# Skin cancer screening practices of UK hairdressers and barbers for their customers: a preliminary study

## TL;DR

This study explores whether UK hairdressers and barbers screen customers for skin cancer in the head-and-neck area and finds that most lack training but are interested in it.

## Contribution

The study is the first to investigate UK hair professionals' skin cancer screening practices and their interest in training.

## Key findings

- Only 5% of participants had received skin cancer awareness training.
- 35% had advised a customer about a suspicious mole or lesion.
- Most participants (92%) expressed interest in receiving skin cancer awareness training.

## Abstract

Head-and-neck skin cancers have a worse prognosis than those that develop elsewhere on the body. Self-screening this area for suspicious skin changes can be difficult. Hairdressers and barbers observe this area closely during hair appointments and could bring their customers’ attention to suspicious skin changes earlier.

To investigate a sample of UK hairdressers’ and barbers’ skin cancer education, customer screening practices and influences on screening, and to compare hairdressers’ and barbers’ screening practices.

Stratified random sampling was utilized to select hairdressers and barbers working in a UK city. Participants were invited to complete a survey.

Thirty-seven participants completed the survey. Five per cent reported having had skin cancer awareness training and 24% were screening customers. Thirty-five per cent had advised a customer of a suspicious mole or skin lesion; of these participants, 39% had had customers diagnosed with skin cancer. ‘Not having received training’ was reported by 65% of participants as a deterrent to screening. Knowing someone who had experienced skin cancer was significantly associated with screening and advising customers of suspicious skin changes. Most participants (92%) indicated they would like, or maybe like, skin cancer awareness training.

In this UK city study, perceived knowledge of the signs and symptoms of skin cancer appeared to arise from knowing someone who had experienced skin cancer rather than formal training. Lack of skin cancer education was a deterrent to screening, but most participants would like training. Trained hairdressers and barbers could potentially provide regular head-and-neck skin screening for customers.

Regular self-screening for suspicious moles or skin lesions can help identify early skin cancers, improving the prognosis of the patient; however, most skin cancers develop in the difficult to self-screen head-and-neck area. Hairdressers and barbers observe the head-and-neck area closely during routine hair appointments and could advise customers of suspicious skin changes. UK hairdressers’ and barbers’ skin cancer screening practices for their customers have not previously been investigated. The study aimed to determine whether a stratified random sample of UK hair professionals had received training in skin cancer awareness, and were screening or advising their customers, to investigate influences and deterrents to screening and advising, and attitudes towards skin cancer awareness training.