Background
First-degree relatives of melanoma survivors have a substantially higher
lifetime risk for melanoma than individuals with no family history. Exposure to
ultraviolet radiation is the primary modifiable risk factor for the disease. Reducing UV
exposure through sun protection may be particularly important for children with a
parental history of melanoma. Nonetheless, limited prior research has investigated sun
protection practices and sun exposure among these children.
Methods
The California Cancer Registry was used to identify melanoma survivors eligible
to participate in a survey to assess their children's sun protection practices
and sun exposure. The survey was administered by mail, telephone, or web to Latino and
non-Latino white melanoma survivors with at least one child (0–17 years; N =
324).
Results
Sun exposure was high and the rate of sunburn was equivalent to or higher than
estimates from average risk populations. Use of sun protection was suboptimal. Latino
children were less likely to wear sunscreen and hats and more likely to wear sunglasses,
although these differences disappeared in adjusted analyses. Increasing age of the child
was associated with lower sun protection and higher risk for sunburn whereas higher
objective risk for melanoma predicted improved sun protection and a higher risk for
sunburns. Perception of high barriers to sun protection was the strongest modifiable
correlate of sun protection.
Conclusions
Interventions to improve sun protection and reduce sun exposure and sunburns in
high risk children are needed.
Impact
Intervening in high risk populations may help reduce the burden of melanoma in
the U.S.