Featured Research

from universities, journals, and other organizations

Study Helps Identify Beachgoers At Increased Risk Of Skin Cancer

Date:
November 18, 2008
Source:
JAMA and Archives Journals
Summary:
Identifying the sun-protection practices and risk profiles of beachgoers may help determine those who would benefit from targeted interventions intended to reduce the risk of skin cancer, according to a study in the November issue of Archives of Dermatology.

Skin cancer incidence and death attributable to outdoor exposure to UV radiation (UVR) has increased rapidly in the past three decades in the United States.
Credit: iStockphoto/Alessandro Oliva

Identifying the sun-protection practices and risk profiles of beachgoers may help determine those who would benefit from targeted interventions intended to reduce the risk of skin cancer, according to a study in the November issue of Archives of Dermatology, one of the JAMA/Archives journals.

In the U.S., skin cancer incidence and death attributable to outdoor exposure to UV radiation (UVR) has increased rapidly in the past three decades, according to background information in the article. Recommendations to reduce the risk of skin cancer include limiting time spent in the sun, using sunscreen and wearing protective clothing. "Adults and adolescents are particularly at risk for intense, episodic sun exposure while on vacation or in 'high-risk' environments such as beaches," the authors write.

David L. O'Riordan, Ph.D., of the University of Queensland, Brisbane, Australia, and colleagues conducted a study examining the levels of UVR exposure and the range of sun protection behaviors of vacationers at a popular beach in Honolulu, Hawaii. The study, conducted in February and March 2004, included 88 participants who completed a sun habits survey prior to entry to the beach and an exit survey on leaving regarding their sun protection practices while at the beach. UVR was measured daily.

The researchers found that the participants spent an average of three hours at the beach, during which most were exposed to levels of UVR equivalent to five times the UVR dose required to result in sunburn among unprotected fair-skinned populations. Approximately 70 percent of the participants went to the beach with an intention to tan, despite 40 percent reporting they had obtained a sunburn in the previous 48 hours. Almost 23 percent of participants reported attending a tanning salon in the past 30 days.

Analysis identified three groups with distinct characteristics and sun protection behaviors:

  • Class 1 - Unconcerned and at lower risk, who used the least amount of sunscreen and less clothing, used shade the least, intended to tan, and had the fewest members with a high risk of developing skin cancer.
  • Class 2 – Tan seekers, highest number who reported that they sunburn easily, used the most sunscreen coverage and the least clothing coverage, had the most tanning salon use.
  • Class 3 – Were concerned about UVR and were protected, the most careful group with the most clothing coverage and shade use and had the lowest proportion with an intention to tan.

"Findings from this study indicate that the beach is an ideal setting to initiate a program aimed at promoting sun-safe practices while enjoying the many activities that a day at the beach has to offer. Collaborative efforts with key stakeholders such as local government, the tourist industry, local business and community representatives should examine a broad range of strategies—not just targeting individual behavior change, but also the environment—to promote the reduction of intense UVR exposures among beachgoers," the authors write.

"Specific strategies should target the subsets of the beach-going population (particularly those in group 2—the tan seekers) that intend to tan and sunburn repeatedly, taking into account their relevant personal attributes and behavior patterns. A balance should be provided between messages that focus on the immediate detrimental effects (photoaging, soreness) as well as the long-term detrimental health effects (skin cancer) of excessive UVR exposure, all the time balancing the health interests of the public with the needs of local industry."

This study was supported by Friends of the Cancer Research Center of Hawaii.

Editorial: Not All Tanners Are Created Equal

The identification of tanning subtypes should eventually improve the ability to determine appropriate health interventions, writes Sherry L. Pagoto, Ph.D., and Joel Hillhouse, Ph.D., of the University of Massachusetts Medical School, Worcester, Mass., in an accompanying editorial.

"The advantages of the development of a tanning typology will not be fully realized until brief assessments that can accurately classify patients are developed and empirically verified. We believe that the latent class analysis used by O'Riordan et al to identify and define their subtypes is an important step in this process. Such assessments, together with messages tailored to each subtype, will give clinicians a way to identify those patients in greatest need as well as the most effective messages to deliver to specific patients. Given the time constraints of the typical patient-clinician interaction, such systems may very well maximize the efficiency of delivering UV safety information. Public health skin cancer prevention programs may also benefit from the improved accuracy of risk identification as well as the ability to tailor messages to various tanning subtypes, perhaps using interactive online intervention programs."


Story Source:

The above story is based on materials provided by JAMA and Archives Journals. Note: Materials may be edited for content and length.


Journal References:

  1. David L. O'Riordan; Alana D. Steffen; Kevin B. Lunde; Peter Gies. A Day at the Beach While on Tropical Vacation: Sun Protection Practices in a High-Risk Setting for UV Radiation Exposure. Archives of Dermatology, 2008; 144 (11): 1449 DOI: 10.1001/archderm.144.11.1449
  2. Sherry L. Pagoto; Joel Hillhouse. Not All Tanners Are Created Equal: Implications of Tanning Subtypes for Skin Cancer Prevention. Archives of Dermatology, 2008; 144 (11): 1505 DOI: 10.1001/archderm.144.11.1505

Cite This Page:

JAMA and Archives Journals. "Study Helps Identify Beachgoers At Increased Risk Of Skin Cancer." ScienceDaily. ScienceDaily, 18 November 2008. <www.sciencedaily.com/releases/2008/11/081117192906.htm>.
JAMA and Archives Journals. (2008, November 18). Study Helps Identify Beachgoers At Increased Risk Of Skin Cancer. ScienceDaily. Retrieved September 19, 2014 from www.sciencedaily.com/releases/2008/11/081117192906.htm
JAMA and Archives Journals. "Study Helps Identify Beachgoers At Increased Risk Of Skin Cancer." ScienceDaily. www.sciencedaily.com/releases/2008/11/081117192906.htm (accessed September 19, 2014).

Share This



More Health & Medicine News

Friday, September 19, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Could Grief Affect The Immune Systems Of Senior Citizens?

Could Grief Affect The Immune Systems Of Senior Citizens?

Newsy (Sep. 19, 2014) The study found elderly people are much more likely to become susceptible to infection than younger adults going though a similar situation. Video provided by Newsy
Powered by NewsLook.com
Jury Delivers Verdict in Salmonella Trial

Jury Delivers Verdict in Salmonella Trial

AP (Sep. 19, 2014) A federal jury has convicted three people in connection with an outbreak of salmonella poisoning five years ago that sickened hundreds of people and was linked to a number of deaths. (Sept. 19) Video provided by AP
Powered by NewsLook.com
How The 'Angelina Jolie Effect' Increased Cancer Screenings

How The 'Angelina Jolie Effect' Increased Cancer Screenings

Newsy (Sep. 19, 2014) Angelina's Jolie's decision to undergo a preventative mastectomy in 2013 inspired many women to seek early screenings for the disease. Video provided by Newsy
Powered by NewsLook.com
The Cost of Ebola

The Cost of Ebola

Reuters - Business Video Online (Sep. 18, 2014) As Sierra Leone prepares for a three-day "lockdown" in its latest bid to stem the spread of Ebola, Ciara Lee looks at the financial implications of fighting the largest ever outbreak of the disease. Video provided by Reuters
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins