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

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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Sun Protection Outreach Teaching by Students (SPOTS)—Evaluating the Efficacy of Skin Cancer Prevention Education for Adolescents

Dermatologic Surgery ◽

10.1097/dss.0000000000003093 ◽

2021 ◽

Vol 47 (7) ◽

pp. 926-930

Author(s):

Sofia B. Chaudhry ◽

Eric S. Armbrecht ◽

Mitchell Gibbons ◽

M. Laurin Council ◽

Alex Knutson ◽

...

Keyword(s):

Skin Cancer ◽

Cancer Prevention ◽

Sun Protection ◽

Skin Cancer Prevention ◽

Prevention Education

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Skin Cancer Prevention: Sun Protection, Sun Safety, Sunscreen Use

Encyclopedia of Behavioral Medicine ◽

10.1007/978-3-030-39903-0_1301 ◽

2020 ◽

pp. 2044-2047

Author(s):

Karen Glanz

Keyword(s):

Skin Cancer ◽

Cancer Prevention ◽

Sun Protection ◽

Skin Cancer Prevention ◽

Sun Safety ◽

Sunscreen Use

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Healthcare providers' sun-protection promotion and at-risk clients' skin-cancer-prevention outcomes

Preventive Medicine ◽

10.1016/j.ypmed.2003.10.003 ◽

2004 ◽

Vol 38 (3) ◽

pp. 251-257 ◽

Cited By ~ 26

Author(s):

J.D Robinson ◽

K.J Silk ◽

R.L Parrott ◽

C Steiner ◽

S.M Morris ◽

...

Keyword(s):

At Risk ◽

Skin Cancer ◽

Cancer Prevention ◽

Healthcare Providers ◽

Sun Protection ◽

Skin Cancer Prevention

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Skin cancer prevention counseling in populations with elevated risk: An analysis of the Health Information National Trends Survey 5 Cycle 2

Journal of the American Academy of Dermatology ◽

10.1016/j.jaad.2020.08.034 ◽

2020 ◽

Author(s):

Sheena Desai ◽

Kevin Moore ◽

Rebecca I. Hartman

Keyword(s):

Skin Cancer ◽

Cancer Prevention ◽

Health Information ◽

Elevated Risk ◽

Skin Cancer Prevention ◽

National Trends ◽

Prevention Counseling

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Sun Protection is Fun! A Skin Cancer Prevention Program for Preschools

Journal of School Health ◽

10.1111/j.1746-1561.2000.tb07226.x ◽

2000 ◽

Vol 70 (10) ◽

pp. 395-401 ◽

Cited By ~ 21

Author(s):

Mary K. Tripp ◽

Nancy B. Herrmann ◽

Guy S. Parcel ◽

Robert M. Chamberlain ◽

Ellen R. Gritz

Keyword(s):

Skin Cancer ◽

Cancer Prevention ◽

Prevention Program ◽

Sun Protection ◽

Skin Cancer Prevention ◽

Cancer Prevention Program

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Rationale, design, samples, and baseline sun protection in a randomized trial on a skin cancer prevention intervention in resort environments

Contemporary Clinical Trials ◽

10.1016/j.cct.2015.11.015 ◽

2016 ◽

Vol 46 ◽

pp. 67-76 ◽

Cited By ~ 15

Author(s):

David B. Buller ◽

Peter A. Andersen ◽

Barbara J. Walkosz ◽

Michael D. Scott ◽

Larry Beck ◽

...

Keyword(s):

Skin Cancer ◽

Randomized Trial ◽

Cancer Prevention ◽

Sun Protection ◽

Skin Cancer Prevention ◽

Prevention Intervention

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Factors Associated with Skin Cancer Prevention Practices in a Multiethnic Population

Health Education & Behavior ◽

10.1177/109019819902600305 ◽

1999 ◽

Vol 26 (3) ◽

pp. 344-359 ◽

Cited By ~ 68

Author(s):

Karen Glanz ◽

Robert A. Lew ◽

Valerie Song ◽

Valerie Ah Cook

Keyword(s):

Skin Cancer ◽

Cancer Prevention ◽

Sun Protection ◽

Skin Cancer Prevention ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Staff Members ◽

Multiethnic Population ◽

Sun Protection Practices ◽

Multiethnic Sample

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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New Approaches to Skin Cancer Prevention: Can Encouraging Skin Checking Increase Engagement in Sun Protection Behaviours?

Journal of Global Oncology ◽

10.1200/jgo.18.14700 ◽

2018 ◽

Vol 4 (Supplement 2) ◽

pp. 5s-5s

Author(s):

M. Jongenelis ◽

M. Strickland ◽

C. Minto ◽

T. Slevin ◽

S. Pettigrew

Keyword(s):

Public Health ◽

Skin Cancer ◽

Cancer Prevention ◽

Uv Radiation ◽

Sun Protection ◽

Skin Cancer Prevention ◽

Computer Assisted ◽

Health Campaigns ◽

New Approaches ◽

Public Health Campaigns

Background: Skin cancer is one of the most common types of cancer in the world and incidence rates are increasing globally. Efforts to encourage individuals to engage in sun protection behaviors that minimize their risk of skin cancer are therefore urgently needed. In Australia, the context of the current study, UV radiation levels are particularly intense and public health campaigns have been successful in encouraging behaviors such as using sunscreen and wearing a hat. However, recent years have seen a plateau in engagement in such behaviors and new approaches are required to facilitate further gains. Encouraging people to check their skin for signs of skin cancer may be one such approach as it has the potential to increase the salience of skin cancer and the need to protect oneself from UV radiation. Aim: To assess the relationship between skin checking and sun protection behaviors to inform skin cancer prevention campaigns. Methods: Computer-assisted telephone interviewing was used to survey nearly 700 adults. Frequency of engagement in various sun protection behaviors (wearing a hat, wearing protective clothing, using sunscreen) was assessed. Respondents were also asked whether they had checked their skin for skin cancer and how confident they were in their ability to spot the signs of skin cancer. Results: Path analysis revealed greater confidence in one's ability to detect the signs of skin cancer to be associated with skin checking. In turn, skin checking was found to be associated with more frequent engagement in all of the assessed sun protection behaviors. Conclusions: Public health campaigns that increase people's confidence in their ability to detect the signs of skin cancer have the potential to encourage skin cancer reduction behaviors in the form of both skin checking and sun protection and perhaps shift the plateau in engagement of sun protection behaviors observed in recent years.

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