A total of 127 non-attenders in a population-based melanoma screening
program, 58 women and 69 men, were asked in a telephone interview abou
t reasons for non-attendance. Of those, 105 also completed a mailed qu
estionnaire, measuring perceived susceptibility to and knowledge about
melanoma. During the same period, attenders (n = 286) at the screenin
g clinic completed the same questionnaire. The most commonly reported
reasons for non-attendance were 'I forgot about It', 'lack of time' an
d 'no need for examination', a majority of non-attenders held a positi
ve attitude towards preventive programs in general and to the present
invitation, Most of the improvements suggested by the non-attenders we
re strategies to reduce practical barriers. Non-attenders scored lower
than attenders on perceived susceptibility. High and equal levels of
knowledge about melanoma were found among attenders and non-attenders.
Men were more likely to be non-attenders. Higher perceived susceptibi
lity and a higher level of knowledge about melanoma were found among w
omen as compared to men. The results suggests that there is potential
to increase attendance in future melanoma programs by reducing practic
al barriers. (C) 1997 John Wiley & Sons, Ltd.