33965 Learn2Derm: A community-based pilot program assessing beliefs surrounding skin cancer risk factors, presentation, and prevention strategies

Abstract

Introduction: Underserved and underrepresented communities exhibit disparities across all spectrums in health. Dermatology is not an exception, as there continues to be disparities in burden of disease, access to healthcare, and patient-provider trust. To address such gaps, a community-based, recurring, interactive and educational program, Learn2Derm, was launched. The first event focused on disparities in education and detection of skin cancer in persons of color in Ward 8 in Washington D.C., an underserved community with a population that is 92% black. Methods: To better understand the needs of this community, an IRB-approved survey was disseminated to participants to investigate familiarity with skin cancer presentation and prevention, and to understand barriers to seeking dermatologic care. Results: 49 attendees completed the survey. Postsurvey results indicated participants learned that skin cancer could present under the fingernail and that sunscreen can prevent skin cancer (P < .05). Participants revealed that cost was the greatest barrier to sunscreen utilization. After the event, 50% of those who responded trusted dermatologists more. Similar culture and comprehensible language were reasons most likely to increase trust (n = 23). All attendees that answered the final item on the survey indicated that they enjoyed the event (n = 47). Conclusions: Our data highlight that community-immersion events can facilitate awareness of dermatologic conditions, foster communication between dermatologists and communities, enhance dermatologic access, and may instill trust placed in providers. Consequently, patients from underserved communities may receive and seek dermatologic care at earlier disease presentation and avoid the long-lasting impacts of untreated skin disease.