Clinical counseling on sun protection and indoor tanning avoidance: A survey of current practices among U.S. health care providers

Holman, Dawn M.; Qin, Jialun; Gottschlich, Elizabeth A.; Balk, Sophie J.

doi:10.1016/j.ypmed.2019.105783

Cited by 9 publications

(9 citation statements)

References 13 publications

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“…Many of the research efforts detailing UVI knowledge have shown there is a minimal understanding of the UVI by the public [51,54,[85][86][87][88][89][90] and that lower UVI value recommendations underpredict erythemal risk [91][92][93]. Medical professionals have similarly displayed limited knowledge or use of the UVI [94][95][96]. However, personal knowledge of the UVI may not be necessary to improve sun protection behaviors if mobile health technology can provide tailored recommendations on behalf of the individual.…”

Section: Resultsmentioning

confidence: 99%

Solar Ultraviolet Exposure in Individuals Who Perform Outdoor Sport Activities

et al. 2020

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Background: Skin cancer is the most common cancer in the USA. Therefore, it is important to review the contribution of ultraviolet radiation (UVR) exposure to skin cancer in individuals with the highest risk. Documenting the relationship between outdoor sports solar ultraviolet exposure and their risk of skin cancer along with appropriate risk mitigation strategies can help inform clinicians of practical information for counseling sun protective behaviors in this population. Methods: We conducted a review of the current evidence using PubMed to answer the following research questions: (1) How is ultraviolet radiation measured? (2) What is the modern utility of the ultraviolet index in modifying recreational sun protection behaviors? (3) What is the risk of developing skin cancer for outdoor sport participants? (4) What is the prevalence of skin cancer in sport participants? and (5) Is the number of nevi and solar lentigines elevated in outdoor sport participants? Results: Based on the literature, individuals who practice outdoor sport-related activities receive high ultraviolet radiation exposure, have a high risk for skin cancer, have a high prevalence for pigmented lesions, and may benefit from electronic sun protection educational interventions. Conclusions: Individuals who practice outdoor sports experience substantially higher ultraviolet radiation exposure, routinely exceed the recommended exposure limits, and are at a higher risk of developing skin cancer. Therefore, those who are frequently engaged in outdoor leisure activities should be coached about efficient sun protective practices and relevant mobile technologies that may facilitate adherence.

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Section: Resultsmentioning

confidence: 99%

Solar Ultraviolet Exposure in Individuals Who Perform Outdoor Sport Activities

et al. 2020

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“…Clinicians should be aware of such videos and should be prepared to address the topic with patients who are considering making their own sunscreen. While recent research on sunscreen absorption [22] may raise public concern, especially about the use of sunscreen by children, the extant recommendations are unchanged; we can conclude from available evidence that sunscreen is safe and that its use is superior to unprotected exposure for children and adults (for infants under 6 months of age, sunscreen is not recommended; rather, sun exposure should be avoided completely) [23]. Guidance such as use of a mineral sunscreen, sun avoidance strategies, and use of protective clothing and hats [23] may be particularly useful to parents who are concerned about using sunscreen products on children.…”

Section: Unexpected Findingsmentioning

confidence: 99%

Information About Sunscreen on YouTube and Considerations for Sun Safety Promotion: Content Analysis

Anne¹

2020

JMIR Dermatol

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Background Sunscreen use is a popular sun protection method; however, application of sunscreen rarely meets the standards recommended for effectiveness. Access to information about how to effectively use sunscreen may play a role in proper sunscreen application. The internet is a common health information source; however, the quality of sunscreen-related content varies. Objective The objective of this study was to examine information about sunscreen in YouTube videos by video source. Methods In November 2017, the authors identified the 20 most popular YouTube videos (sorted by view count and relevance) for each of these 5 search terms: sunscreen cancer, sunscreen health, sunscreen information, sunscreen ingredients, and sunscreen natural. The inclusion criteria were English language and view count >1000 (N=111 unique videos). We double-coded videos for standard recommendations for sunscreen use (eg, apply 20 minutes before sun exposure), use of outdated terminology, and recommendation of complementary sun safety strategies. Results The view counts ranged from 1100 to 671,142 (median 17,774, SD 109,651) and the average daily views ranged from 1 to 1448 (median 23, SD 234). End users (46/111, 41.4%) and health care providers (24/111, 21.6%) were the most common sources, and none of the most popular videos were produced by federal agencies or cancer-related nongovernmental organizations. Health care provider videos included marginally more recommendations than end user videos (mean 1.46, SD 1.96 vs mean 1.05, SD 1.20), but few (19/111, 17.1%) mentioned reapplication. The videos were generally positive toward sunscreen (82/111, 73.9%); however, some videos were negative (29/111, 26.1%), with warnings about the health risks of chemical sunscreens and their ingredients. Do-it-yourself sunscreen tutorials represented 19/111 (17.1%) of the sample. Conclusions YouTube is a potential source for disseminating sun safety messages; however, the quality of its sunscreen content varies. Most of the videos in our study failed to include important sunscreen use recommendations. Clinicians should be prepared to address the information needs of patients by discussing effective, evidence-based sunscreen application and recommending a combined sun safety approach.

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“…Among these, one was to equip individuals with the necessary knowledge to make informed and healthy decisions about their exposure to UV rays. A national study of the U.S. primary care providers found that over a quarter regularly counseled their patients on indoor tanning [ 16 ]. Given that SGM populations face barriers to accessing primary care [ 17 ], the role of primary care in ameliorating skin cancer disparities is significant.…”

Section: Introductionmentioning

confidence: 99%

Indoor Tanning among Sexual and Gender Minority Adolescents and Adults: Results from the 2020 Pennsylvania LGBT Health Needs Assessment

Wheldon,

Spradau

2023

Journal of Skin Cancer

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Sexual and gender minority (SGM) populations include individuals whose sexual orientation, gender identity, or reproductive development is characterized by nonbinary sexual constructs (e.g., lesbian, gay, bisexual, and transgender (LGBT) individuals). Previous research suggests that some SGM populations have higher rates of skin cancer. The purpose of this study was to assess the association of diverse SGM identities with indoor tanning, a risk factor for skin cancer, while exploring other relevant co-occurring risk factors. A secondary analysis was performed on the 2020 LGBT Health Needs Assessment collected by the Pennsylvania Department of Health. Measures included sexual orientation, gender identity, healthcare utilization, and cancer risk factors. Cisgender SGM men are more likely to use indoor tanning devices (adjusted odds ratio (aOR) = 1.79; 95% CI: 1.31–2.44) compared to other SGM subpopulations independent of sexual orientation. Indoor tanning was also associated with alcohol (aOR = 1.94; 95% CI: 1.50–2.51) and tobacco use (aOR = 1.64; 95% CI: 1.21–2.21). Findings suggest that targeted screening for skin cancer risk behaviors could accompany standard tobacco and alcohol screenings in clinical practice.

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Clinical counseling on sun protection and indoor tanning avoidance: A survey of current practices among U.S. health care providers

Cited by 9 publications

References 13 publications

Solar Ultraviolet Exposure in Individuals Who Perform Outdoor Sport Activities

Solar Ultraviolet Exposure in Individuals Who Perform Outdoor Sport Activities

Information About Sunscreen on YouTube and Considerations for Sun Safety Promotion: Content Analysis

Indoor Tanning among Sexual and Gender Minority Adolescents and Adults: Results from the 2020 Pennsylvania LGBT Health Needs Assessment

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