Sun Protection Behaviors Associated with Self-Efficacy, Susceptibility, and Awareness among Uninsured Primary Care Patients Utilizing a Free Clinic

Background. Skin cancer is the most commonly diagnosed form of cancer in the United States (US). However, knowledge, behaviors, and attitudes regarding sun protection vary among the general population. The purpose of this study is to examine sun protection behaviors of low-income primary care patients and assess the association between these health behaviors and the self-efficacy, susceptibility, and skin cancer awareness.Methods. Uninsured primary care patients utilizing a free clinic (N=551) completed a self-administered survey in May and June 2015.Results. Using sunscreen was the least common tactic among the participants of this study. Skin cancer awareness and self-efficacy are important to improve sun protection behaviors. Spanish speakers may have lower levels of skin care awareness compared to US born and non-US born English speakers. Male and female participants use different sun protection methods.Conclusion. It is important to increase skin cancer awareness with self-efficacy interventions as well as education on low-cost sun protection methods. Spanish speaking patients would be a target population for promoting awareness. Male and female patients would need separate gender-specific sun protection education. Future studies should implement educational programs and assess the effectiveness of the programs to further promote skin cancer prevention among underserved populations.

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Identification of socio-cognitive determinants of parental sun protection behaviors to optimize intervention development

10.31234/osf.io/yuqzd ◽

2020 ◽

Author(s):

Karlijn Thoonen ◽

Liesbeth van Osch ◽

Rik Crutzen ◽

Hein de Vries ◽

Francine Schneider

Keyword(s):

Skin Cancer ◽

Self Efficacy ◽

Sun Exposure ◽

Action Planning ◽

Later Life ◽

Sun Protection ◽

Survey Study ◽

Skin Cancer Prevention ◽

Sun Safety ◽

Cognitive Determinants

Background: Adequate sun safety during childhood is crucial for decreasing skin cancer risk in later life. Although parents are an essential target group in applying sun protection measures for their children, interventions are often not directed at parents. This study identifies the most relevant determinants in predicting parental sun protection intentions and behaviors to provide guidance for future intervention development.Methods: A longitudinal survey study with two measurements was conducted among Dutch parents (N=670) of children (4-12 years old). Twenty-seven socio-cognitive determinants were examined in terms of relevance regarding four parental sun protection behaviors in different sun exposure situations. The CIBER approach was used to visualize room for improvement (sample means) on all determinants and their association strengths (correlations) with sun protection intentions and behaviors.Results: Behavior-specific rather than generic determinants were most relevant in explaining all sun protection behaviors. Of these determinants, attitude, self-efficacy and action planning, and especially parental feelings of difficulty in performing sun protection behaviors, were most relevant. Altogether, the explained variance of all socio-cognitive determinants was highest for shade-seeking behavior (R2= .41 and .43) and lowest for supportive behavior (R2=.19 and .29) in both planned and incidental sun exposure situations respectively.Discussion: This study provides detailed insight into relevant socio-cognitive determinants of parental sun protection behaviors in various sun exposure situations. This insight provides guidance for composing parental skin cancer prevention interventions. Future composition of sun safety interventions should emphasize on enhancing parental feelings of self-efficacy, especially for shade-seeking and clothing behaviors.

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Identification of Relevant Sociocognitive Determinants Explaining Multiple Parental Sun Protection Behaviors

Health Education & Behavior ◽

10.1177/10901981211010434 ◽

2021 ◽

pp. 109019812110104

Author(s):

Karlijn Thoonen ◽

Liesbeth van Osch ◽

Rik Crutzen ◽

Hein de Vries ◽

Francine Schneider

Keyword(s):

Skin Cancer ◽

Self Efficacy ◽

Sun Exposure ◽

Later Life ◽

Sun Protection ◽

Survey Study ◽

Skin Cancer Prevention ◽

Sun Safety ◽

And Behaviors ◽

Insight Into

Background Adequate sun safety during childhood is crucial for decreasing skin cancer risk in later life. Although parents are an essential target group in applying sun protection measures for their children, insight into the determinants associated with their sun protection behaviors is limited. Aims This study aims to identify the most relevant determinants in predicting multiple parental sun protection intentions and behaviors in different sun exposure situations. Method A longitudinal survey study with two measurements was conducted among Dutch parents ( N = 670) of children (4–12 years old). Twenty-seven sociocognitive determinants were examined in terms of relevance regarding four parental sun protection behaviors in different sun exposure situations. The Confidence Interval-Based Estimation of Relevance approach was used to visualize room for improvement (sample means) on all determinants and their association strengths (correlations) with sun protection intentions and behaviors. Results Behavior-specific rather than generic determinants were most relevant in explaining all sun protection behaviors. Of these determinants, attitude, self-efficacy and action planning, and especially parental feelings of difficulty in performing sun protection behaviors, were most relevant. Altogether, the explained variance of all sociocognitive determinants was highest for shade-seeking behavior ( R2 = .41 and .43) and lowest for supportive behavior ( R2 = .19 and .29) in both planned and incidental sun exposure situations, respectively. Discussion This study provides detailed insight into relevant sociocognitive determinants of parental sun protection behaviors in various sun exposure situations and directions for composing parental skin cancer prevention interventions. Conclusions Future composition of sun safety interventions should emphasize on enhancing parental feelings of self-efficacy, especially for shade-seeking and clothing behaviors.

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Survey of Sun Protection Policies in Juvenile Detention Centers in Pennsylvania: Are we also Protecting Vulnerable Communities?

SKIN The Journal of Cutaneous Medicine ◽

10.25251/skin.3.2.40 ◽

2019 ◽

Vol 3 (2) ◽

pp. 82-84

Author(s):

Christen Botros Samaan

Keyword(s):

Skin Cancer ◽

Sun Exposure ◽

The United States ◽

Sun Protection ◽

Juvenile Detention ◽

Skin Cancer Prevention ◽

Detention Centers ◽

Important Health ◽

Control And Prevention ◽

Important Health Issue

The incidence rate of skin cancer is increasing in the United States and blistering sunburns during childhood or adolescence is a major risk factor. The Center for Disease Control and Prevention (CDC) developed a set of guidelines to provide schools with a comprehensive approach to preventing skin cancer among adolescents and young people. The objective of this study was to determine the prevalence of sun protection policies, environmental features, and attitudes in institutions responsible for school-aged populations, such as children in juvenile detention centers. Surveys were sent to all (n = 19) public juvenile detention centers in Pennsylvania .Overall, 63.2% (n=12) of the juvenile detention centers in Pennsylvania responded to the survey. Of the 12 centers, 50% (n=6) allow residents to wear hats, 25% (n=3) allow residents to wear sunglasses, 66.7% (n=8) allow residents to wear sunscreen without a provider’s note, and 25% (n=3) provide sun protection education. All the facilities (100%) reported shade-producing structures, but 83.3% (n=10) cover less than 25% of the outdoor activity areas. The CDC’s guidelines include recommendations for schools to encourage skin cancer prevention on school property and elsewhere. Among public juvenile detention centers in PA, we found an absence of policies to reduce sun exposure and a lack of knowledge about the CDC guidelines to prevent skin cancer. Despite these results, administrators are largely in favor of stronger policies and believe sun exposure is an important health issue.

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A qualitative exploration of parental perceptions regarding children’s sun exposure, sun protection, and sunburn

10.31234/osf.io/f8brk ◽

2020 ◽

Author(s):

Karlijn Thoonen ◽

Liesbeth van Osch ◽

Rowan Drittij ◽

Hein de Vries ◽

Francine Schneider

Keyword(s):

Skin Cancer ◽

Sun Exposure ◽

Structured Interview ◽

Sun Protection ◽

Parental Perceptions ◽

Skin Cancer Prevention ◽

Protection Measure ◽

Sun Safety ◽

Protection Measures ◽

Lack Of Knowledge

Sun protection among children is of utmost importance since sunburn in early life is a major risk factor for skin cancer development. Because parents play a vital role in enhancing sun safety among children, this study explored parental perceptions concerning sun exposure, sun protection behaviors, and sunburn in children. Additionally, the context in which children experience sunburn in order to assist the development, optimization, and targeting of sun safety interventions for parents is revealed.A qualitative study design, using a semi-structured interview guide addressing several themes (e.g. sun exposure, sun protection, and sunburn experiences), was used. Data were collected in the Netherlands in the fall of 2019. Parents were recruited via purposive sampling at schools, youth services centers, and social media. In total, 26 interviews were performed. Execution, transcription, and coding of the interviews was done by two researchers, using the qualitative analyzing program Nvivo (interrater reliability of d =.84). Comprehensive findings concerning various themes were retrieved. It was found that sunburn was frequently prevalent among children, even though all parents reported using at least one sun protection measure. Parents were often unaware of their child’s sunburn and its severity. Regarding sun protection measures, parents demonstrated an overreliance on sunscreen, often failing to adequately protect their children’s skin. Water-related activities, a lack of shade, and lack of knowledge regarding UV-index were often related to sunburn. Moreover, unexpected sun exposure or longer exposure duration than initially planned were reported as challenging situations. The majority of parents had positive perceptions regarding tanned skin for both themselves as for children.This study provides directions for future skin cancer prevention efforts targeted at both parents and their children. Since a lack of knowledge regarding sufficient sun protection measures and sunburn occurrence in various situations was reported, educational efforts are warranted. Additionally, focusing on clothing, shade-seeking, and adequate sunscreen use is recommended to increase children’s sun safety. By intervening in the physical environment as well (e.g. providing shady areas), sun protection barriers can be reduced. Lastly, the general positive attitude toward tanned skin evident in this study is certainly worthy of attention in future interventions.

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Antidepressants in primary care: patients’ experiences, perceptions, self-efficacy beliefs, and nonadherence

Patient Preference and Adherence ◽

10.2147/ppa.s53748 ◽

2014 ◽

pp. 179 ◽

Cited By ~ 6

Author(s):

Hans Wouters ◽

Marcel Bouvy ◽

Katja Van Geffen ◽

Helga Gardarsdottir ◽

Anne Stiggelbout ◽

...

Keyword(s):

Primary Care ◽

Self Efficacy ◽

Efficacy Beliefs ◽

Primary Care Patients

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Comparison of skin cancer awareness and sun protection behaviours between renal transplant recipients and patients with glomerular disease treated with immunosuppressants

Nephrology ◽

10.1111/nep.13840 ◽

2020 ◽

Author(s):

Zaw Thet ◽

Alfred K. Lam ◽

Shu‐Kay Ng ◽

Soe Yu Aung ◽

Thin Han ◽

...

Keyword(s):

Skin Cancer ◽

Renal Transplant ◽

Sun Protection ◽

Glomerular Disease ◽

Renal Transplant Recipients ◽

Transplant Recipients ◽

Cancer Awareness

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Acceptability and Results of Dementia Screening Among Older Adults in the United States

Current Alzheimer Research ◽

10.2174/1567205014666170908100905 ◽

2017 ◽

Vol 15 (1) ◽

pp. 51-55 ◽

Cited By ~ 2

Author(s):

Amanda Harrawood ◽

Nicole R. Fowler ◽

Anthony J. Perkins ◽

Michael A. LaMantia ◽

Malaz A. Boustani

Keyword(s):

United States ◽

Older Adults ◽

Primary Care ◽

The United States ◽

Cognitive Screening ◽

Cross Sectional ◽

Community Screening ◽

Positive Screen ◽

Dementia Screening ◽

Primary Care Patients

Objectives: To measure older adults acceptability of dementia screening and assess screening test results of a racially diverse sample of older primary care patients in the United States. Design: Cross-sectional study of primary care patients aged 65 and older. Setting: Urban and suburban primary care clinics in Indianapolis, Indiana, in 2008 to 2009. Participants: Nine hundred fifty-four primary care patients without a documented diagnosis of dementia. Measurements: Community Screening Instrument for Dementia, the Mini-Mental State Examination, and the Telephone Instrument for Cognitive Screening. Results: Of the 954 study participants who consented to participate, 748 agreed to be screened for dementia and 206 refused screening. The overall response rate was 78.4%. The positive screen rate of the sample who agreed to screening was 10.2%. After adjusting for demographic differences the following characteristics were still associated with increased likelihood of screening positive for dementia: age, male sex, and lower education. Patients who believed that they had more memory problems than other people of their age were also more likely to screen positive for dementia. Conclusion: Age and perceived problems with memory are associated with screening positive for dementia in primary care.

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