Sun protection behavior: health impact, prevalence, correlates and interventions

Julian, Anne K.; Ferrer, Rebecca A.; Perna, Frank M.

doi:10.1080/08870446.2022.2146112

Cited by 5 publications

(2 citation statements)

References 98 publications

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“…In common with other studies investigating the determinants of poor photoprotection (Julian et al, 2023) we found that perceptions of risk were salient drivers of adherence and that these beliefs are modifiable and key for improving photoprotection. We also found that habit formation was consistently identified by participants as an effective strategy for improving sunscreen application, consistent with studies in healthy populations (Allom et al, 2013; Wang et al, 2017).…”

Section: Discussionsupporting

confidence: 86%

Acceptability and influence of a complex personalized intervention on changes in photoprotection behaviours among people with xeroderma pigmentosum

Walburn

Foster

Araújo‐Soares

et al. 2023

British J Health Psychol

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ObjectivesRigorous photoprotection is the only means to prevent skin cancer in people with the rare condition of xeroderma pigmentosum (XP). We conducted a qualitative process evaluation of patient experiences and responses to a highly personalized, multi‐component intervention, ‘XPAND’, designed to influence the psychosocial determinants of inadequate photoprotection among adults with XP.DesignQualitative study of 15 patients following participation in a RCT.MethodsSemi‐structured interviews explored acceptability, changes in photoprotection and attributions for behavioural changes. Analysis followed a framework approach.ResultsParticipants were overwhelmingly positive in their views of the quality and range of components of XPAND and the relevance to their personal photoprotection barriers. All participants reported improved adherence to at least one photoprotection activity and nearly two‐thirds of participants noted improvements across multiple activities. Participants believed improvements in their photoprotection behaviours were influenced by different change mechanisms. Sunscreen application, was mainly facilitated by habit formation, prompted by text messages, whereas the wearing of a photoprotective face buff was influenced by strategies, learnt during one‐to‐one sessions, to overcome worry about looking different. Enhancement of general self‐confidence and perceived support from XPAND described by participants facilitated change more broadly.ConclusionsExploration of responses to XPAND is required in the international XP population, followed by adaptation and evaluation to see if it could benefit other patient groups at higher risk of skin cancer. Implications for approaches to behaviour change include the acceptability of complex multidimensional interventions, the importance of dynamic personalization and the interactive nature of behaviour change mechanisms.

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Section: Discussionsupporting

confidence: 86%

Acceptability and influence of a complex personalized intervention on changes in photoprotection behaviours among people with xeroderma pigmentosum

Walburn

Foster

Araújo‐Soares

et al. 2023

British J Health Psychol

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“…We selected the measures included in the LCA because either: (1) they directly assessed self‐reported sun protection behaviors and frequency of beach visitation; or (2) the variables have been shown to relate to sun protection choices in these contexts. Sun protection decisions have been shown to vary with location (Andersen et al., 2017; Holman et al., 2015), state of residence (Akerlof, 2023), and recreational activities (Julian et al., 2023). Notably, at both parks, wildlife viewing serves as a form of recreational behavior and motivation to visit the parks.…”

Section: Methodsmentioning

confidence: 99%

Behaviorally segmented audiences for managing sunscreen chemical pollution risk in protected coastal natural resource areas

Akerlof,

Loevenich,

Melena

et al. 2023

Risk Analysis

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This audience segmentation of visitors at coastal parks in Hawaii and North Carolina addresses an emergent natural resource management concern and risk to aquatic ecosystems: sunscreen chemical pollution. Four audiences were identified that correspond to different behavioral profiles: sunscreen protection tourists, multimodal sun protection tourists, in‐state frequent park visitors, and frequent beachgoers who skip sunscreen. The second‐largest audience, sunscreen protection tourists, represents 29% of visitors at Cape Lookout National Seashore and 25% at Kaloko‐Honokōhau National Historical Park. This group ranks of most concern for chemical pollution because they use sunscreen, but not typically mineral formulations or other methods such as protective clothing, and they have lower levels of sunscreen chemical issue awareness. The identification of similar audience segments across regions with differing cultural characteristics and sunscreen regulation status suggests the robustness of the model and its indicator variables, with implications for both environmental protection and public health. Further, coastal visitors’ interest in enacting pro‐environmental sun protection behaviors during their next park or beach visit indicates the potential for natural resource managers to holistically address risks in both domains through targeted interventions with audiences of most concern.

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Improving Skin Cancer Knowledge and Screening Among Older Chinese Americans

Wang,

Derouin,

Turner

et al. 2024

The Journal for Nurse Practitioners

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Sun protection behavior: health impact, prevalence, correlates and interventions

Cited by 5 publications

References 98 publications

Acceptability and influence of a complex personalized intervention on changes in photoprotection behaviours among people with xeroderma pigmentosum

Acceptability and influence of a complex personalized intervention on changes in photoprotection behaviours among people with xeroderma pigmentosum

Behaviorally segmented audiences for managing sunscreen chemical pollution risk in protected coastal natural resource areas

Improving Skin Cancer Knowledge and Screening Among Older Chinese Americans

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