Trends in sun exposure knowledge, attitudes, and behaviors: 1986 to 1996\
Abstract
Background The American Academy of Dermatology's national program Melanoma/Skin Cancer Detection and Prevention, developed in response to the rising incidence of invasive melanoma in the United States, has annually during the past decade produced extensive print, radio, and television coverage about the dangers of sun exposure and benefits of sun protection.Objective We measured the progress achieved in increasing the awareness and knowledge of skin cancer and changing the attitudes, beliefs, and behaviors that affect skin cancer risk. We also describe current sun-related behavior including sunburning, assess the likelihood of practicing sun protection strategies, and provide a baseline against which future changes in sun protection behavior may be evaluated.Methods A 1996 telephone survey repeated questions used in 1986 to evaluate change and used classifying questions to better define attitudes and behaviors.Results From 1986 to 1996, the knowledge of the perceived harmful effects of the sun significantly broadened, but the UV exposure behavior as measured by sunburning (30% to 39%) and regular use of a tanning booth (2% to 6%) also increased. There was a decline in the attitude that having a tan was healthy; however, in 1996 having a tan was still considered to enhance appearance, particularly by men. Sunscreen use increased (35% to 53%). Women, younger persons, persons residing in areas with fewer sunny days, and whites were more likely to tan intentionally, but men who lived in the South were more likely to sunburn.Conclusion During the past decade, the early process of change involving cognitive and emotional activities began. With this study, high-risk population subsets performing specific adverse behavior were identified. In the future, they can be targeted with messages that promote attitudinal and behavioral change.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
From 1977 to 2000, average US fat consumption declined from 36.4% to 32.8% of calories.
“From 1977 to 2000, a major focus of US dietary guidelines was reduction of total dietary fat, 84 and during this time, average US fat consumption declined from 36.4% to 32.8% of calories.85”
From Beyond Established and Novel Risk Factors: Lifestyle Risk Factors for Cardiovascular Disease (2008) · cites this paper as [84]
Cites
Statistical methods in cancer research. Volume I - The analysis of case-control studies.
Breslow, N. E., & Day, N. E. (1980) · PubMed · Cited by 4,895 · see citing works
Statistical Methods in Medical Research.
Wickham, C. A. C., Armitage, P., & Berry, G. (1988) · Journal of the Royal Statistical Society Series A (Statistics in Society) · doi:10.2307/2982765 · Cited by 1,410 · see citing works
Nonmelanoma skin cancer in the United States: Incidence
Miller, D. L., & Weinstock, M. A. (1994) · Journal of the American Academy of Dermatology · doi:10.1016/s0190-9622(08)81509-5 · Cited by 1,118 · see citing works
The incidence of malignant melanoma in the United States: Issues as we approach the 21st century
Rigel, D. S., Friedman, R. J., & Kopf, A. W. (1996) · Journal of the American Academy of Dermatology · doi:10.1016/s0190-9622(96)90041-9 · Cited by 346 · see citing works
Self-citationHill, D., WHITE, V. M., Marks, R., et al. (1992) · Preventive Medicine · doi:10.1016/0091-7435(92)90072-p · Cited by 168 · see citing works
The Rising Incidence and Mortality Rate of Malignant Melanoma
Kopf, A. W., Rigel, D. S., & Friedman, R. J. (1982) · The Journal of Dermatologic Surgery and Oncology · doi:10.1111/j.1524-4725.1982.tb02676.x · Cited by 116 · see citing works
Self-citationSun exposure and sunscreen use following a community skin cancer screening
Berwick, M., Fine, J., & Bolognia, J. L. (1992) · Preventive Medicine · doi:10.1016/0091-7435(92)90029-h · Cited by 76 · see citing works
Theobald, T., Marks, R., Hill, D., et al. (1991) · Journal of the American Academy of Dermatology · doi:10.1016/0190-9622(91)70258-4 · Cited by 72 · see citing works
Proceedings from the national conference to develop a national skin cancer agenda
Goldsmith, L. A., Koh, H. K., Bewerse, B. A., et al. (1996) · Journal of the American Academy of Dermatology · doi:10.1016/s0190-9622(96)90036-5 · Cited by 56 · see citing works
Prevention and early detection of malignant melanoma.
Edman, R. L., & Wolfe, J. T. (2000) · PubMed · Cited by 17 · see citing works
Public education: an approach, Skin cancer awareness project using the solar meter.
Wl, D. (1986) · PubMed · Cited by 14 · see citing works
Bergfeld, W. F., Farris, P. K., Wyatt, S. W., et al. (1997) · Journal of the American Academy of Dermatology · doi:10.1016/s0190-9622(97)80355-6 · Cited by 13 · see citing works
(1986) · Journal of the American Academy of Dermatology · doi:10.1016/s0190-9622(86)80456-x · Cited by 12 · see citing works
Sunscreens for Cancer Prevention
Stern, R. S. (1995) · Archives of Dermatology · doi:10.1001/archderm.1995.01690140106020 · Cited by 10 · see citing works
Marks, R. A. (1988) · Cited by 7 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Beyond Established and Novel Risk Factors: Lifestyle Risk Factors for Cardiovascular Disease
Mozaffarian, D., Wilson, P. W. F., & Kannel, W. B. (2008) · Circulation · doi:10.1161/circulationaha.107.738732 · Cited by 456 · see citing works
Recent trends in cutaneous melanoma incidence and death rates in the United States, 1992-2006
Jemal, A., Saraiya, M., Patel, P., Cherala, S. S., Barnholtz-Sloan, J., Kim, J., Wiggins, C. L., & Wingo, P. A. (2011) · Journal of the American Academy of Dermatology · doi:10.1016/j.jaad.2011.04.032 · Cited by 385 · see citing works
Skin β-Endorphin Mediates Addiction to UV Light
Fell, G. L., Robinson, K. C., Mao, J., Woolf, C. J., & Fisher, D. E. (2014) · Cell · doi:10.1016/j.cell.2014.04.032 · Cited by 299 · see citing works
Long-term effects of appearance-based interventions on sun protection behaviors.
Mahler, H. I. M., Kulik, J. A., Gerrard, M., & Gibbons, F. X. (2007) · Health Psychology · doi:10.1037/0278-6133.26.3.350 · Cited by 141 · see citing works
Tanning bed exposure increases the risk of malignant melanoma
Ting, W., Schultz, K., Cac, N. N., Peterson, M., & Walling, H. W. (2007) · International Journal of Dermatology · doi:10.1111/j.1365-4632.2007.03408.x · Cited by 127 · see citing works
Hanigan, D., Truong, L., Schoepf, J., Nosaka, T., Mulchandani, A., Tanguay, R. L., & Westerhoff, P. (2018) · Water Research · doi:10.1016/j.watres.2018.03.062 · Cited by 69 · see citing works
Nonmelanoma skin cancer of the ear: frequency, patients' knowledge, and photoprotection practices
RAGI, J. M., PATEL, D., MASUD, A., & RAO, B. K. (2010) · Dermatologic Surgery · doi:10.1111/j.1524-4725.2010.01615.x · Cited by 29 · see citing works
Dennis, L. K., & Lowe, J. B. (2013) · Photodermatology, Photoimmunology & Photomedicine · doi:10.1111/phpp.12040 · Cited by 10 · see citing works
- Authors
- Robinson, J. K., Rigel, D. S., & Amonette, R. A.
- Affiliations
- Northwestern University (US)
- New York University (US)
- University of Tennessee Health Science Center (US)
- Venue
- Journal of the American Academy of Dermatology
- Publisher
- Elsevier BV
- Published
- 1997-08
- Volume
- 37
- Issue
- 2
- Pages
- 179-186
- ISSN
- 0190-9622 (ISSN-L)
- OpenAlex
- W2073170239
- Cited by
- 259
- References
- 15
- Citations by year
- 2025: 1 · 2024: 4 · 2023: 2 · 2022: 2 · 2021: 5 · 2020: 4 · 2019: 3 · 2018: 9 · 2017: 3 · 2016: 5 · 2015: 14 · 2014: 12 · 2013: 12 · 2012: 9
- FWCI
- 11.21
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the American Academy of Dermatology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Dermatology › Skin Protection and Aging
- Health Sciences › Medicine › Oncology › Cutaneous Melanoma Detection and Management
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › melanin and skin pigmentation
- Keywords
- sun exposure, sun protection, skin cancer prevention, melanoma, sunburn, sunscreen use, tanning, sun protection attitudes, health knowledge, health behavior change, skin cancer awareness
- MeSH terms
- Adolescent, Adult, Aged, Female, Health Surveys, Humans, Health Knowledge, Attitudes, Practice, Male, Melanoma, Middle Aged, Skin Neoplasms, Socioeconomic Factors, Sunburn, Sunlight, Sunscreening Agents, United States, Health Behavior, Skin Aging
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review