Multiple Skin Cancer Risk Behaviors in the U.S. Population
Open accessAbstract
Background The incidence of all types of skin cancer has increased over the past 3 decades in the United States. Increased skin cancer risk is associated with exposure to ultraviolet radiation. This study examined the age-stratified prevalence and correlates of multiple skin cancer risk behaviors (infrequent use of sun-protective clothing, staying in the sun when outside on a sunny day, infrequent use of sunscreen, indoor tanning, and receiving a sunburn) among U.S. adults. Methods 28,235 adults participating in the 2005 National Health Interview Survey (NHIS) answered questions regarding sun-protection behaviors, indoor tanning in the past year, and sunburns in the past year. Examined correlates included geographic location, demographics, healthcare access, BMI, physical activity, smoking, alcohol use, melanoma family history, perceived cancer risk, skin sensitivity to the sun, and receipt of a total skin exam. Results The most commonly reported skin cancer risk behaviors were infrequent use of sun-protective clothing and infrequent use of sunscreen. The majority of individuals reported multiple skin cancer risk behaviors. Although significant correlates varied according to age, individuals reporting more risk behaviors were more likely younger, residing in the Midwest, male, non-Hispanic white, less-educated, smokers, risky drinkers, and had skin that was less sun-sensitive. Conclusions The majority of the U.S. population engage in multiple skin cancer risk behaviors. A comprehensive approach to skin cancer prevention requires attention to multiple skin cancer risk behaviors that are common in the U.S. population.
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Higher BMI is positively associated with skin cancer risk behaviors and sunburn.
“The association between BMI and sunscreen use was consistent with other studies that have indicated higher BMI is positively associated with skin cancer risk behaviors27–28 and sunburn.21”
From Patterns of sunscreen use on the face and other exposed skin among US adults (2015) · cites this paper as [28]
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Lichtenstein, A. H., Appel, L. J., Brands, M., Carnethon, M., Daniels, S., Franch, H. A., Franklin, B., Kris-Etherton, P., Harris, W. S., Howard, B., et al. (2006) · Circulation · doi:10.1161/circulationaha.106.176158 · Cited by 2,705 · see citing works
Primary Care: Is There Enough Time for Prevention?
Yarnall, K. S. H., Pollak, K. I., Østbye, T., Krause, K. M., & Michener, J. L. (2003) · American Journal of Public Health · doi:10.2105/ajph.93.4.635 · Cited by 1,641 · see citing works
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Research works printed but not linked: 18
- Beddingfield FC. The melanoma epidemic: res ipsa loquitur. Oncologist 2003;8:459 -65.
- Hillhouse JJ, Turrisi R, Kastner M. Modeling tanning salon behavioral tendencies using appearance motivation, self-monitoring and the theory of planned behavior. Health Educ Res 2000;15:405-14.
- Scarlett WL. Ultraviolet radiation: sun exposure, tanning beds, and vitamin D levels. What you need to know and how to decrease the risk of skin cancer. J Am Osteopath Assoc 2003;103:371-5.
- Cokkinides VE, Weinstock MA, O'Connell MC, Thun MJ. Use of indoor tanning sunlamps by U.S. youth, ages 11-18 years, and by their parent or guardian caregivers: prevalence and correlates. Pediatrics 2002;109: 1124 -30.
- Hall HI, May DS, Lew RA, et al. Sun protection behaviors of the U.S. white population. Prev Med 1997;26:401-7.
- Santmyire BR, Feldman SR, Fleischer AB Jr. Lifestyle high-risk behaviors and demographics may predict the level of participation in sun-protection behaviors and skin cancer primary prevention in the United States: results of the 1998 National Health Interview Survey. Cancer 2001;92:1315-24.
- Stryker JE, Yaroch AL, Moser RP, et al. Prevalence of sunless tanning product use and related behaviors among adults in the United States: results from a national survey. J Am Acad Dermatol 2007;56:387-90.
- DiSipio T, Rogers C, Newman B, et al. The Queensland Cancer Risk Study: behavioural risk factor results. Aust N Z J Public Health 2006;30:375-82.
- Hall HI, Saraiya M, Thompson T, et al. Correlates of sunburn experiences among U.S. adults: results of the 2000 National Health Interview Survey. Public Health Rep 2003;118:540 -9.
- Saraiya M, Hall HI, Uhler RJ. Sunburn prevalence among adults in the United States, 1999. Am J Prev Med 2002;23:91-7.
- Saraiya M, Hall HI, Thompson T, et al. Skin cancer screening among U.S. adults from 1992, 1998, and 2000 National Health Interview Surveys. Prev Med 2004;39:308 -14.
- Kushi LH, Byers T, Doyle C, et al. American Cancer Society Guidelines on Nutrition and Physical Activity for cancer prevention: reducing the risk of cancer with healthy food choices and physical activity. CA Cancer J Clin 2006;56:254 -81.
- Geller AC. Screening for melanoma. Dermatol Clin 2002;20:629 -40.
- Robinson JK, Rigel DS, Amonette RA. What promotes skin self-examina- tion? J Am Acad Dermatol 1998;38:752-7.
- Harper S, Lynch J. Trends in socioeconomic inequalities in adult health behaviors among U.S. states, 1990 -2004. Public Health Rep 2007;122: 177-89.
- Geller AC, Miller DR, Swetter SM, et al. A call for the development and implementation of a targeted national melanoma screening program. Arch Dermatol 2006;142:504 -7.
- Feldman SR, Fleischer AB Jr. Skin examinations and skin cancer preven- tion counseling by U.S. physicians: a long way to go. J Am Acad Dermatol 2000;43:234 -7.
- Geller AC, O'Riordan DL, Oliveria SA, et al. Overcoming obstacles to skin cancer examinations and prevention counseling for high-risk patients: results of a national survey of primary care physicians. J Am Board Fam Pract 2004;17:416 -23.
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Buller, D. B., Cokkinides, V., Hall, H. I., Hartman, A. M., Saraiya, M., Miller, E., Paddock, L., & Glanz, K. (2011) · Journal of the American Academy of Dermatology · doi:10.1016/j.jaad.2011.05.033 · Cited by 315 · see citing works
Patterns of sunscreen use on the face and other exposed skin among US adults
Holman, D. M., Berkowitz, Z., Guy, G. P., Hawkins, N. A., Saraiya, M., & Watson, M. (2015) · Journal of the American Academy of Dermatology · doi:10.1016/j.jaad.2015.02.1112 · Cited by 133 · see citing works
Correlates of sun protection behaviors in racially and ethnically diverse U.S. adults
Calderón, T. A., Bleakley, A., Jordan, A. B., Lazovich, D., & Glanz, K. (2019) · Preventive Medicine Reports · doi:10.1016/j.pmedr.2018.12.006 · Cited by 39 · see citing works
Patel, S. P., & Chien, A. L. (2021) · Dermatologic Surgery · doi:10.1097/dss.0000000000002794 · Cited by 12 · see citing works
- Authors
- Coups, E. J., Manne, S. L., & Heckman, C. J.
- Affiliations
- Fox Chase Cancer Center (US)
- Corresponding author
- Coups, Elliot J.
- Venue
- American Journal of Preventive Medicine
- Publisher
- Elsevier BV
- Published
- 2008-02
- Volume
- 34
- Issue
- 2
- Pages
- 87-93
- ISSN
- 0749-3797 (ISSN-L)
- OpenAlex
- W2038709379
- Cited by
- 170
- References
- 2
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 5 · 2023: 2 · 2022: 6 · 2021: 4 · 2020: 5 · 2019: 3 · 2018: 14 · 2017: 13 · 2016: 8 · 2015: 14 · 2014: 12 · 2013: 10 · 2012: 12
- FWCI
- 18.08
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- American Journal of Preventive Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Cancer Institute (R25CA057708, K07CA108685, CA 006927, R01CA107312, P30CA006927)
- Topics
- Health Sciences › Medicine › Dermatology › Skin Protection and Aging
- Health Sciences › Medicine › Oncology › Cutaneous Melanoma Detection and Management
- Health Sciences › Medicine › Epidemiology › Nonmelanoma Skin Cancer Studies
- Keywords
- sun protection, sunscreen use, sun-protective clothing, indoor tanning, sunburn, UV exposure, age-stratified prevalence, skin cancer prevention, cancer risk perception, smoking, alcohol consumption, health care access, National Health Interview Survey
- MeSH terms
- Adolescent, Adult, Aged, Female, Health Surveys, Humans, Male, Middle Aged, Risk-Taking, Skin Neoplasms, United States
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