Validity of covering-up sun-protection habits: Association of observations and self-report.

Abstract:

BACKGROUND:Few studies have reported the accuracy of measures used to assess sun-protection practices. Valid measures are critical to the internal validity and use of skin cancer control research. OBJECTIVES:We sought to validate self-reported covering-up practices of pool-goers. METHODS:A total of 162 lifeguards and 201 parent/child pairs from 16 pools in 4 metropolitan regions in the United States completed a survey and a 4-day sun-habits diary. Observations of sun-protective behaviors were conducted on two occasions. RESULTS:Agreement between observations and diaries ranged from slight to substantial, with most values in the fair to moderate range. Highest agreement was observed for parent hat use (kappa = 0.58-0.70). There was no systematic pattern of over- or under-reporting among the 3 study groups. LIMITATIONS:Potential reactivity and a relatively affluent sample are limitations. CONCLUSION:There was little over-reporting and no systematic bias, which increases confidence in reliance on verbal reports of these behaviors in surveys and intervention research.

journal_name

J Am Acad Dermatol

authors

O'Riordan DL,Nehl E,Gies P,Bundy L,Burgess K,Davis E,Glanz K

doi

10.1016/j.jaad.2008.12.015

subject

Has Abstract

pub_date

2009-05-01 00:00:00

pages

739-44

issue

5

eissn

0190-9622

issn

1097-6787

pii

S0190-9622(08)02498-5

journal_volume

60

pub_type

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