Trends in Sunburns, Sun Protection Practices, and Attitudes Toward Sun Exposure Protection and Tanning Among US Adolescents, 1998–2004

Cokkinides, Vilma; Weinstock, Martin A.; Glanz, Karen; Albano, Jessica D.; Ward, Elizabeth; Thun, Michael J.

doi:10.1542/peds.2005-3109

Cited by 143 publications

(140 citation statements)

References 49 publications

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“…Survival from late stage disease remains poor despite significant research efforts on a variety of treatment options 3 . Primary prevention strategies, focusing on reducing unnecessary ultraviolet (UV) exposure and other UV protection behaviors, can be difficult to implement [4][5][6][7] . Early detection, when melanoma is thin and confined to the skin, may be the best chance to positively impact melanoma mortality and is feasible through simple visual inspection, which is paramount to effective secondary prevention strategies 4 .…”

Section: Introductionmentioning

confidence: 99%

Skin Cancer Education for Primary Care Physicians: A Systematic Review of Published Evaluated Interventions

et al. 2011

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BACKGROUND: Early detection of melanoma may provide an opportunity to positively impact melanoma mortality. Numerous skin cancer educational interventions have been developed for primary care physicians (PCPs) to improve diagnostic accuracy. Standardized training is also a prerequisite for formal testing of melanoma screening in the primary care setting. OBJECTIVE: We conducted a systematic review to determine the extent of evaluated interventions designed to educate PCPs about skin cancer, including melanoma. DESIGN: Relevant studies in the English language were identified through systemic searches performed in MEDLINE, EMBASE, BIOSIS, and Cochrane through December 2010. Supplementary information was obtained from corresponding authors of the included studies when necessary. APPROACH: Studies eligible for inclusion formally evaluated skin cancer education interventions and were designed primarily for PCPs. Excluded studies lacked a specified training intervention, used decision-making software, focused solely on risk factor identification, or did not directly educate or assess participants. Twenty studies met the selection criteria. Data were extracted according to intervention content and delivery format, and study outcomes.KEY RESULTS: All interventions included instructions about skin cancer diagnosis, but otherwise varied in content. Curricula utilized six distinct educational techniques, usually incorporating more than one. Intervention duration varied from 12 min to over 6 h. Eight of the 20 studies were randomized trials. Most studies (18/20, 90%) found a significant improvement in at least one of the following five outcome categories: knowledge, competence, confidence, diagnostic performance, or systems outcomes. Competence was most commonly measured; no study evaluated all categories. Variability in study design, interventions, and outcome measures prevented correlation of outcomes with intervention characteristics. CONCLUSIONS: Despite the development of many isolated educational interventions, few have been tested rigorously or evaluated under sufficient standardized conditions to allow for quantitative comparison. Improved and rigorously tested skin cancer educational interventions for PCPs with outcome measures focusing on changes in performance are needed.

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Section: Introductionmentioning

confidence: 99%

Skin Cancer Education for Primary Care Physicians: A Systematic Review of Published Evaluated Interventions

et al. 2011

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“…Similar studies have also concluded that females have pore positive attitudes against sun protection measures that may result from cultural reasons, since females are urged to look after their appearance much more compared to males (Lowe et al, 2000;Geller et al, 2005;Cokkinides et al, 2006;Livingston et al, 2007).…”

Section: Assessment Of Knowledge and Attitudes Before And After The Imentioning

confidence: 71%

“…Also after the program, many more students knew what the correct SPF for them was (56.6% vs 27.1%). Several international studies have also confirmed that knowledge about the correct sunscreen increases greatly especially in combination with an education program (Geller et al, 2005;Buller et al, 2006;Cokkinides et al, 2006;Livingston et al, 2007;Murray, 2013).…”

Section: Assessment Of Knowledge and Attitudes Before And After The Imentioning

confidence: 92%

“…Findings in other studies regarding this group vary considerably, which once again shows why continuous education programs about sun protection are so important. In general, fair-skinned people tend to be much more aware of sun-related risks and protect themselves systematically (Lowe et al, 2000;Stankeviciute et al, 2004;Cokkinides et al, 2006;Richtig et al, 2009).…”

Section: Assessment Of Knowledge and Attitudes Before And After The Imentioning

confidence: 99%

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Assessing a Sun Protection Program Aimed at Greek Elementary School Students for Malign Melanoma Prevention

Saridi

Rekleiti²,

Toska³

et al. 2014

Asian Pacific Journal of Cancer Prevention

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“…Evidence suggests adolescents have low levels of sun protection behaviours and high levels of sun exposure and sunburns (e.g., Cokkinides et al, 2006;Stanton et al, 2004). During adolescence sun exposure and sun protection knowledge increase with age, yet there is a decrease in sun protection behaviours (Broadstock et.…”

mentioning

confidence: 99%

Associations between authoritative parenting and the sun exposure and sun protective behaviours of adolescents and their friends

Mewse

Lea

Ntala

et al. 2010

Psychology & Health

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Associations between the sun exposure and sun protective behaviours of adolescents and their friends were examined along with the role played by authoritative parenting and other family and peer socialization factors. Four hundred and two adolescents (198 males, 204 females) participated in the research. It was found that these adolescents and their friends shared similar sun exposure and sun protective behaviours and had similar parenting backgrounds. Parental authoritativeness was positively associated with the use of sun protection, even after the effects of other familial and peer variables were controlled, but not with the time spent sunbathing which was associated with friends' behaviours. The theoretical and practical implications of these findings are discussed. Evidence on the correlates of risky behaviour with regard to sun exposure is more limited, but suggests that it is correlated with many of the same psychosocial and demographic factors as other adolescent health-risk behaviours including age, gender, knowledge and attitudes (e.g

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Trends in Sunburns, Sun Protection Practices, and Attitudes Toward Sun Exposure Protection and Tanning Among US Adolescents, 1998–2004

Cited by 143 publications

References 49 publications

Skin Cancer Education for Primary Care Physicians: A Systematic Review of Published Evaluated Interventions

Skin Cancer Education for Primary Care Physicians: A Systematic Review of Published Evaluated Interventions

Assessing a Sun Protection Program Aimed at Greek Elementary School Students for Malign Melanoma Prevention

Associations between authoritative parenting and the sun exposure and sun protective behaviours of adolescents and their friends

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