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Sun-safe practices in U.S. youth and their parents

role of caregiver on youth sunscreen use
  • Vilma E Cokkinides
    Correspondence
    Address correspondence to: Vilma Cokkinides, MSPH, PhD, Department of Epidemiology and Surveillance Research, American Cancer Society, 1599 Clifton Road, NE, Atlanta GA 30329, USA.
    Affiliations
    Department of Epidemiology and Surveillance (Cokkinides, Cardinez), American Cancer Society, Atlanta, Georgia, USA

    Department of Cancer Control (O'Connel), American Cancer Society, Atlanta, Georgia, USA
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  • Martin A Weinstock
    Affiliations
    DermatoEpidemiology Unit, Veterans Administration Medical Center (Weinstock), Providence, Rhode Island, USA

    Department of Dermatology, Rhode Island Hospital and Brown University (Weinstock), Providence, Rhode Island, USA
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  • Cheryll J Cardinez
    Affiliations
    Department of Epidemiology and Surveillance (Cokkinides, Cardinez), American Cancer Society, Atlanta, Georgia, USA

    Department of Cancer Control (O'Connel), American Cancer Society, Atlanta, Georgia, USA
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  • Mary A O'Connel
    Affiliations
    Department of Epidemiology and Surveillance (Cokkinides, Cardinez), American Cancer Society, Atlanta, Georgia, USA

    Department of Cancer Control (O'Connel), American Cancer Society, Atlanta, Georgia, USA
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      Abstract

      Background

      There is a limited understanding of the social influences, such as the role of parents on youth sun-safe practices, that may reduce the risk of developing skin cancer later in life.

      Methods

      This study examined the degree of correlation in sun-safe practices between youth and their parents and assessed independent parental factors of youth sunscreen use in a 1998 cross-sectional, population-based telephone survey of U.S. youth (11- to 18-year-olds) and their parents/caregivers (N=1192 pairs of youth and parents).

      Results

      Sunscreen-use practices between youth and their parents were significantly correlated, albeit small. Youth were significantly more likely to use sunscreen frequently if their parents applied it frequently on themselves. Multivariate analysis revealed three independent parental factors associated with frequent youth sunscreen use: Their parent reported to insist frequently that the child uses sunscreen (adjusted prevalence odds ratio [aPOR]=2.4, 95% confidence interval [CI], 1.6–3.8); parent reported no difficulty with protecting their child from the sun (aPOR=1.4, 95% CI, 1.1–1.9); and parent's own frequency of sunscreen use (aPOR=1.3, 95% CI, 0.9–1.8).

      Conclusions

      Sun-safe practices were correlated between parent–child pairs and parental factors exerted a positive role on youth sunscreen-use frequency. These data may guide further sociobehavioral and intervention research for the design of skin cancer prevention programs in schools and communities to improve levels of sun-safe practices.
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      References

        • Howe H.L.
        • Wingo P.A.
        • Thun M.J.
        • et al.
        Annual report to the nation on the status of cancer, 1973–1998. Featuring cancers with recent increasing trends.
        J Natl Cancer Inst. 2001; 93: 824-842
        • Glanz K.
        • Lew R.
        • Song V.
        • Cook V.
        Factors associated with skin cancer prevention practices in a multiethnic population.
        Health Educ Behav. 1999; 26: 344-359
        • Johnson K.
        • Davy L.
        • Boyett T.
        • Weathers L.
        • Roetzheim R.
        Sun protection practices for children.
        Arch Pediatr Adolesc Med. 2001; 155: 891-896
        • Robinson J.
        • Rigel D.
        • Amonette R.
        Trends in sun exposure knowledge, attitudes, and behaviors.
        J Am Acad Dermatol. 1997; 37: 179-186
        • Hall H.I.
        • Jones S.
        • Saraiya M.
        Prevalence and correlates of sunscreen use among US high school students.
        J Sch Health. 2001; 71: 453-457
        • Lovato C.Y.
        • Shoveller J.A.
        • Peters L.
        • Rivers J.K.
        Canadian National Survey on sun exposure and protective behaviors.
        Cancer Prev Control. 1998; 2: 117-122
        • Banks B.
        • Silverman R.
        • Schwartz R.
        • Tunnessen W.J.
        Attitudes of teenagers toward sun exposure and sunscreen use.
        Pediatrics. 1992; 89: 40-42
        • Cokkinides V.E.
        • Johnston-Davis K.
        • Weinstock M.
        • et al.
        Sun exposure and sun-protection behaviors and attitudes among U.S. youth, 11 to 18 years of age.
        Prev Med. 2001; 33: 141-151
        • Emmons K.
        • Colditz G.
        Preventing excess sun exposure.
        J Natl Cancer Inst. 1999; 91: 1269-1270
        • Manson J.
        • Rexrode K.
        • Garland F.
        • Garland C.
        • Weinstock M.
        The case for a comprehensive campaign to prevent melanoma and associated mortality.
        Epidemiology. 2000; 11: 728-734
        • Reynolds K.D.
        • Blaum J.M.
        • Jester P.M.
        • Weiss H.
        • Soong S.J.
        • Diclemente R.J.
        Predictors of sun exposure in adolescents in a southeastern U.S. population.
        J Adolesc Health. 1996; 19: 409-415
        • Zinman R.
        • Schwartz S.
        • Gordon K.
        • Fitzpatrick E.
        • Camfield C.
        Predictors of sunscreen use in childhood.
        Arch Pediatr Adolesc Med. 1995; 149: 804-807
        • Balanda K.
        • Stanton W.
        • Lowe J.
        • Purdie J.
        Predictors of sun protective behaviors among school students.
        Behav Med. 1999; 25: 28-35
        • Martin S.C.
        • Jacobsen P.B.
        • Lucas D.J.
        • Branch K.A.
        • Ferron J.M.
        Predicting children's sunscreen use.
        Prev Med. 1999; 29: 37-44
        • McGee R.
        • Williams S.
        • Glasgow H.
        Sunburn and sun protection among young children.
        J Paediatr Child Health. 1997; 33: 234-237
        • Buller D.
        • Callister M.
        • Reichert T.
        Skin cancer prevention by parents of young children.
        Oncol Nurs Forum. 1995; 22: 1559-1566
        • O'Riodan D.
        • Geller A.
        • Brooks D.
        • Zhang Z.
        • Miller D.
        Sunburn reduction through parental role modeling and suncreen vigilance.
        J Pediatr. 2003; 142: 67-72
        • Cokkinides V.E.
        • Weinstock M.
        • O'Connell M.C.
        • Thun M.J.
        Indoor tanning sunlamp use in U.S. youth, ages 11–18 years, and in their parent/guardians caregivers.
        Pediatrics. 2002; 109: 1124-1130
        • Vainio H.
        • Miller A.
        • Bianchini F.
        An international evaluation of the cancer-preventive potential of sunscreens.
        Int J Cancer. 2000; 88: 838-842
        • Neumark-Sztainer D.
        The social environment of adolescents.
        Adolesc Med. 1999; 10: 41-55
        • Morris J.
        • McGee R.
        • Bandaranayake M.
        Sun protection behaviors and the predictors of sunburn in young children.
        J Paediatr Child Health. 1998; 34: 557-562
        • Robinson J.
        • Rigel D.
        • Amonette R.
        Sun-protection behaviors used by adults for their children—United States, 1997.
        MMWR Morb Mortal Wkly Rep. 1998; 47: 480-482
        • Jarrett P.
        • Sharp C.
        • McLelland J.
        Protection of children by their mothers against sunburn.
        BMJ. 1993; 306: 1448
        • Hall H.I.
        • Jorgensen C.
        • McDavid K.
        • Kraft J.
        • Breslow R.
        Protection from sun exposure in US white children ages 6 months to 11 years.
        Public Health Rep. 2001; 116: 353-361
        • Glanz K.
        • Saraiya M.
        • Wechsler H.
        • Centers for Disease Control and Prevention
        Guidelines for school programs to prevent skin cancer.
        MMWR Morb Mortal Wkly Rep. 2002; 51: 1-18
        • Barankin B.
        • Liu K.
        • Howard J.
        • Guenther L.
        Effects of a sun protection program targeting elementary school children and their parents.
        J Cutan Med Surg. 2001; 5: 2-7