Health Disparities Among Different Ethnic and Racial Middle and High School Students in Sun Exposure Beliefs and Knowledge

Cheng, Carol E.; Irwin, Blair; Mauriello, Dana; Hemminger, Laura; Pappert, Amy; Kimball, Alexa B.

doi:10.1016/j.jadohealth.2009.12.028

Cited by 29 publications

(24 citation statements)

References 11 publications

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“…Hispanics are more likely to believe that there is not much they can do to lower their risk of getting skin cancer and that there are too many recommendations to prevent this illness [26]. It was also reported that more than half of Hispanics believe that tanning makes people look more attractive and do not endorse the belief that tanning makes people older [37]. One study showed that Hispanics tend to marginally agree more with statements regarding sun protection benefits than barriers [30].…”

Section: Resultsmentioning

confidence: 99%

Sun Protection Beliefs among Hispanics in the US

Santiago-Rivas

Wang

Jandorf

2014

Journal of Skin Cancer

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Purpose. We reviewed the literature on sun protection beliefs in Hispanics living in the United States to explore what challenges are faced by area of research. Method. A review of PubMED, PsycINFO, and CINAHL databases was performed. Studies were published in peer-reviewed journals (in all years available) and written in English. The search terms used were [“skin cancer” OR “sun protection”] AND [“Latino” OR “Hispanic”] AND “beliefs.” Eligible papers were included in the final analysis after meeting the following inclusion criteria: (1) the records had to quantitatively examine and report sun protection beliefs in Hispanics, (2) the number of Hispanic participants in the sample had to be clearly specified, and (3) studies reporting differences in sun protection beliefs between Hispanics and other racial and ethnic groups were included in the review. Results. Of the 92 articles identified, 11 met inclusion criteria and addressed sun protection beliefs regarding skin cancer seriousness and susceptibility, and benefits and barriers of sun protection and skin cancer risk behaviors. Characteristics of studies and results were examined. Conclusion. There is insufficient evidence to determine a pattern of sun protection beliefs among Hispanics in the United States. More quality studies are needed which focus on sun protection beliefs in Hispanics.

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Section: Resultsmentioning

confidence: 99%

Sun Protection Beliefs among Hispanics in the US

Santiago-Rivas

Wang

Jandorf

2014

Journal of Skin Cancer

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“…Compared with non-Hispanic whites, both Hispanics 60,61,64–66 and blacks 64,66,67 appear to be less knowledgeable about melanoma. Blacks and Hispanics may also be less likely to seek medical care if they have a suspicious skin lesion.…”

Section: Barriers Related To Culturementioning

confidence: 89%

Social Determinants of Racial and Ethnic Disparities in Cutaneous Melanoma Outcomes

et al. 2014

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Background This article sought to elucidate how aspects of poverty and culture may contribute to race- and ethnicity-based disparities in cutaneous melanoma outcomes. Methods We identified published studies addressing the social determinants of melanoma. Selected review articles included US-based studies comprised of patients representing adults, children, and adolescents. Results African Americans and Hispanics diagnosed with cutaneous melanoma are more likely to present with more advanced stages of disease at diagnosis and have higher rates of mortality than their nonminority counterparts. These disparities may be a consequence of economic, social, and cultural barriers such as low income, public forms of health insurance, lower levels of education, lower levels of melanoma awareness and knowledge, and lower rates of participation in melanoma screening. No studies in the literature examined the potential impact of social injustice, English proficiency, immigrant status, and health literacy. Conclusions Substantial gaps exist in our knowledge of the pathways linking social determinants and race- and ethnicity-based disparities in melanoma. More studies are warranted to inform the development of effective interventions aimed at narrowing inequities and improving cutaneous melanoma outcomes among minority populations.

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“…In one study, a large proportion of Hispanic adolescents believed that tanning improves attractiveness, and only a few believed it made people appear older [54]. These beliefs may increase with greater acculturation to the US [55].…”

Section: Discussionmentioning

confidence: 99%

Characteristics, rates, and trends of melanoma incidence among Hispanics in the USA

Garnett¹,

Townsend

Steele

et al. 2016

Cancer Causes Control

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Purpose The purpose of this study is to describe the epidemiology of melanoma among Hispanics using data that cover nearly 100% of the United States (US) population. Methods The study used population-based cancer incidence data from the National Program of Cancer Registries and the Surveillance Epidemiology and End Results program to examine melanoma incidence rates and trends among Hispanics by sex, age, race, histology, anatomic location, stage, and tumor thickness. Results From 2008 to 2012, 6,623 cases of melanoma were diagnosed among Hispanics. Rates were higher among males (4.6) than females (4.0), but females younger than age 55 had higher rates than males. The most common histologic subtype was superficial spreading melanoma (23%). Melanomas with poorer outcomes, such as nodular (NM) and acral lentiginous melanoma (ALM), were more common among males. Hispanic females had the highest proportion of melanoma on the lower limb and hip (33.7%) while Hispanic males had the highest proportion on the trunk (29.9%). Incidence rates for later stage and thicker tumors were significantly higher among Hispanic men than women. Incidence rates decreased significantly during 2003–2012 (AAPC= −1.4). Conclusions Clinicians and public health practitioners will need to reach the growing Hispanic population in the US with strategies for primary prevention and early diagnosis of melanoma. Results suggest Hispanics and providers need education to increase awareness about the characteristics of melanoma among Hispanics, including types that occur on non-sun-exposed areas (ALM, NM). Skin cancer prevention and awareness interventions targeting Hispanics should be culturally relevant.

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Health Disparities Among Different Ethnic and Racial Middle and High School Students in Sun Exposure Beliefs and Knowledge

Cited by 29 publications

References 11 publications

Sun Protection Beliefs among Hispanics in the US

Sun Protection Beliefs among Hispanics in the US

Social Determinants of Racial and Ethnic Disparities in Cutaneous Melanoma Outcomes

Characteristics, rates, and trends of melanoma incidence among Hispanics in the USA

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