Reported sun exposure, attitudes to sun protection and perceptions of skin cancer risk: a survey of visitors to Cancer Research UK’s SunSmart campaign website

2009 ◽  
Vol 160 (6) ◽  
pp. 1292-1298 ◽  
Author(s):  
B.L. Diffey ◽  
Z. Norridge
2021 ◽  
Vol 7 (1) ◽  
pp. eabd7703
Author(s):  
Lei Wei ◽  
Sean R. Christensen ◽  
Megan E. Fitzgerald ◽  
James Graham ◽  
Nicholas D. Hutson ◽  
...  

In ultraviolet (UV) radiation–exposed skin, mutations fuel clonal cell growth. The relationship between UV exposure and the accumulation of clonal mutations (CMs) and the correlation between CMs and skin cancer risk are largely unexplored. We characterized 450 individual-matched sun-exposed (SE) and non-SE (NE) normal human skin samples. The number and relative contribution of CMs were significantly different between SE and NE areas. Furthermore, we identified hotspots in TP53, NOTCH1, and GRM3 where mutations were significantly associated with UV exposure. In the normal skin from patients with cutaneous squamous cell carcinoma, we found that the cancer burden was associated with the UV-induced mutations, with the difference mostly conferred by the low-frequency CMs. These findings provide previously unknown information on UV’s carcinogenic effect and pave the road for future development of quantitative assessment of subclinical UV damage and skin cancer risk.


2021 ◽  
Author(s):  
Caitlin Horsham ◽  
Josephine Auster ◽  
Marguerite Sendall ◽  
Melissa Stoneham ◽  
Philippa Youl ◽  
...  

Background Outdoor workers are at high risk of harmful ultraviolet radiation exposure and are identified as an at risk group for the development of skin cancer. This systematic evidence based review provides an update to a previous review published in 2007 about interventions for the prevention of skin cancer in outdoor workers. Results This review includes interventions published between 2007-2012 and presents findings about sun protection behaviours and/or objective measures of skin cancer risk. Six papers met inclusion criteria and were included in the review. Large studies with extended follow-up times demonstrated the efficacy of educational and multi-component interventions to increase sun protection, with some higher use of personal protective equipment such as sunscreen. However, there is less evidence for the effectiveness of policy or specific intervention components. Conclusions Further research aimed at improving overall attitudes towards sun protection in outdoor workers is needed to provide an overarching framework.


2021 ◽  
Author(s):  
Alexander T Nguyen ◽  
Jonathan Fergus ◽  
Tess N Engel ◽  
Adeel Ashfaq ◽  
James Luong ◽  
...  

Abstract Background: Although skin cancer is less common, minorities present with more advanced stages at diagnosis and have worse outcomes. Literature on this disparity is limited.Objective: To evaluate attitudes influencing sun protective behaviors, skin cancer risk perception, and dermatologist access among an underserved, racially/ethnically diverse community.Methods: A cross-sectional survey of patients at 5 ethnically diverse student-run, free primary care clinics in Sacramento, California.Results: 390 surveys were collected with a response rate: 86.4%. Overall, respondents did not use sunscreen, rarely sunburned, were unsure or perceived themselves at low risk for skin cancer and reported limited access to dermatologists. Compared to Whites, Latinos were likely to believe it was not worth getting sunburned to be tan (OR = 24.43, 95% CI: 9.37 to 63.3, P < 0.0001). Whites were more likely than Asians (OR = 3.69, 95% CI: 1.50 to 9. 11, P = 0.004) and Latinos (OR = 4.83, 95% CI: 1.83 to 12.8, P = 0.001) to perceive access to dermatology care.Limitations: Response bias, sampling bias, generalizabilityConclusions: Ethnic groups differ in knowledge of sun protection and self-perceived skin cancer risk. The Latino community showed discrepancies between sun protection knowledge and practices, serving as an interventional target.


2021 ◽  
pp. 30-35
Author(s):  
Suzanne J. Dobbinson ◽  
Afaf Girgis ◽  
Bruce K. Armstrong ◽  
Anne E. Cust

This chapter covers epidemiologic evidence for the association of ultraviolet (UV) radiation with cancer, psychosocial and behavioral research on sun exposure and sun protection, and mixed messages regarding the role of vitamin D in influencing cancer risk. The focus is primarily on sun exposure, but indoor tanning is also covered. The evidence is convincing for a causal relationship between UV radiation and skin cancer, but there appears to be a protective association of UV radiation with some internal cancers, namely colorectal, prostate, and breast cancers and non-Hodgkin lymphoma. This association may or may not be mediated by cutaneous vitamin D production. Predictors of sun exposure and sun protection behaviors and recommendations for UV protection are reviewed. A summary of psychosocial and behavioral skin cancer prevention interventions and approaches for different target groups is presented and linked to theoretical models that help to explain behavior change.


2011 ◽  
Vol 15 (5) ◽  
pp. 266-274 ◽  
Author(s):  
Gordon W. Jung ◽  
Ambikaipakan Senthilselvan ◽  
Thomas G. Salopek

Background: Health information-seeking behavior refers to ways individuals acquire health information. Few studies demonstrate its association with skin cancer. Objectives: To determine the likelihood of patients to inquire about sun protection methods from dermatologists and whether such knowledge will affect their preventive behaviors. Methods: Over a 2-month period, 396 dermatology patients completed a survey assessing their sun awareness knowledge and inquiry about sun protection measures. Features associated with increased skin cancer risk were correlated with patients' inquiry about sun protection information and their future intentions to practice safe sun behavior. Results: One in seven patients (13.8%) inquired about sun protection measures. Patients with features known to be associated with increased skin cancer risk infrequently inquired about sun protection methods (4.5–23.8%). Post–physician counseling, patients with previous sun awareness education had a greater intention to use sunscreen routinely (41.4% vs 28.3%, p = .01), avoid the sun (31.2% vs 18.2%, p = .004), and wear sun-protective clothing (32.5% vs 23.2%., p = .05). Conclusion: Patients' desire for medical information from physicians does not translate efficiently into seeking sun awareness information from dermatologists. Dermatologists should play a greater proactive role in skin cancer prevention through initiation of regular personalized discussions on sun awareness issues.


2020 ◽  
Vol 6 (1) ◽  
pp. 205630512090536
Author(s):  
John Mingoia ◽  
Amanda D. Hutchinson ◽  
David H. Gleaves ◽  
Carlene Wilson

Media literacy interventions provide education about the way media influence attitudes to tanned skin and promote risky health-related behaviors (e.g., sun exposure). This study tested whether higher levels of media literacy can protect against the internalization of a tanned ideal and participation in appearance comparisons online. A total of 151 young Australians aged 18 to 29 years (61 males, 90 females) completed a measure of media literacy before being randomly assigned to view photos of models with either tanned ( n = 77) or pale skin ( n = 74) on social media. Participants completed measures of internalization of a tanned ideal and tendency to make appearance comparisons following exposure to the photos. There were significant negative relationships between level of media literacy skills and both internalization of a tanned ideal and appearance comparisons. Moreover, exposure to tanned models resulted in a higher tendency to make appearance comparisons than exposure to pale models. Results indicate that media literacy skills protect against skin cancer risk factors associated with media exposure. Future interventions to reduce skin cancer risk should address the role of social networking sites in proclaiming tanned skin as ideal and increase skepticism about photos of tanned models online.


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