The global incidence of melanoma has risen rapidly over the last decades in Caucasian populations with Switzerland reporting among the highest rates in Europe. Ultraviolet (UV) radiation is one of the main risk factors for melanoma. Our aim was to investigate the UV protection behavior and melanoma awareness in a high-risk cohort for melanoma. In this prospective monocentric study comparing 2D- and 3D-imaging with deep-learning based risk assessments and routine skin cancer screenings by dermatologists for early detection of melanoma, we assessed general melanoma awareness and UV protection habits in high-risk patients for melanoma (≥ 100 nevi, ≥ 5 dysplastic nevi, known CDKN2A mutation and/or positive family history) and melanoma patients by questionnaires. Between 01/2021 and 03/2022, a total of 269 patients (mean age 54±14 years, 52% male, 53.5% high-risk, 46.5% melanoma patients) were included. We observed a trend of using higher sun protection factor (SPF) among melanoma vs. high-risk patients (SPF 50+: 48% [n = 60] vs. 26% [n = 37]). The UV protection in terms of sunscreen use with SPF ≥ 30 was significantly higher among subjects with college or university degree compared to patients with lower levels of education (p = 0.0007). Interestingly, we found an inverse observation for annual sun exposure as patients with a higher education level spent significantly more time in the sun (p = 0.041). Neither positive family history for melanoma nor gender or Fitzpatrick skin type influenced sun protection behavior regarding the SPF used and the amount of sun exposure per year. Study participation led to an improved sun protective behavior as 51% reported using sunscreen more frequently after inclusion. UV protection remains a crucial factor in melanoma prevention. We suggest to further raise melanoma awareness in public skin cancer prevention campaigns with particular focus on individuals with low education levels.

ESDR491 - Education level is associated with increased sun exposure, but also ultraviolet radiation protection and melanoma awareness in a high-risk population in Switzerland

The scientific meeting of the European Society for Dermatological Research (ESDR) is held yearly, usually in September. With an international attendance of more than 1000 skin scientists from around the globe, the four-day event includes short oral presentations from peer-reviewed abstracts, keynote lectures from international experts, sponsored symposia, satellite programs, educational events as well as an important focus on posters, networking and building collaborations amongst scientists. For more information about this year’s meeting visit our website.