Predictors of sun protection behaviors and severe sunburn in an international online study

Bränström, Richard, Kasparian, Nadine A., Chang, Yu-mei, Affleck, Paul, Tibben, Aad, Aspinwall, Lisa G., Azizi, Esther, Baron-Epel, Orna, Battistuzzi, Linda, Bergman, Wilma, Bruno, William, Chan, May, Cuellar, Francisco, Dębniak, Tadeusz, Pjanova, Dace, Ertmański, Sławomir, Figl, Adina, Gonzalez, Melinda, Hayward, Nicholas K., Hocevar, Marko, Kanetsky, Peter A., Leachman, Sancy A., Heisele, Olita, Palmer, Jane, Peric, Barbara, Puig, Susana, Schadendorf, Dirk, Gruis, Nelleke A., Newton-Bishop, Julia and Brandberg, Yvonne (2010) Predictors of sun protection behaviors and severe sunburn in an international online study. Cancer Epidemiology Biomarkers and Prevention, 19 9: 2199-2210. doi:10.1158/1055-9965.EPI-10-0196

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Author Bränström, Richard
Kasparian, Nadine A.
Chang, Yu-mei
Affleck, Paul
Tibben, Aad
Aspinwall, Lisa G.
Azizi, Esther
Baron-Epel, Orna
Battistuzzi, Linda
Bergman, Wilma
Bruno, William
Chan, May
Cuellar, Francisco
Dębniak, Tadeusz
Pjanova, Dace
Ertmański, Sławomir
Figl, Adina
Gonzalez, Melinda
Hayward, Nicholas K.
Hocevar, Marko
Kanetsky, Peter A.
Leachman, Sancy A.
Heisele, Olita
Palmer, Jane
Peric, Barbara
Puig, Susana
Schadendorf, Dirk
Gruis, Nelleke A.
Newton-Bishop, Julia
Brandberg, Yvonne
Title Predictors of sun protection behaviors and severe sunburn in an international online study
Journal name Cancer Epidemiology Biomarkers and Prevention   Check publisher's open access policy
ISSN 1055-9965
Publication date 2010-09
Sub-type Article (original research)
DOI 10.1158/1055-9965.EPI-10-0196
Volume 19
Issue 9
Start page 2199
End page 2210
Total pages 12
Editor Timothy R. Rebbeck
Place of publication Philadelphia, PA, U.S.A.
Publisher American Association for Cancer Research
Collection year 2011
Language eng
Formatted abstract
Background: The incidence of melanoma continues to increase in many countries, and primary prevention of melanoma includes avoidance of sunburn as well as adequate sun protection behavior. The aim of this study was to examine the prevalence of self-reported sun protection behaviors and sunburn in users of the Internet, and to identify the demographic, clinical, and attitudinal/motivational correlates of sun protection behaviors.

Methods: Self-report data were gathered on behalf of the GenoMEL consortium using an online survey available in 10 different languages, and 8,178 individuals successfully completed at least 80% of survey items, with 73% of respondents from Europe, 12% from Australia, 7% from the United States, 2% from Israel, and 6% from other countries.

Results: Half of all respondents and 27% of those with a previous melanoma reported at least one severe sunburn during the previous 12 months. The strongest factors associated with sun protection behavior were perceived barriers to protection (β = −0.44/β = −0.37), and respondents who reported a positive attitude toward suntans were less likely to protect (β = −0.16/β = −0.14). Reported use of protective clothing and shade, as well as avoidance of midday sun exposure, were more strongly related to reduced risk of sunburn than sunscreen use.

Conclusions: Despite widespread dissemination of public health messages about the importance of sun protection, a substantial proportion of this international sample, including respondents with a previous melanoma, reported inadequate sun protection behaviors resulting in severe sunburn.

Impact: Future strategies to decrease sunburn should target the practical, social, and psychological barriers associated with nonuptake of sun protection.
©2010 AACR.
Keyword Appearance-focused intervention
Melanoma risk-factors
Sunscreen use
European children
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2011 Collection
School of Medicine Publications
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Citation counts: TR Web of Science Citation Count  Cited 38 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 41 times in Scopus Article | Citations
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Created: Wed, 23 Mar 2011, 13:15:27 EST by Lisa Hennell on behalf of !NON-HERDC