Exploring Melanoma Awareness in the Australian Adult Population: A Cross‐Sectional Survey
- 17 November 2025
- journal article
- Published by Wiley in Health Promotion Journal of Australia
- Vol. 37 (1) , e70131
Abstract
Background: Given Australia's high UV exposure and sun‐seeking habits, public awareness is critical for early melanoma diagnosis. This study aims to assess melanoma awareness in Australian adults. Methods: An adapted Melanoma Cancer Awareness Measure (M‐CAM) survey with both prompted and unprompted questions was used to assess knowledge of melanoma signs and symptoms, targeting adults over 18 years, excluding healthcare professionals. Results: Among 390 participants, the mean number of correctly identified melanoma signs and symptoms was 3.5 out of 17 (unprompted) and 11 out of 14 (prompted). For melanoma risk factors, participants recalled an average of 3.1 items out of 21 (unprompted), and 14 out of 20 items when prompted. The most commonly identified symptoms (unprompted) were changes in the colour (72%), size (41%) and shape (34%) of an existing mole. Sun exposure was the most recognised melanoma risk factor (89%) in unprompted recall, followed by family history of melanoma (64%) and fair skin colour (47%). Conclusion: In this Australian sample, unprompted awareness was low, even among those with a melanoma history. Targeted efforts to identify sub‐groups with low awareness, alongside education highlighting less common signs, may enhance early detection and improve melanoma outcomes.Keywords
Funding Information
- National Institute for Health and Care Research (NIHR300588)
- National Health and Medical Research Council (2034411)
- National Health and Medical Research Council (2006551)
- National Health and Medical Research Council (2009923)
- University of Queensland
This publication has 13 references indexed in Scilit:
- A review of skin cancer primary prevention activities in primary care settingsPublic Health Research and Practice, 2024
- Global Burden of Cutaneous Melanoma in 2020 and Projections to 2040JAMA Dermatology, 2022
- Clinical ABCDE rule for early melanoma detectionEuropean Journal Of Dermatology, 2021
- Perceptions of melanoma risk among Australian adolescents: barriers to sun protection and recommendations for improvementAustralian and New Zealand Journal of Public Health, 2014
- A questionnaire to measure melanoma risk, knowledge and protective behaviour: Assessing content validity in a convenience sample of Scots and AustraliansBMC Medical Research Methodology, 2011
- Interventions to promote cancer awareness and early presentation: systematic reviewBritish Journal of Cancer, 2009
- Impact of Reporting Delay and Reporting Error on Cancer Incidence Rates and TrendsJNCI: Journal of the National Cancer Institute, 2002
- Delay in the diagnosis of cutaneous melanoma: an analysis of 233 patientsMelanoma Research, 2002
- Delays in diagnosis and melanoma prognosis (I): The role of patientsInternational Journal of Cancer, 2000
- Patient Knowledge, Awareness, and Delay in Seeking Medical Attention for Malignant MelanomaJournal of Clinical Epidemiology, 1999