Validating outdoor workers' self-report of sun protection

Oh, Sam S.; Mayer, Joni A.; Lewis, Elizabeth C.; Slymen, Donald J.; Sallis, James F.; Elder, John P.; Eckhardt, Laura; Achter, April; Weinstock, Martin A.; Eichenfield, Lawrence F.; Pichon, Latrice C.; Galindo, Gabriel

doi:10.1016/j.ypmed.2004.03.011

Cited by 69 publications

(57 citation statements)

References 25 publications

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“…Another limitation was that all measures relied on selfreport, which has the potential for inaccuracy due to poor recall, difficulty estimating the frequency of routine behaviors, and social demand biases (25). There are, however, ongoing and recent studies that validate self-report measures using objective techniques such as observation and sunscreen swabbing (25)(26)(27). Finally, there were limitations to some of our measures such as not asking about tanning intentions and having daily midday exposure that did not measure any exposure of <1 h.…”

Section: Discussionmentioning

confidence: 99%

Identifying Latent Classes of Adults at Risk for Skin Cancer Based on Constitutional Risk and Sun Protection Behavior

Steffen

Glanz

Wilkens

2007

Cancer Epidemiology, Biomarkers &Amp; Prevention

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Objective: This study used latent class analysis (LCA) to identify homogeneous subgroups of individuals at risk for skin cancer on the basis of their risk factors and sun protection habits to understand patterns of sun exposure and sun protection behaviors. Method: Adults (n = 725), screened to be at risk for skin cancer, were recruited through primary care physicians and completed the mailed baseline survey as part of a skin cancer prevention trial. LCA was used to identify homogeneous subgroups, on the basis of skin cancer risk and usual sun habits, by sex. LCA solutions were then validated by assessing if class predicted differences in sun exposure, recent sunburn, outdoor activities, attitudes toward tanning, and demographics. Results: Females and males were divided into four and three classes, respectively, that reflected the level of sun protection habits and showed that these habits were greater for those with higher constitutional risk for skin cancer. The classes seemed to represent a continuum of sun protection efforts rather than distinct patterns of protection behaviors. Females were distinguished on their use of all habits assessed whereas males, who reported less use of sun protection overall, only differed in their use of sunscreen. Females using more protection reported less sunburn whereas males using less protection reported less sunburn. However, all subgroups reported significant annual prevalence of sunburn (including mild) of 48% to 83%.

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Section: Discussionmentioning

confidence: 99%

Identifying Latent Classes of Adults at Risk for Skin Cancer Based on Constitutional Risk and Sun Protection Behavior

Steffen

Glanz

Wilkens

2007

Cancer Epidemiology, Biomarkers &Amp; Prevention

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“…Coefficients for schoolchildren provided substantial agreement for reporting head wear (, 0.70), but only fair agreement was obtained for clothing worn on the legs (, 0.35) and the shoulders(,0.34).Foroutdoorworkers,substantial levels of agreement were obtained for clothing worn on the legs (, 0.89), head (, 0.71), and shoulders/arms (, 0.64); and a moderate level of agreement was obtained fortheface(,0.42). 9 Similarly,coefficients forastudy 10 ofUSpostalworkersyieldedsubstantial agreement for wearing long pants (, 0.83), a long-sleeved shirt (, 0.71), a wide-brimmed hat (, 0.62), and any hat (, 0.60), with moderate agreement for wearing sunglasses (, 0.51).…”

mentioning

confidence: 96%

“…5 Most studies rely on self-report of habitual sun protection practices, and there is no "gold standard" criterion for evaluation. 6,7 Methods used to examine the validity of self-report sun habits among these studies have relied on either directobservation [8][9][10] orproxyreports. 11 InAustralia, validity data on a solar protection diary have been published for elementary schoolchildren 8 andoutdoorworkers.…”

mentioning

confidence: 99%

Validity of Beachgoers' Self-report of Their Sun Habits

O’Riordan¹,

Lunde²,

Steffen³

et al. 2006

Arch Dermatol

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“…By means of consecutive sampling 16 , the recruited postmen were invited to respond to an objective questionnaire of general identification and socioeconomic variables, as well as specific questions regarding their behavior towards daily sun exposure 17 , which were adapted from the application in a sub-sample (6% of the sample).…”

Section: Methodsmentioning

confidence: 99%