Prevalence of sun‐protective behaviour and intentional sun tanning in German adolescents and adults: results of a nationwide telephone survey

Görig, Tatiana; Diehl, Katharina; Greinert, Rüdiger; Breitbart, Eckhard W.; Schneider, Sven

doi:10.1111/jdv.14376

Cited by 63 publications

(74 citation statements)

References 44 publications

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“…These findings are in line with international studies demonstrating the important influence of self-perceived attractiveness on self-esteem in adolescence [46,47]. Furthermore, enhancing one's attractiveness is a primary motivation for tanning in adolescents both in Brazil and worldwide [43,48,49]. In addition, the success of appearance-based photoaging intervention mobile apps, in which an image is altered to predict future appearance in the fields of tobacco and adiposity prevention, shows promise for these interventions in behavioral change settings [50][51][52][53][54][55].…”

Section: Current Knowledge On School-based Skin Cancer Preventionsupporting

confidence: 89%

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A Skin Cancer Prevention Facial-Aging Mobile App for Secondary Schools in Brazil: Appearance-Focused Interventional Study (Preprint)

Brinker¹,

Heckl²,

Gatzka³

et al. 2018

Preprint

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Section: Current Knowledge On School-based Skin Cancer Preventionsupporting

confidence: 89%

“…Unhealthy behavior with respect to UV exposure is mostly initiated in early adolescence [42], commonly with the belief that a tan increases attractiveness [43][44][45] and the problems related to melanoma as well as skin atrophy are too far in the future to fathom.…”

Section: Current Knowledge On School-based Skin Cancer Preventionmentioning

confidence: 99%

A Skin Cancer Prevention Facial-Aging Mobile App for Secondary Schools in Brazil: Appearance-Focused Interventional Study (Preprint)

Brinker¹,

Heckl²,

Gatzka³

et al. 2018

Preprint

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show abstract

“…In an earlier publication by our study group, similar associations were shown for the adoption of sun-protective measures, i.e. measures recommended for the primary prevention of skin cancer [22]. …”

Section: Discussionmentioning

confidence: 53%

“…Our study adds that persons with an immigrant background (a population group that is central in the current debate on health inequality in Germany [21]) showed a lower participation rate. Since earlier research by our working group showed that they are also more likely to show high-risk sun exposure behavior [22] - a major risk factor for skin cancer - there is a critical need for strategies aiming to increase SCS participation rates among these groups. …”

Section: Discussionmentioning

confidence: 99%

Barriers to Using a Nationwide Skin Cancer Screening Program: Findings from Germany

Görig¹,

Schneider²,

Schilling³

et al. 2018

Oncol Res Treat

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Background: In 2008, a nationwide standardized and systematic skin cancer screening (SCS) service, which is globally unique, was implemented in Germany. We aimed to provide current data on SCS use, to explore barriers to SCS usage, and to identify population groups with lower rates of SCS use. Methods: We analyzed data from 2,635 participants (18-45 years) in the National Cancer Aid Monitoring on Sunbed Use. Data on SCS use, barriers to SCS, and sociodemographic characteristics were obtained. Chi-square tests and logistic regression analyses were performed to analyze the data. Data was weighted by age, sex, educational level, and federal state. Results: In total, 39.0% of participants reported having been screened for skin cancer at least once in their lifetime. The subjective importance of different barriers varied depending on the participants' educational level. SCS use was negatively associated with male sex (odds ratio (OR) = 0.63, p < 0.001), low level of education (OR = 0.83, not significant), immigrant background (OR = 0.63; p < 0.001), and having no employment. Conclusion: Although the SCS is part of the regular healthcare services offered in Germany, our data showed lower usage among certain population groups. Barriers relevant for these groups should be considered when developing measures to increase SCS use.

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“…Female students in our study proved to be more prone to using a sunbed than male – not only they use it more often, but also they plan to use them more frequently in the future. The female aspiration to intentional tanning in order to enhance attractiveness has been described in recent literature across Europe . Also, younger students consider the sunbeds not to be so harmful and tend to start with the sunbeds at a younger age, a phenomenon already registered in different countries …”

Section: Discussionmentioning

confidence: 88%

Ultraviolet radiation exposure among Belgrade high school students: analysis of knowledge, attitudes and behaviour

Škiljević

Sreckovic

2019

Acad Dermatol Venereol

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Background The incidence of melanoma has been increasing worldwide. Extended UV exposure during childhood or adolescence significantly increases the probability of skin cancer in adulthood. Objective The objective of this study was to analyse knowledge, attitudes and behaviour regarding exposure to natural and artificial UV radiation among Belgrade high school students. Methods The study was conducted using a questionnaire among 549 students of 3rd and 4th grade (17 and 18 years of age) in four Belgrade high schools. The questionnaire had 32 questions: questions about gender, date and month of birth and parents’ education, nine questions regarding sunbed use, nine questions regarding behaviour in the sun during summer months, four questions regarding personal and family history and skin phototype and seven questions regarding attitude and general knowledge about effects of UV radiation. Assessment of frequency rate and relative numbers was used as methods of descriptive statistics. Results As many as 39% of participants had used a sunbed at least once, 38% plan on using it in the future. One quarter spends more than 3 hours in the sun on the beach during summer without any protection, and only one‐third of participants had not experienced sunburn during last summer. Only one‐half of students know what melanoma is, while 37% stated that they do not know. Conclusion General awareness of risk factors regarding sun exposure as well as general knowledge about melanoma is not on a high level among Belgrade high school students. Therefore, besides legislative measures, it is extremely important to conduct adequate education programmes in high schools.

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Prevalence of sun‐protective behaviour and intentional sun tanning in German adolescents and adults: results of a nationwide telephone survey

Abstract: As individual sun-protective measures are easy to implement and provide effective protection against high-risk UV exposure, campaigns on skin cancer prevention in Germany should put a stronger focus on young adults, men, less educated individuals and those with immigration background.

Cited by 63 publications

References 44 publications

A Skin Cancer Prevention Facial-Aging Mobile App for Secondary Schools in Brazil: Appearance-Focused Interventional Study (Preprint)

A Skin Cancer Prevention Facial-Aging Mobile App for Secondary Schools in Brazil: Appearance-Focused Interventional Study (Preprint)

Barriers to Using a Nationwide Skin Cancer Screening Program: Findings from Germany

Ultraviolet radiation exposure among Belgrade high school students: analysis of knowledge, attitudes and behaviour

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