Factors Associated with Skin Cancer Prevention Practices in a Multiethnic Population

A better understanding of factors influencing sun protection practices can improve the design and evaluation of skin cancer prevention programs. These data are from a cross-sectional survey of 756 parents with children in Grades 1 through 3, and 176 recreation program staff members in a multiethnic population in Hawaii. Questionnaires asked about skin cancer prevention practices (sunscreen use, covering up, shade seeking), knowledge, benefits and barriers, policies, and staff norms for prevention. The most important correlates of children’s prevention practices were their parents’ sun protection habits. Multiple regression models—which included knowledge, beliefs, program policies, and covariates related to sun protection—explained a total of between 38% and 41% of the variance in children’s sun safety habits, 22% to 25% of parents’habits, and 24% of recreation staff members’sun safety habits. The models were less successful at predicting the use of hats, shirts, and shade seeking and a composite sun protection habits index. Parents and caregivers’knowledge, beliefs, and behaviors, as well as recreation program policies, are strong predictors of sun protection practices among children in Grades 1 to 3 in a multiethnic sample.

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Assessment of knowledge of skin cancer prevention and its relation with sun exposure and photo protection amongst gym academy members on the south of Santa Catarina, Brazil

Anais Brasileiros de Dermatologia ◽

10.1590/s0365-05962012000100004 ◽

2012 ◽

Vol 87 (1) ◽

pp. 36-43 ◽

Cited By ~ 8

Author(s):

Mariana Rocha Fabris ◽

Edson Souza Machado Durães ◽

Beatriz Castellar de Faria Martignago ◽

Luiz Felipe de Oliveira Blanco ◽

Thiago Rocha Fabris

Keyword(s):

Skin Cancer ◽

Cancer Prevention ◽

Sun Exposure ◽

Sun Protection ◽

Protective Measure ◽

Skin Cancer Prevention ◽

Cross Sectional ◽

Protection Measures ◽

Study Results ◽

The World

BACKGROUND: Skin cancer is the most frequent neoplasia in several parts of the world and also in Brazil. There is evidence of an increase in morbidity and mortality from skin cancer. Although the incidence of skin cancer is increasing, it is estimated that 45% of all preventable cancers worldwide are skin neoplasias. Several studies have emphasized the need for campaigns to encourage sun protection. OBJECTIVE: To assess the knowledge about skin cancer prevention and its association with sun exposure and photo protection in gym members. METHODS: We conducted a cross-sectional, descriptive and quantitative study during January to July 2009, including gym members of both sexes in the city of Criciuma. A self-administered questionnaire was used. The statistical analysis was conducted in a descriptive way in regards to the absolute and relative frequencies of the variables under study. RESULTS: Of the 317 questionnaires studied, 62% were from women and 38% from men. Skin types II and III predominated, and the average age was 27.6 years. 94.3% of the participants reported that they had heard about the risks of sun exposure, mostly in terms of skin cancer risk (80.8%). Most participants, especially women, reported some form of sun protective measure. CONCLUSION: The population studied, similar to that in other regions of Brazil and the world, is aware of the risks of excessive sun exposure and skin cancer prevention, but has not yet incorporated appropriate sun protection measures into their daily habits.

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Public primary and secondary skin cancer prevention, perceptions and knowledge: an international cross-sectional survey

Journal of the European Academy of Dermatology and Venereology ◽

10.1111/jdv.14104 ◽

2017 ◽

Vol 31 (5) ◽

pp. 815-820 ◽

Cited By ~ 21

Author(s):

S. Seité ◽

V. del Marmol ◽

D. Moyal ◽

A.J. Friedman

Keyword(s):

Skin Cancer ◽

Cancer Prevention ◽

Skin Cancer Prevention ◽

Cross Sectional Survey ◽

Cross Sectional

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Skin cancer and sun protection practices in Fanconi anemia patients: a cross-sectional study

Journal of the American Academy of Dermatology ◽

10.1016/j.jaad.2021.01.029 ◽

2021 ◽

Author(s):

Jenna L. Ruggiero ◽

Rebecca Freese ◽

Kristen P. Hook ◽

Ingrid C. Polcari ◽

Sheilagh M. Maguiness ◽

...

Keyword(s):

Skin Cancer ◽

Fanconi Anemia ◽

Sun Protection ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Sun Protection Practices

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YouTube as a source of health information: Analysis of sun protection and skin cancer prevention related issues

Dermatology Online Journal ◽

10.5070/d3231033669 ◽

2017 ◽

Vol 23 (1) ◽

Author(s):

Linda Ruppert ◽

Brian Køster ◽

Anna Maria Siegert ◽

Christian Cop ◽

Lindsay Boyers ◽

...

Keyword(s):

Skin Cancer ◽

Cancer Prevention ◽

Health Information ◽

Sun Protection ◽

Skin Cancer Prevention ◽

Information Analysis

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A Randomized Clinical Trial of Precision Prevention Materials Incorporating MC1R Genetic Risk to Improve Skin Cancer Prevention Activities Among Hispanics

Cancer Research Communications ◽

10.1158/2767-9764.crc-21-0114 ◽

2022 ◽

Vol 2 (1) ◽

pp. 28-38

Author(s):

John Charles A. Lacson ◽

Scarlet H. Doyle ◽

Jocelyn Del Rio ◽

Stephanie M. Forgas ◽

Rodrigo Carvajal ◽

...

Keyword(s):

Skin Cancer ◽

Cancer Prevention ◽

Cancer Susceptibility ◽

Sun Exposure ◽

Sun Protection ◽

Skin Cancer Prevention ◽

Public Health Approach ◽

Average Risk ◽

Cancer Worry ◽

Prevention Activities

Purpose: Skin cancer incidence is increasing among Hispanics, who experience worse outcomes than non-Hispanic Whites. Precision prevention incorporating genetic testing for (melanocortin-1 receptor) MC1R, a skin cancer susceptibility marker, may improve prevention behavior. Experimental Design: Hispanic participants (n = 920) from Tampa, FL and Ponce, PR, were block-randomized within MC1R higher- and average-risk groups to precision prevention or generic prevention arms. We collected baseline information on demographics, family history of cancer, phenotypic characteristics, health literacy, health numeracy, and psychosocial measures. Participants reported weekday and weekend sun exposure (in hours), number of sunburns, frequency of five sun protection behaviors, intentional outdoor and indoor tanning, and skin examinations at baseline, 3 months, and 9 months. Participants also reported these outcomes for their eldest child ≤10 years old. Results: Among MC1R higher-risk participants, precision prevention increased sunscreen use (OR = 1.74, P = 0.03) and receipt of a clinical skin exam (OR = 6.51, P = 0.0006); and it decreased weekday sun exposure hours (β = −0.94, P = 0.005) and improved sun protection behaviors (β = 0.93, P = 0.02) in their children. There were no significant intervention effects among MC1R average-risk participants. The intervention did not elevate participant cancer worry. We also identified moderators of the intervention effect among both average- and higher-risk participants. Conclusions: Receipt of MC1R precision prevention materials improved some skin cancer prevention behaviors among higher-risk participants and their children and did not result in reduced prevention activities among average-risk participants. Despite these encouraging findings, levels of sun protection behaviors remained suboptimal among participants, warranting more awareness and prevention campaigns targeted to Hispanics Significance: Our results support a precision public health approach to reducing skin cancers among Hispanics, an underserved population in precision medicine, and may additionally improve preventive behaviors among their children.

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