Validity of Beachgoers' Self-report of Their Sun Habits

O’Riordan, David; Lunde, Kevin B.; Steffen, Alana; Maddock, Jay E.

doi:10.1001/archderm.142.10.1304

Cited by 45 publications

(49 citation statements)

References 26 publications

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“…First, we decided to use sun protection as a proxy to assess a survivor's self-motivation to engage in cancer prevention. Although there is evidence to indicate that this correlate is reasonable, that assumption was not incorporated into the general design of the questions 27 . Third, we generated a composite score to obtain an overall impression of the quality of preventive skin practices, thus allowing us to compare groups of cancer survivors and non-cancer patients.…”

Section: Discussionmentioning

confidence: 99%

Protective Skin Care Behaviors in Cancer Survivors

2014

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(1) Purpose: Research suggests that physicians neglect preventive care for cancer survivors. A survivor’s self-motivation with respect to preventive care is unknown. Using protective skin care as a proxy, our aims were to characterize preventive care in cancer survivors and to identify factors associated with appropriate prevention. (2) Methods: Using data from the 2009 U.S. Health Information National Trends Survey, we compared preventive skin care patterns in cancer survivors and non-cancer patients. Primary endpoints were the use of sunscreens, long-sleeved shirts, hats, and shade. (3) Results: We identified 179 early cancer survivors (10 years), and 5951 non-cancer patients. The use of sunscreens (60%), long-sleeved shirts (88%), hats (58%), and shade (68%) was suboptimal. Overall, cancer survivors were not more likely to adhere to preventive care (p = 0.89). A composite score showed a significant difference between the cancer survivor groups (p < 0.01) whereby intermediate survivors reported the best preventive practices. (4) Conclusions: A prior diagnosis of cancer does not appear to increase personal compliance with cancer prevention. Reasons for this poor engagement are not clear. Targeted strategies to increase self-motivation might improve preventive practices in cancer survivors.

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Section: Discussionmentioning

confidence: 99%

Protective Skin Care Behaviors in Cancer Survivors

2014

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“…This observational method has not previously been used to comprehensively assess clothing cover across different venues or over time in Australia or elsewhere. There are a total of just five published studies of adolescents or adults that have incorporated an observational component, but all of these have been conducted at beaches and all have supplemented the observations with interview data (17,(23)(24)(25)(26). This means that assessment of the level of sun protection in these few studies has been a combination of observed clothing cover and reported sunscreen use.…”

Section: Discussionmentioning

confidence: 99%

Use of Sun-Protective Clothing at Outdoor Leisure Settings from 1992 to 2002: Serial Cross-sectional Observation Survey

Dixon

Lagerlund

Spittal

et al. 2008

Cancer Epidemiology, Biomarkers &Amp; Prevention

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Background: Previous population-based surveys to monitor sun protection behavior over time have relied on self-report, which can be subject to recall and misclassification bias and social desirability bias. The present study aimed to describe the prevalence and determinants of teenagers' and adults' observed sun protection behavior while engaged in outdoor leisure activities on summer weekends, over a decade of the SunSmart skin cancer prevention program, which involved public education and advocacy. Method: Serial cross-sectional observational field surveys of teenagers and adults at leisure were undertaken during summer weekends between 11 a.m. and 3 p.m., from 1992 to 2002 (N = 46,810). The four types of setting for observation were parks and gardens, golf courses, tennis courts, and pools and beaches, located within a 25-km radius of Melbourne city center, Australia. The main outcome measure was a binary clothes cover

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“…Another limitation was that all measures relied on selfreport, which has the potential for inaccuracy due to poor recall, difficulty estimating the frequency of routine behaviors, and social demand biases (25). There are, however, ongoing and recent studies that validate self-report measures using objective techniques such as observation and sunscreen swabbing (25)(26)(27). Finally, there were limitations to some of our measures such as not asking about tanning intentions and having daily midday exposure that did not measure any exposure of <1 h.…”

Section: Discussionmentioning

confidence: 99%

Identifying Latent Classes of Adults at Risk for Skin Cancer Based on Constitutional Risk and Sun Protection Behavior

Steffen

Glanz

Wilkens

2007

Cancer Epidemiology, Biomarkers &Amp; Prevention

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Objective: This study used latent class analysis (LCA) to identify homogeneous subgroups of individuals at risk for skin cancer on the basis of their risk factors and sun protection habits to understand patterns of sun exposure and sun protection behaviors. Method: Adults (n = 725), screened to be at risk for skin cancer, were recruited through primary care physicians and completed the mailed baseline survey as part of a skin cancer prevention trial. LCA was used to identify homogeneous subgroups, on the basis of skin cancer risk and usual sun habits, by sex. LCA solutions were then validated by assessing if class predicted differences in sun exposure, recent sunburn, outdoor activities, attitudes toward tanning, and demographics. Results: Females and males were divided into four and three classes, respectively, that reflected the level of sun protection habits and showed that these habits were greater for those with higher constitutional risk for skin cancer. The classes seemed to represent a continuum of sun protection efforts rather than distinct patterns of protection behaviors. Females were distinguished on their use of all habits assessed whereas males, who reported less use of sun protection overall, only differed in their use of sunscreen. Females using more protection reported less sunburn whereas males using less protection reported less sunburn. However, all subgroups reported significant annual prevalence of sunburn (including mild) of 48% to 83%.

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Validity of Beachgoers' Self-report of Their Sun Habits

Cited by 45 publications

References 26 publications

Protective Skin Care Behaviors in Cancer Survivors

Protective Skin Care Behaviors in Cancer Survivors

Use of Sun-Protective Clothing at Outdoor Leisure Settings from 1992 to 2002: Serial Cross-sectional Observation Survey

Identifying Latent Classes of Adults at Risk for Skin Cancer Based on Constitutional Risk and Sun Protection Behavior

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