Abstract:
BACKGROUND:There are limited data on the effectiveness of skin cancer prevention education and early detection programs at beaches. OBJECTIVES:We evaluate 4 strategies for addressing skin cancer prevention in beach settings. METHODS:This prospective study at 4 beaches included 4 intervention conditions: (1) education only; (2) education plus biometric feedback; (3) education plus dermatologist skin examination; or (4) education plus biometric feedback and dermatologist skin examination. Outcomes included sun protection behaviors, sunburns, and skin self-examinations. RESULTS:There was a significant increase in hat wearing, sunscreen use, and a reduction in sunburns in the education plus biometric feedback group (odds ratio = 1.97, 1.94, and 1.07, respectively), and greater improvements in knowing what to look for in skin-self examinations (odds ratio = 1.13); there were no differences in frequency of self-examinations. Skin examinations plus biometric feedback led to greater reductions in sunburns. The dermatologist examinations identified atypical moles in 28% of participants. LIMITATIONS:Inclusion of only one beach per condition, use of self-report data, and a limited intervention period are limitations. CONCLUSIONS:Education and biometric feedback may be more effective than education alone for impacting sun protective attitudes and behaviors in beachgoing, high-risk populations.
journal_name
J Am Acad Dermatoljournal_title
Journal of the American Academy of Dermatologyauthors
Emmons KM,Geller AC,Puleo E,Savadatti SS,Hu SW,Gorham S,Werchniak AE,Dana-Farber Skin Cancer Screening Group.doi
10.1016/j.jaad.2010.01.040subject
Has Abstractpub_date
2011-02-01 00:00:00pages
282-9issue
2eissn
0190-9622issn
1097-6787pii
S0190-9622(10)00124-6journal_volume
64pub_type
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