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

Richard Bränström, Nadine A. Kasparian, Yu Mei Chang, Paul Affleck, Aad Tibben, Lisa G. Aspinwall, Esther Azizi, Orna Baron-Epel, Linda Battistuzzi, Wilma Bergman, William Bruno, May Chan, Francisco Cuellar, Tadeusz Dȩbniak, Dace Pjanova, Sławomir Ertmański, Adina Figl, Melinda Gonzalez, Nicholas K. Hayward, Marko Hocevar & 10 others Peter A. Kanetsky, Sancy Leachman, Olita Heisele, Jane Palmer, Barbara Peric, Susana Puig, Dirk Schadendorf, Nelleke A. Gruis, Julia Newton-Bishop, Yvonne Brandberg

Research output: Contribution to journalArticle

81 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)2199-2210
Number of pages12
JournalCancer Epidemiology Biomarkers and Prevention
Volume19
Issue number9
DOIs
StatePublished - Sep 2010
Externally publishedYes

Fingerprint

Sunburn
Solar System
Melanoma
Suntan
Protective Clothing
Sunscreening Agents
Israel
Primary Prevention
Internet
Self Report
Surveys and Questionnaires
Language
Public Health
Demography
Psychology
Incidence

ASJC Scopus subject areas

  • Epidemiology
  • Oncology

Cite this

Bränström, R., Kasparian, N. A., Chang, Y. M., Affleck, P., Tibben, A., Aspinwall, L. G., ... Brandberg, Y. (2010). Predictors of sun protection behaviors and severe sunburn in an international online study. Cancer Epidemiology Biomarkers and Prevention, 19(9), 2199-2210. https://doi.org/10.1158/1055-9965.EPI-10-0196

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; Dȩbniak, Tadeusz; Pjanova, Dace; Ertmański, Sławomir; Figl, Adina; Gonzalez, Melinda; Hayward, Nicholas K.; Hocevar, Marko; Kanetsky, Peter A.; Leachman, Sancy; Heisele, Olita; Palmer, Jane; Peric, Barbara; Puig, Susana; Schadendorf, Dirk; Gruis, Nelleke A.; Newton-Bishop, Julia; Brandberg, Yvonne.

In: Cancer Epidemiology Biomarkers and Prevention, Vol. 19, No. 9, 09.2010, p. 2199-2210.

Research output: Contribution to journalArticle

Bränström, R, Kasparian, NA, Chang, YM, Affleck, P, Tibben, A, Aspinwall, LG, Azizi, E, Baron-Epel, O, Battistuzzi, L, Bergman, W, Bruno, W, Chan, M, Cuellar, F, Dȩbniak, T, Pjanova, D, Ertmański, S, Figl, A, Gonzalez, M, Hayward, NK, Hocevar, M, Kanetsky, PA, Leachman, S, Heisele, O, Palmer, J, Peric, B, Puig, S, Schadendorf, D, Gruis, NA, Newton-Bishop, J & Brandberg, Y 2010, 'Predictors of sun protection behaviors and severe sunburn in an international online study', Cancer Epidemiology Biomarkers and Prevention, vol. 19, no. 9, pp. 2199-2210. https://doi.org/10.1158/1055-9965.EPI-10-0196
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 ; Dȩbniak, Tadeusz ; Pjanova, Dace ; Ertmański, Sławomir ; Figl, Adina ; Gonzalez, Melinda ; Hayward, Nicholas K. ; Hocevar, Marko ; Kanetsky, Peter A. ; Leachman, Sancy ; Heisele, Olita ; Palmer, Jane ; Peric, Barbara ; Puig, Susana ; Schadendorf, Dirk ; Gruis, Nelleke A. ; Newton-Bishop, Julia ; Brandberg, Yvonne. / Predictors of sun protection behaviors and severe sunburn in an international online study. In: Cancer Epidemiology Biomarkers and Prevention. 2010 ; Vol. 19, No. 9. pp. 2199-2210.
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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.",
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T1 - Predictors of sun protection behaviors and severe sunburn in an international online study

AU - Bränström, Richard

AU - Kasparian, Nadine A.

AU - Chang, Yu Mei

AU - Affleck, Paul

AU - Tibben, Aad

AU - Aspinwall, Lisa G.

AU - Azizi, Esther

AU - Baron-Epel, Orna

AU - Battistuzzi, Linda

AU - Bergman, Wilma

AU - Bruno, William

AU - Chan, May

AU - Cuellar, Francisco

AU - Dȩbniak, Tadeusz

AU - Pjanova, Dace

AU - Ertmański, Sławomir

AU - Figl, Adina

AU - Gonzalez, Melinda

AU - Hayward, Nicholas K.

AU - Hocevar, Marko

AU - Kanetsky, Peter A.

AU - Leachman, Sancy

AU - Heisele, Olita

AU - Palmer, Jane

AU - Peric, Barbara

AU - Puig, Susana

AU - Schadendorf, Dirk

AU - Gruis, Nelleke A.

AU - Newton-Bishop, Julia

AU - Brandberg, Yvonne

PY - 2010/9

Y1 - 2010/9

N2 - 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.

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