Prevalence and determinants of Australian adolescents' and adults' weekend sun protection and sunburn, summer 2003-2004

Dobbinson, Suzanne; Wakefield, Melanie; Hill, David; Girgis, Afaf; Aitken, Joanne F.; Beckmann, Kerri; Reeder, Anthony I.; Herd, Natalie; Fairthorne, Andrew; Bowles, Kelly‐Ann

doi:10.1016/j.jaad.2008.06.011

Cited by 127 publications

(147 citation statements)

References 39 publications

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“…Female sex and occupation were relatively weakly statistically associated with protective practices, as was the Pro-Tan Attitude Score. The only strongly associated personal factor was skin response to sun exposure-a plausible finding, consistent with studies of other adult populations 42) . The other factors most strongly, and independently, associated with the Personal Protection Score were the two workplace scores.…”

Section: Multivariable Modelingsupporting

confidence: 85%

Occupational Sun Protection: Workplace Culture, Equipment Provision and Outdoor Workers' Characteristics

Reeder

Gray

McCool

2013

Journal of Occupational Health

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Occupational Sun Protection: Workplace Culture, Equipment Provision and Outdoor Workers' Characteristics: Anthony I. REEDER, et al. Cancer Society of New Zealand Social and Behavioral Research Unit, Department of Preventive and Social Medicine, Dunedin School of Medicine, University of Otago, New Zealand— Objectives The aim of this study was to describe outdoor workers' sun‐protective practices, workplace sun‐safety culture and sun‐protective equipment provision; investigate the association of demographic, personal and occupational factors with sun‐protective practices; and identify potential strategies for improving workers' sun protection. Methods The present study used a clustered survey design with randomly identified employers in nine occupations. Employees provided questionnaire measures of demographics, personal characteristics (skin type, skin cancer risk perceptions, tanning attitudes, sun‐exposure knowledge), personal occupational sun protection practices (exposure reduction, use of sun‐protective clothing, sunscreen and shade), workplace sun‐protective equipment provision and perceived workplace sun‐safety culture. Summative scores were calculated for attitudes, knowledge, work place provision and culture. Amultivariable model was built with worker and workplace variables as plausible predictors of personal sun protection. Results In this study, 1,061 workers (69% participation) from 112 workplaces provided sufficient information for analysis. Sex, age, prioritized ethnicity, education and risk perception differed significantly between occupational groups (p<0.001), as did workers' sun‐protective practices and workplace sun‐protection equipment provision and supportive culture. After adjustment, each one‐point increase in Workplace Sun‐safety Culture Score (range 12 points) was associated with a 0.16 higher Personal Sun‐Protection Score (p<0.001), and each one‐point increase in Workplace Provision Score (range 4 points) was associated with a 0.14 higher score (p<0.001). Sun Protection Score was significantly associated with skin response to sun exposure (p<0.001), female sex (p=0.021), tanning attitudes (p=0.022) and occupation (p=0.049), but not ethnicity, age education, knowledge or skin cancer risk perception. Conclusions Protective equipment provision and sun‐protective workplace culture are promising components for the development of comprehensive programmes to improve outdoor workers' sun‐protective practices.

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Section: Multivariable Modelingsupporting

confidence: 85%

Occupational Sun Protection: Workplace Culture, Equipment Provision and Outdoor Workers' Characteristics

Reeder

Gray

McCool

2013

Journal of Occupational Health

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“…Research findings which concur with those in this study include a propensity for young people to avoid feeling hot (Paul et al 2008, Potente et al 2011 and being reluctant to use clothing as sun protection (Dobbinson et al 2008) particularly if the clothing is perceived to be unfashionable (Curtis & Pollock 2009). The theory about Being Comfortable presented above may offer the answer to a question posed in an Australian survey by Dobbinson et al (2008).…”

Section: Discussionsupporting

confidence: 79%

“…The theory about Being Comfortable presented above may offer the answer to a question posed in an Australian survey by Dobbinson et al (2008). The researchers investigated the sunrelated attitudes, sunburn and behaviours of 699 male and female adolescents aged 12-17 at summer weekends.…”

Section: Discussionmentioning

confidence: 99%

Comfort vs risk: a grounded theory about female adolescent behaviour in the sun

Norton

Holloway

Galvin

2013

Journal of Clinical Nursing

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Comfort versus risk: A grounded theory about female adolescent behaviour in the sun Aims and objectivesThe aim was to generate a grounded theory about female adolescent behaviour in the sun. BackgroundNurses have key roles in health promotion and skin cancer prevention. Adolescents' resistance to sun safety messages and their vulnerability to sunburn is of concern internationally. Understanding why young women do as they do in the sun may enhance skin cancer prevention but their behaviour has not been explained before in the UK. DesignThe study incorporated a qualitative grounded theory design using the approach of Glaser. 2 MethodsQualitative data were gleaned from group and one-to-one, semi-structured interviews with 20 female participants aged 14 to 17, research memos and literature. Sampling was purposive and theoretical. Data collection, analysis and theory generation occurred concurrently. Data were analysed using the constant comparative method.Data collection ended when a substantive theory had been generated. Results Data analysis revealed five categories of findings: Fitting In, Being Myself, BeingPhysically Comfortable, Slipping Up and Being Comfortable (the core category). The theory generated around the core explains how young women direct their sun-related activities toward meeting their physical and psychosocial comfort needs. ConclusionsA contribution of this research is the grounded theory explaining the behaviour of young women in the sun. Further, the theory challenges assumptions that female adolescents necessarily take risks; it explains their sun-related activities in terms of comfort. The theory extends findings from other researchers' descriptive qualitative studies and also appears to apply to young people in countries other than the UK. 3 Relevance to clinical practiceUnderstanding the sun-related activity of young women in terms of physical and psychosocial comfort may help nurses to develop new approaches to skin cancer prevention. These could complement existing messages and humanise health promotion. 4 KeywordsAdolescent sun-related behaviour; comfort; nursing; primary prevention; skin cancer; public health; grounded theory; qualitative research; health promotion; sun safety What does this paper contribute to the wider global clinical community? It increases understanding of female adolescent sun-related behaviour and offers a theory to explain it. Nurses and others may use the insights gained from this study to develop new approaches to skin cancer prevention and to humanise health promotion. Although developed in the UK context, the grounded theory appears to be transferable to young people in countries other than the UK where sun exposure as a risk factor for skin cancer prevention is an issue; there is scope to investigate this through collaborative, international research. The paper challenges assumptions that female adolescents necessarily take risks: the grounded theory explains their activities in terms of their comfort.

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“…Data were gathered as part of a national skin cancer prevention survey established in summer 2003/04 10 and repeated in 2006/07 using equivalent methods. In each survey a representative sample of Australian adolescents (12)(13)(14)(15)(16)(17) and adults were recruited via weekly crosssectional telephone calls on Mondays and Tuesdays following eight summer weekends to randomly selected households with a landline telephone.…”

Section: Methodsmentioning

confidence: 99%