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Objectives: To examine the efficacy of UV photographs and information about photoaging (eg, wrinkles and age spots) for increasing the sun protection intentions and behaviors of young adults and to determine whether any effects of this appearancebased intervention could be enhanced by providing a non-UV alternative for achieving a tan (ie, sunless tanning lotion).Design: Randomized control trial with 1-month followup.Setting: Two universities in Southern California.Participants: A volunteer sample of 146 college students, 91.1% of whom completed the "surprise" 1-month follow-up.Intervention: A UV facial photograph and a brief videotape describing the causes and consequences of photoaging. The study tested the effects of the photoaging information/UV photographic intervention only, the intervention plus use of sunless tanning lotion, and a control condition.Main Outcome Measures: Participants sun protection intentions as assessed immediately after the intervention and sun protection behaviors during the month after the intervention as assessed during a surprise telephone follow-up.Results: The intervention resulted in significantly stronger sun protection intentions (PϽ.001) and greater sun protection behaviors (PϽ.05) relative to controls. Furthermore, the group that also used sunless tanning lotion tended to engage in greater sun protection behaviors than the group that received the intervention alone (PϽ.08). Conclusion:The UV photographic intervention holds promise as a cost-effective approach to motivate practices that may ultimately result in health benefits (ie, reduced skin cancer rates).
Objectives: To examine the efficacy of UV photographs and information about photoaging (eg, wrinkles and age spots) for increasing the sun protection intentions and behaviors of young adults and to determine whether any effects of this appearancebased intervention could be enhanced by providing a non-UV alternative for achieving a tan (ie, sunless tanning lotion).Design: Randomized control trial with 1-month followup.Setting: Two universities in Southern California.Participants: A volunteer sample of 146 college students, 91.1% of whom completed the "surprise" 1-month follow-up.Intervention: A UV facial photograph and a brief videotape describing the causes and consequences of photoaging. The study tested the effects of the photoaging information/UV photographic intervention only, the intervention plus use of sunless tanning lotion, and a control condition.Main Outcome Measures: Participants sun protection intentions as assessed immediately after the intervention and sun protection behaviors during the month after the intervention as assessed during a surprise telephone follow-up.Results: The intervention resulted in significantly stronger sun protection intentions (PϽ.001) and greater sun protection behaviors (PϽ.05) relative to controls. Furthermore, the group that also used sunless tanning lotion tended to engage in greater sun protection behaviors than the group that received the intervention alone (PϽ.08). Conclusion:The UV photographic intervention holds promise as a cost-effective approach to motivate practices that may ultimately result in health benefits (ie, reduced skin cancer rates).
Recently, the idea that UV-risk behaviors can be characterized by subtypes defined by specific behavioral patterns has emerged in the skin cancer literature. 1,2 Further support for this idea is provided by O'Riordan and colleagues 3 in this issue, who used latent class analyses to classify Hawaiian beach visitors into subtypes based on their degree of skin cancer risk, sun protection practices, and tanning motivations. The findings of this latest study parallel Pagoto and colleagues study of Chicago beach visitors 2 which identified four subtypes of beachgoers, three of which were strikingly similar to the ones described by O'Riordan and colleagues, i.e., 1) low risk, sun worshippers, 2) moderate risk, sun worshippers (tan seekers), and 3) high risk, sun burners. The largest subtype in both of these studies, (i.e., the moderate risk, sun worshippers) individuals with a strong desire to tan in spite of skin type conducive to sunburning, elevated perceptions of skin cancer risk, and use of sunscreen with little use of shade or clothing for sun protection, is also the group of greatest concern to physicians because their motivation to tan appears to override their perceived and actual risk for skin cancer. 2 Overall, more than two-thirds of both beach samples report that they are at the beach with the intention to tan to improve their appearance.
To assess the prevalence of addiction to indoor tanning among college students and its association with substance use and symptoms of anxiety and depression.Design: Two written measures, the CAGE (Cut down, Annoyed, Guilty, Eye-opener) Questionnaire, used to screen for alcoholism, and the Diagnostic and Statistical Manual of Mental Disorders (Fourth Edition, Text Revision) (DSM-IV-TR) criteria for substance-related disorders, were modified to evaluate study participants for addiction to indoor tanning. Standardized self-report measures of anxiety, depression, and substance use also were administered.Setting: A large university (approximately 18 000 students) in the northeastern United States.Participants: A total of 421 college students were recruited from September through December 2006.Main Outcome Measures: Self-reported addiction to indoor tanning, substance use, and symptoms of anxiety and depression.Results: Among 229 study participants who had used indoor tanning facilities, 90 (39.3%) met DSM-IV-TR criteria and 70 (30.6%) met CAGE criteria for addiction to indoor tanning. Students who met DSM-IV-TR and CAGE criteria for addiction to indoor tanning reported greater symptoms of anxiety and greater use of alcohol, marijuana, and other substances than those who did not meet these criteria. Depressive symptoms did not significantly vary by indoor tanning addiction status.
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