Adolescent Sun Protection Behaviors and Beliefs

Main Article Content

Roya S. Nazarian
Michael Pan
Sarah Utz
Lauren Geller

Keywords

pediatric dermatology, photo protection, sun protection, melanoma, non melanoma skin cancer

Abstract

The incidence of melanoma and non-melanoma skin cancer has increased among children and adolescents. Studies in the pediatric population have shown low rates of sun protection with modest improvement over the past several decades. This descriptive study characterizes photo protection behaviors and knowledge, specifically among pediatric dermatology patients in order to identify gaps in knowledge and guide discussion for health providers. Adolescents ages 12 to 20 completed surveys, which evaluated use of sun protection, beliefs about tanning and skin cancer, and sources of information. Results demonstrated that only nine percent of participants reported daily, year-round use of sunscreen. The majority (71%) reported use only during the summer months or when spending prolonged periods of time outdoors. Rates of indoor tanning were lower than reported in the literature, with only one percent reporting indoor tanning use. The majority of patients reported family members were the primary source of sun protection education. The authors conclude that while adolescents receiving care in the pediatric dermatology setting demonstrate sufficient knowledge about skin cancer prevention, adherence remains low. This study identified family members as the primary source of sun protection knowledge. Dermatologists should consider increased parental education to improve adolescent patient behavior.

References

1. Wong JR, Harris JK, Rodriguez-Galindo C, Johnson KJ. Incidence of childhood and adolescent melanoma in the United States: 1973-2009. Pediatrics. 2013;131(5):846-854.

2. Cokkinides V, Weinstock M, Glanz K, Albano J, Ward E, Thun M. Trends in sunburns, sun protection practices, and attitudes toward sun exposure protection and tanning among US adolescents, 1998-2004. Pediatrics. 2006;118(3):853-864.

3. Jones SE, Saraiya M. Sunscreen use among US high school students, 1999-2003. The Journal of school health. 2006;76(4):150-153.

4. Buller DB, Cokkinides V, Hall HI, et al. Prevalence of sunburn, sun protection, and indoor tanning behaviors among Americans: review from national surveys and case studies of 3 states. Journal of the American Academy of Dermatology. 2011;65(5 Suppl 1):S114-123.

5. https://www.aad.org/media/stats/prevention-and-care/vitamin-d-and-uv-exposure.

6. Guy GP, Jr., Berkowitz Z, Everett Jones S, Watson M, Richardson LC. Prevalence of Indoor Tanning and Association With Sunburn Among Youth in the United States. JAMA dermatology. 2017;153(5):387-390.

7. Wright C, Reeder AI, Gray A, Cox B. Child sun protection: sun-related attitudes mediate the association between children's knowledge and behaviours. Journal of paediatrics and child health. 2008;44(12):692-698.

8. Dusza SW, Halpern AC, Satagopan JM, et al. Prospective study of sunburn and sun behavior patterns during adolescence. Pediatrics. 2012;129(2):309-317.

9. McRee AL, Mays D, Kornides ML, Gilkey MB. Counseling About Skin Cancer Prevention Among Adolescents: What Do Parents Receive From Health Care Providers? The Journal of adolescent health: official publication of the Society for Adolescent Medicine. 2017;61(4):533-536.

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