Skin cancer risk factors differ among Asian American individuals, and this may aid identification of high-risk subgroups and inform culturally aware counseling when indicated.

• This is a cross-sectional study of 84,030 National Health Interview Survey participants to determine if skin cancer risk factors and screening differ among Asian American individuals.

• Compared with Non-Hispanic White individuals, Asian American subgroups were more likely to seek shade, wear long clothing to the ankles, and wear long-sleeved shirts but less likely to sunburn, apply sunscreen, tan indoors, and receive total body skin examinations.

• Asian Indian people, vs Chinese participants, showed less likelihood to apply sunscreen (adjusted odds ratio [aOR], 0.55) or wear a hat (aOR, 0.53) but were more likely to wear long-sleeved shirts (aOR, 1.89) or long clothing to the ankles (aOR, 1.56).