Ashley K. Day

The role of skin cancer knowledge in sun-related behaviours: a systematic review

Skin cancer is the most commonly diagnosed cancer in many Western countries. This systematic review provides a comprehensive overview of the relationship between skin cancer knowledge and sun-protective, exposure and tanning behaviours in the general population. A total of 34 studies, published in peer-reviewed journals over three decades, were reviewed and synthesised. Sun-protective behaviour was positively associated with skin cancer knowledge in most cases. Findings were inconsistent regarding other sun-related behaviours. Heterogeneity in measurement compromised the capacity to definitively link knowledge and sun-related behaviours. There is a need for development and utilisation of a standardised skin cancer knowledge scale, and guidelines are suggested.

Predictors of Sun-Related Behaviors Among Young Women: Comparisons Between Outdoor Tanners, Fake Tanners, and Tan Avoiders

Abstract Objective: Skin cancer incidence continues to rise as a tanned appearance remains desirable, particularly among young women. Fake tanning provides a tanned appearance without exposure to ultraviolet radiation. In order to advance our understanding of the factors that contribute to long-term behavior change, this study explores determinants associated with different types of tanning. Participants: The sample included 162 female students from the University of Adelaide, Australia, aged 18–26 years. Data were collected in July 2010. Methods: The current study measured differences in skin type, skin cancer knowledge, unrealistic optimism, appearance motivation, and sun-protective and sun exposure behaviors amongst outdoor tanners, fake tanners, and tan avoiders through an online survey. Results: Differences were observed for skin type, skin cancer knowledge, unrealistic optimism, sun protection, and sun exposure. Conclusions: A “one-size-fits-all” approach to skin cancer prevention may not be appropriate; type of tanning behavior may need to be considered in health promotion work.

The Skin Cancer and Sun Knowledge (SCSK) Scale Validity, Reliability, and Relationship to Sun-Related Behaviors Among Young Western Adults

Increasing public knowledge remains one of the key aims of skin cancer awareness campaigns, yet diagnosis rates continue to rise. It is essential we measure skin cancer knowledge adequately so as to determine the nature of its relationship to sun-related behaviors. This study investigated the psychometric properties of a new measure of skin cancer knowledge, the Skin Cancer and Sun Knowledge (SCSK) scale. A total of 514 Western young adults (females n = 320, males n = 194) aged 18 to 26 years completed measures of skin type, skin cancer knowledge, tanning behavior, sun exposure, and sun protection. Two-week test–retest of the SCSK was conducted with 52 participants. Internal reliability of the SCSK scale was acceptable (KR-20 = .69), test–retest reliability was high (r = .83, n = 52), and acceptable levels of face, content, and incremental validity were demonstrated. Skin cancer knowledge (as measured by SCSK) correlated with sun protection, sun exposure, and tanning behaviors in the female sample, but not in the males. Skin cancer knowledge appears to be more relevant to the behavior of young women than that of young males. We recommend that future research establish the validity of the SCSK across a range of participant groups.

Australian young adults’ tanning behaviour: The role of ideal skin tone and sociocultural norms

Objective Decreasing intentional tanning behaviour is a critical area of skin cancer prevention. Research evidence that tanning behaviour is significantly influenced by appearance motivations exists. The Tripartite Influence Model posits that internalisation of ideals about body image mediates the relationship between sociocultural norms and appearance‐related behaviour and has been demonstrated primarily in the domain of weight. This study aimed to assess whether ideal skin tone (internalisation of a tanned ideal) mediated the endorsement of sociocultural norms about attractiveness of tanned skin and 12‐month tanning behaviour. Method Young adult participants (N = 514) from the university (removed for blind review) were surveyed regarding their ideal skin tone and sociocultural norm endorsement. Results At 12‐month follow‐up, 246 participants reported their tanning behaviour over the previous year. Results indicated that the internalisation of a tanned ideal mediated the relationship between sociocultural norms and tanning behaviour for females but not males. Young adult males also desired a tanned appearance, and peer sociocultural perceptions were associated with male tanning behaviour. Conclusions This research lends support to the proposition that the Tripartite Influence Model has explanatory power for tanning behaviour. We recommend that future research involving young adults incorporate skin tone and tanning as a component of body image alongside body shape and eating behaviours.

Receptivity to Internet-Delivered Interventions to Promote Skin Self-examination and Sun Protection Behaviors in Patients With Melanoma

Receptivity to Internet-Delivered Interventions to Promote Skin Self-examination and Sun Protection Behaviors in Patients With Melanoma Patients with melanoma have a 9-fold increased risk for a diagnosis of another melanoma.1 Contrary to recommendations, many individuals diagnosed as having melanoma do not perform regular skin self-examinations (SSEs) or engage consistently in sun protection behaviors.2 Considerable opportunity exists to use e-health approaches, such as the Internet, to deliver information and interventions targeting behavior change in patients with melanoma.3 Potential benefits include interactive and personalized content, cost-effectiveness, and implementation across diverse settings and geographic locations.4 However, to determine the potential reach

Sun Safe Partners: A pilot and feasibility trial of a couple-focused intervention to improve sun protection practices

This single arm pilot intervention study evaluated the feasibility and preliminary impact of a Sun Safe Partners, which is a couple-focused intervention targeting improved sun protection behavior. Data were collected from New Jersey between August 2015 and March 2016. Participants were 61 couples reporting low levels of sun protection recruited from an online panel. After providing online consent, couples received mailed pamphlets and participated in a call where they discussed current levels of sun protection, made an Action Plan to improve sun protection, and discussed ways of assisting one another in improving sun protection. A call summary was mailed afterwards. Feasibility was assessed by study enrollment, call participation, follow-up survey completion, and intervention evaluation. Participants completed a baseline survey, and a one month and six month post-intervention survey assessing sun protection as well as individual and relationship-centered sun protection attitudes and practices. Results indicated that acceptance into the trial was 22.1%. Call participation was high (84%) and the intervention was well-evaluated. Among the 51 couples who completed the call and a follow-up, the intervention improved sun protection behaviors. Sun protection benefits, photo-aging risk, and relationship-centered attitudes and practices increased. A couple-focused intervention shows promise for improving sun protection. Future studies using a randomized clinical trial as well as strategies to improve study participation are recommended.