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Prevalence of sunburn, sun protection, and indoor tanning behaviors among Americans: Review from national surveys and case studies of 3 states - 20/10/11

Doi : 10.1016/j.jaad.2011.05.033 
David B. Buller, PhD a, , Vilma Cokkinides, PhD b, H. Irene Hall, PhD c, Anne M. Hartman, MS, MA d, Mona Saraiya, MD, MPH c, Eric Miller, PhD, MPH e, Lisa Paddock, MPH f, Karen Glanz, PhD, MPH g
a Klein Buendel Inc, Golden, Colorado 
b American Cancer Society, Atlanta, Georgia 
c Centers for Disease Control and Prevention, Atlanta, Georgia 
d National Cancer Institute, Bethesda, Maryland 
e Texas Department of State Health Services, Austin, Texas 
f New Jersey State Cancer Registry, Trenton, New Jersey 
g University of Pennsylvania, Philadelphia, Pennsylvania 

Reprint requests: David B. Buller, PhD, Klein Buendel Inc, 1667 Cole Blvd, Suite 225, Golden, CO 80439.

Abstract

Background

Exposure to ultraviolet radiation (from solar and nonsolar sources) is a risk factor for skin cancer.

Objective

We sought to summarize recent estimates on sunburns, sun-protection behaviors, and indoor tanning available from national and selected statewide behavioral surveys.

Methods

Estimates of the prevalence of sunburn, sun-protection behaviors, and indoor tanning by US adults, adolescents, and children collected in national surveys in 1992, 2004 to 2005, and 2007 to 2009 were identified and extracted from searches of computerized databases (ie, MEDLINE and PsychINFO), reference lists, and survey World Wide Web sites. Sunburn estimates from 3 state Behavioral Risk Factors Surveillance Systems were also analyzed.

Results

Latest published estimates (2005) showed that 34.4% of US adults were sunburned in the past year. Incidence of sunburns was highest among men, non-Hispanic whites, young adults, and high-income groups in national surveys. About 3 in 10 adults routinely practiced sun-protection behaviors, and women and older adults took the most precautions. Among adolescents, 69% were sunburned in the previous summer and less than 40% practiced sun protection. Approximately 60% of parents applied sunscreen and a quarter used shade to protect children. Indoor tanning was prevalent among younger adults and females.

Limitations

Limitations include potential recall errors and social desirability in self-report measures, and lack of current data on children.

Conclusion

Many Americans experienced sunburns and a minority engaged in protective behaviors. Females and older adults were most vigilant about sun protection. Substantial proportions of young women and adolescents recently used indoor tanning. Future efforts should promote protective hats, clothing, and shade; motivate males and younger populations to take precautions; and convince women and adolescents to reduce indoor tanning.

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Key words : adults, Behavioral Risk Factor Surveillance System, children, Health Information National Trends Survey, indoor tanning, National Health Interview Survey, skin cancer risk, sun protection, sunburn, sunscreen, ultraviolet radiation, Youth Risk Behavior Survey

Abbreviations used : ACS, BRFSS, CDC, HINTS, NHIS, SPF, UV, YRBS


Plan


 Publication of this supplement to the JAAD was supported by the Division of Cancer Prevention and Control, Centers for Disease Control and Prevention (CDC).
 Conflicts of interest: None declared.
 The opinions or views expressed in this supplement are those of the authors and do not necessarily reflect the opinions, recommendations, or official position of the journal editors, the Centers for Disease Control and Prevention, or the National Cancer Institute.


© 2011  American Academy of Dermatology, Inc.. Publié par Elsevier Masson SAS. Tous droits réservés.
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Vol 65 - N° 5S1

P. S114.e1-S114.e11 - novembre 2011 Retour au numéro
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