie et de venereologie, 151(3), 103298. https://doi.org/10.1016/j.annder.2024.103298

Najmi, M., Brown, A. E., Harrington, S. R., Farris, D., Sepulveda, S., & Nelson, K. C. (2022). A systematic review and synthesis of qualitative and quantitative studies evaluating provider, patient, and health care system-related barriers to diagnostic skin cancer examinations. Archives of dermatological research, 314(4), 329–340. https://doi.org/10.1007/s00403-021-02224-z

Dréno, B., Mohr, P., Sicard, J., Persson, C., Barba Ibáñez, E., Saint Aroman, M., & Alivon, M. (2024). Multidisciplinary patient-centered approach to the management of skin cancer. Journal of the European Academy of Dermatology and Venereology : JEADV, 38 Suppl 5, 21–25. https://doi.org/10.1111/jdv.19573

National Cancer Institute. (n.d.). Cancer disparities. https://www.cancer.gov/about-cancer/understanding/disparities

American Cancer Society. (2022). Cancer facts & figures 2026. https://www.cancer.org/research/cancer-facts-statistics/all-cancer-facts-figures/2026-cancer-facts-figures.html

Brady, J., Kashlan, R., Ruterbusch, J., Farshchian, M., & Moossavi, M. (2021). Racial Disparities in Patients with Melanoma: A Multivariate Survival Analysis. Clinical, cosmetic and investigational dermatology, 14, 547–550. https://doi.org/10.2147/CCID.S311694

Brunsgaard E, Wu Y, Grossman D. (2022). Melanoma in skin of color: Part I. Epidemiology and clinical presentation. Journal of the American Academy of Dermatology, 2022; 89, 445-456. Melanoma in skin of color: Part I. Epidemiology and clinical presentation – Journal of the American Academy of Dermatology

Shao, K., & Feng, H. (2022). Racial and Ethnic Healthcare Disparities in Skin Cancer in the United States: A Review of Existing Inequities, Contributing Factors, and Potential Solutions. The Journal of clinical and aesthetic dermatology, 15(7), 16–22. https://pubmed.ncbi.nlm.nih.gov/35942012/

Shao and Feng 2022.

Shaikh, R., & Huckfeldt, V. E., Jr (2023). Educational Intervention and Melanoma Prognosis in Black People. Cureus, 15(11), e49527. https://doi.org/10.7759/cureus.49527

Shao and Feng 2022

Centers for Disease Control and Prevention. (n.d.). U.S. Cancer Statistics: Explore trends (data visualization tool). https://gis.cdc.gov/Cancer/USCS/#/explore/trends?cancer=58&datatype=1&indicator=value&area=1&timeperiods=28_25_24_23_22_20_19_18_17_16_15_14_13_12_11_10_9_8_7_6_5_4_3_1&sexes=1&races=6&tab=2&view=chart

U.S. Cancer Statistics Working Group, 2021b.

Shao and Feng 2022.

Shao and Feng 2022.

Niu et al., 2022.

Niu et al., 2022.

Hogan, V., Hogan, M., Kirwan, O., Langan Walsh, C., McLaughlin, C., Moynihan, Á., Connolly, A., Walsh, J., & Coggins, M. (2024). Sun-related knowledge and practices in Irish construction and agricultural workers. Occupational medicine (Oxford, England), 74(5), 378–385. https://doi.org/10.1093/occmed/kqae042

Niu, Z., Rivera, Y. M., Baskar, J., Shanmugavel, A., Manne, S. L., Hudson, S. V., Penedo, F. J., & Heckman, C. J. (2024). Barriers and facilitators to skin cancer prevention among Hispanics: a qualitative study. BMC public health, 24(1), 2690. https://doi.org/10.1186/s12889-024-20000-2

Osman, A., Nigro, A. R., Brauer, S. F., Borda, L. J., & Roberts, A. A. (2024). Epidemiology and primary location of melanoma in Asian patients: A surveillance, epidemiology, and end result-based study. JAAD international, 16, 77–78. https://doi.org/10.1016/j.jdin.2024.04.006

Supapannachart et al., 2022.

Supapannachart et al., 2022.

Supapannachart et al., 2022

Bowers et al., 2021.

Zheng et al., 2021.

Kim, D. Y., Dee, E. C., Cheng, I., & Hartman, R. I. (2024). Advanced melanoma presentation and disease-specific survival disparities among disaggregated Asian American, Native Hawaiian, and Pacific Islander populations. Journal of the American Academy of Dermatology, 90(3), 623–626. https://doi.org/10.1016/j.jaad.2023.10.052

Thelen, K., Schenk, M., Naasz, L., & Frohm, M. L. (2025). Indigenous Skin Wellness Study: Exploring Skin Cancer Awareness and Understanding Among Native Americans: A Cross-Section Study. South Dakota medicine : the journal of the South Dakota State Medical Association, 78(suppl 5), s38. https://pubmed.ncbi.nlm.nih.gov/40550181/

Smith, B., Matsumoto, M., Wang, H., Baskin, M. L., Kirkwood, J. M., & Ferris, L. K. (2023). Melanoma Detection in Alaska Native, American Indian, Asian, Black, Hispanic, and Pacific Islander Patients in a Large Skin Cancer Screening Initiative. JAMA dermatology, 159(9), 1004–1006. https://doi.org/10.1001/jamadermatol.2023.2067

Townsend, J. S., Melkonian, S. C., Jim, M. A., Holman, D. M., Buffalo, M., & Julian, A. K. (2024). Melanoma Incidence Rates Among Non-Hispanic American Indian/Alaska Native Individuals, 1999-2019. JAMA dermatology, 160(2), 148–155. https://doi.org/10.1001/jamadermatol.2023.5226

U.S. Cancer Statistics Working Group, 2021a.

Kohn, L. L., Zullo, S. W., & Manson, S. M. (2024). High Melanoma Rates in the American Indian and Alaska Native Population-A Unique Challenge. JAMA dermatology, 160(2), 145–147. https://doi.org/10.1001/jamadermatol.2023.5225

Nguyen, B., & Bray, F. N. (2022). Access to dermatologic care in Indigenous American communities. Journal of the American Academy of Dermatology, 87(4), 904–906. https://doi.org/10.1016/j.jaad.2022.04.026

Idoate, 2021; American Indian Cancer Foundation, 2020.

Arambula Solomon, T. G., Jones, D., Laurila, K., Ritchey, J., Cordova-Marks, F. M., Hunter, A. U., & Villanueva, B. (2023). Using the Community Readiness Model to assess American Indian communities’ readiness to address cancer prevention and control programs. Journal of Cancer Education, 38(1), 206–214. https://doi.org/10.1007/s13187-021-02100-4

Scout & Rhoten, 2021.

Smith, C. A., Machado, K. T. L., Cheng, A., Tribble, J. T., Scout, N., & Yeung, H. (2025). Skin cancer treatment environment and survivorship resources among sexual and gender minority patients: results of the OUT National Cancer Survey. Archives of dermatological research, 317(1), 253. https://doi.org/10.1007/s00403-024-03772-w 

Wheldon, C. W., & Spradau, J. Z. H. (2023). Indoor Tanning among Sexual and Gender Minority Adolescents and Adults: Results from the 2020 Pennsylvania LGBT Health Needs Assessment. Journal of skin cancer, 2023, 3953951. https://doi.org/10.1155/2023/3953951

Smith et al. 2025.

Smith et al. 2025.

Lin, R. R., Lee, J., Maderal, A. D., & Elman, S. A. (2024). Rural Health Disparities in Skin Cancer Amplified Among Skin of Color. Journal of drugs in dermatology : JDD, 23(6), 480–484. https://doi.org/10.36849/JDD.8094

Akers, Rachel, Alison Coogan, Laura Kasper, Vaishnavi Krishnan, Alan Tan, and Cristina O’Donoghue.(2023). Melanoma disparities in urban vs rural communities in the era of immunotherapy: An NCDB analysis. Journal of Clinical Oncology 41, 9578-9578. DOI:10.1200/JCO.2023.41.16_suppl.9578

Chang R, Brunsgaard E, Reid D, et al. (2024). Rural-urban survival differences in sebaceous carcinoma: a national cancer database analysis. Journal of the American Academy of Dermatology, Volume 91, Issue 3. https://doi.org/10.1200/JCO.2023.41.16_suppl.9578

Julian, A. K., Ferrer, R. A., & Perna, F. M. (2023). Sun protection behavior: health impact, prevalence, correlates and interventions. Psychology & Health, 38(6), 701–725. https://doi.org/10.1080/08870446.2022.2146112

Onamusi, T. A., Wilkowski, C. M., Curtis, K. K., Kumar, Y., Sharma, T. R., & Carroll, B. T. (2023). Identifying sunscreen deserts in Cuyahoga County. Archives of dermatological research, 316(1), 32. https://doi.org/10.1007/s00403-023-02778-0

AAS, (2024) 

Kaundinya, T., Yang, K., Zhou, G. et al. Skin cancer diagnosis over the lifetime in persons with different disabilities. Arch Dermatol Res 315, 2703–2708 (2023). https://doi.org/10.1007/s00403-023-02643-0

Krahn, G. L., Walker, D. K., & Correa-De-Araujo, R. (2015). Persons with disabilities as an unrecognized health disparity population. American journal of public health, 105 Suppl 2(Suppl 2), S198–S206. https://doi.org/10.2105/AJPH.2014.302182

Iezzoni, L. I., Rao, S. R., Ressalam, J., Bolcic-Jankovic, D., Agaronnik, N. D., Donelan, K., Lagu, T., & Campbell, E. G. (2021). Physicians’ perceptions of people with disability and their health care. Health Affairs, 40(2), 297–306. https://doi.org/10.1377/hlthaff.2020.01452

Centers for Disease Control and Prevention. (2025, April 2). Disability and health conditions.https://www.cdc.gov/disability-and-health/conditions/index.html

Krahn, G. L., Walker, D. K., & Correa-De-Araujo, R. (2015). Persons with disabilities as an unrecognized health disparity population. American journal of public health, 105 Suppl 2(Suppl 2), S198–S206. https://doi.org/10.2105/AJPH.2014.302182

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