Trends in sunburns, sun protection practices, and attitudes toward sun exposure protection and tanning among US adolescents, 1998-2004
Abstract
BACKGROUND. Sun exposure in childhood is an important risk factor for developing skin cancer as an adult. Despite extensive efforts to reduce sun exposure among the young, there are no population-based data on trends in sunburns and sun protection practices in the young. The aim of this study was to describe nationally representative trend data on sunburns, sun protection, and attitudes related to sun exposure among US youth. METHODS. Cross-sectional telephone surveys of youth aged 11 to 18 years in 1998 (N = 1196) and in 2004 (N = 1613) were conducted using a 2-stage sampling process to draw population-based samples. The surveys asked identical questions about sun protection, number of sunburns experienced, and attitudes toward sun exposure. Time trends were evaluated using pooled logistic regression analysis. RESULTS. In 2004, 69% of subjects reported having been sunburned during the summer, not significantly less than in 1998 (72%). There was a significant decrease in the percentage of those aged 11 to 15 years who reported sunburns and a nonsignificant increase among the 16- to 18-year-olds. The proportion of youth who reported regular sunscreen use increased significantly from 31% to 39%. Little change occurred in other recommended sun protection practices. CONCLUSIONS. A small reduction in sunburn frequency and modest increases in sun protection practices were observed among youth between 1998 and 2004, despite widespread sun protection campaigns. Nevertheless, the decrease in sunburns among younger teens may be cause for optimism regarding future trends. Overall, there was rather limited progress in improving sun protection practices and reducing sunburns among US youth between 1998 and 2004.
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Sunscreens have become a quasi-exclusive mode of protection used by the public when engaged in outdoor activities.
“Sunscreens have become a quasi-exclusive mode of protection used by the public when engaged in outdoor activities (42,43), even though seeking shade and wearing protective clothing provide more protection.”
From Photoprotection: a Review of the Current and Future Technologies (2010) · cites this paper as [42]
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- Authors
- Cokkinides, V., Weinstock, M., Glanz, K., Albano, J., Ward, E., & Thun, M.
- Affiliations
- American Cancer Society (US)
- Brown University (US)
- Emory University (US)
- Venue
- Pediatrics
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 2006-09-01
- Volume
- 118
- Issue
- 3
- Pages
- 853-864
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- OpenAlex
- W2103945246
- Cited by
- 160
- References
- 52
- Citations by year
- 2025: 2 · 2024: 5 · 2023: 3 · 2022: 1 · 2021: 5 · 2020: 8 · 2019: 8 · 2018: 9 · 2017: 5 · 2016: 7 · 2015: 11 · 2014: 13 · 2013: 12 · 2012: 10
- FWCI
- 11.67
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- PEDIATRICS (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Dermatology › Skin Protection and Aging
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › melanin and skin pigmentation
- Health Sciences › Medicine › Epidemiology › Nonmelanoma Skin Cancer Studies
- Keywords
- sunburn, sun protection behavior, sunscreen use, sun exposure, tanning, adolescents, temporal trends, skin cancer prevention
- MeSH terms
- Adolescent, Adolescent Behavior, Attitude to Health, Child, Female, Health Surveys, Humans, Male, Skin Neoplasms, Sunburn, Sunlight, Sunscreening Agents
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