Lack of self-examinations may be a key reason that certain populations in rural areas face higher skin cancer mortality rates, according to a new study. The study, which looked at sparsely populated rural communities in the Western United States found that a chronic lack of self examination was the biggest obstacle to early detection of skin cancer. These findings, made by researchers at Texas State University in San Marcos, Texas, were published online ahead of print in Psychology, Health, & Medicine (Dec. 17, 2019).