Sunburn and sun-protective behaviors among adults with and without previous nonmelanoma skin cancer (NMSC): A population-based study - 20/07/16
, Timothy S. Wang, MD a, Gayane Yenokyan, MD, MPH, PhD b, Sewon Kang, MD, MPH a, Anna L. Chien, MD aAbstract |
Background |
Individuals with previous nonmelanoma skin cancer (NMSC) are at increased risk for subsequent skin cancer, and should therefore limit ultraviolet exposure.
Objective |
We sought to determine whether individuals with previous NMSC engage in better sun protection than those with no skin cancer history.
Methods |
We pooled self-reported data (2005 and 2010 National Health Interview Surveys) from US non-Hispanic white adults (758 with and 34,161 without previous NMSC). We calculated adjusted prevalence odds ratios (aPOR) and 95% confidence intervals (CI), taking into account the complex survey design.
Results |
Individuals with previous NMSC versus no history of NMSC had higher rates of frequent use of shade (44.3% vs 27.0%; aPOR 1.41; 95% CI 1.16-1.71), long sleeves (20.5% vs 7.7%; aPOR 1.55; 95% CI 1.21-1.98), a wide-brimmed hat (26.1% vs 10.5%; aPOR 1.52; 95% CI 1.24-1.87), and sunscreen (53.7% vs 33.1%; aPOR 2.11; 95% CI 1.73-2.59), but did not have significantly lower odds of recent sunburn (29.7% vs 40.7%; aPOR 0.95; 95% CI 0.77-1.17). Among those with previous NMSC, recent sunburn was inversely associated with age, sun avoidance, and shade but not sunscreen.
Limitations |
Self-reported cross-sectional data and unavailable information quantifying regular sun exposure are limitations.
Conclusion |
Physicians should emphasize sunburn prevention when counseling patients with previous NMSC, especially younger adults, focusing on shade and sun avoidance over sunscreen.
Le texte complet de cet article est disponible en PDF.Key words : multimodal sun protection, nonmelanoma skin cancer, photoprotection, skin cancer prevention, sunburn, sunscreen, ultraviolet exposure
Abbreviations used : aPOR, BMI, CI, NHIS, NMSC, POR, UV
Plan
| This publication was made possible in part by the Dr Thomas Provost Young Investigator Fund of the Johns Hopkins Department of Dermatology; the Dean's Summer Research Fund of the Johns Hopkins University School of Medicine; and the Johns Hopkins Institute for Clinical and Translational Research (ICTR), which is funded in part by grant number TL1 TR001078 from the National Center for Advancing Translational Sciences (NCATS), a component of the National Institutes of Health (NIH), and NIH Roadmap for Medical Research. Funding for the statistical analysis was supported in part by the National Center for Research Resources and NCATS of the NIH through grant number 1UL1TR001079. The contents of this publication are solely the responsibility of the authors and do not necessarily represent the official view of the Johns Hopkins ICTR, NCATS, or NIH. |
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| Conflicts of interest: None declared. |
Vol 75 - N° 2
P. 371 - août 2016 Retour au numéro
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