The impact of parental knowledge and tanning attitudes on sun protection practice for young children in Germany

International Journal of Environmental Research and Public Health

Volumn 11, Issue 5, 2014, Pages 4768-4781

  Gefeller, Olaf ^a   Li, Jiang ^a   Uter, Wolfgang ^a   Pfahlberg, Annette B ^a  

^a UNIVERSITY OF ERLANGEN NUREMBERG   (Germany)

Author keywords

Primary prevention; Skin cancer; Sun protection; Tanning; Ultraviolet radiation

Indexed keywords

CANCER; HEALTH RISK; KNOWLEDGE; PUBLIC HEALTH; RADIATION EXPOSURE; RISK FACTOR; ULTRAVIOLET RADIATION; YOUNG POPULATION;

ARTICLE; CANCER RISK; CHILD; CROSS-SECTIONAL STUDY; ESTHETICS; FEMALE; GERMANY; HUMAN; KNOWLEDGE; MALE; PARENTAL ATTITUDE; POPULATION BASED CASE CONTROL STUDY; PRIMARY PREVENTION; SEASHORE; SKIN CANCER; SUN EXPOSURE; SUNLIGHT PROTECTION; ULTRAVIOLET RADIATION; ADOLESCENT; ADULT; AGED; ATTITUDE TO HEALTH; HEALTH BEHAVIOR; MIDDLE AGED; PARENT; PRESCHOOL CHILD; PSYCHOLOGY; QUESTIONNAIRE; SKIN NEOPLASMS; SUNBATHING; SUNBURN; SUNLIGHT; YOUNG ADULT;

GERMANY;

SUNSCREEN;

ADOLESCENT; ADULT; AGED; CHILD; CHILD, PRESCHOOL; CROSS-SECTIONAL STUDIES; FEMALE; GERMANY; HEALTH BEHAVIOR; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HUMANS; MALE; MIDDLE AGED; PARENTS; QUESTIONNAIRES; SKIN NEOPLASMS; SUNBATHING; SUNBURN; SUNLIGHT; SUNSCREENING AGENTS; YOUNG ADULT;

EID: 84899891664     PISSN: 16617827     EISSN: 16604601     Source Type: Journal    
DOI: 10.3390/ijerph110504768     Document Type: Article

References (45)

1. Kanavy, H.E.; Gerstenblith, M.R. Ultraviolet radiation and melanoma. Semin. Cutan. Med. Surg. 2011, 30, 222-228.
2. IARC. A Review of Human Carcinogens. Part D: Radiation. In Monographs on the Evaluation of Carcinogenic Risks to Humans; International Agency for Research on Cancer: Lyon, France, 2009.
3. Garbe, C.; Leiter, U. Melanoma epidemiology and trends. Clin. Dermatol. 2009, 27, 3-9.
4. Batzler, W.; Giersiepen, K.; Hentschel, S. Cancer in Germany, 2003-2004. Incidence and Trends. In Contributions to Federal Health Reporting; Mercedes Druck: Berlin, Germany, 2008.
5. Claeson, M.; Andersson, E.M.; Wallin, M.; Wastensson, G.; Wennberg, A.M.; Paoli, J.; Gonzalez, H. Incidence of cutaneous melanoma in Western Sweden, 1970-2007. Melanoma Res. 2012, 22, 392-398.
6. Stang, A.; Stegmaier, C.; Jockel, K.H. Nonmelanoma skin cancer in the Federal State of Saarland, Germany, 1995-1999. Br. J. Cancer 2003, 89, 1205-1208.
7. Haluza, D.; Simic, S.; Moshammer, H. Temporal and spatial melanoma trends in Austria: An ecological study. Int. J. Environ. Res. Public Health 2014, 11, 734-748.
8. Husmann, G.; Kaatsch, P.; Katalinic, A.; Bertz, J.; Haberland, J.; Kraywinkel, K.; Wolf, U. Cancer in Germany 2005/2006. Incidence and Trends; Robert Koch Institute: Berlin, Germany, 2010.
9. Sivamani, R.K.; Crane, L.A.; Dellavalle, R.P. The benefits and risks of ultraviolet tanning and its alternatives: The role of prudent sun exposure. Dermatol. Clin. 2009, 27, 149-154.
10. Lens, M.B.; Dawes, M. Global perspectives of contemporary epidemiological trends of cutaneous malignant melanoma. Br. J. Dermatol. 2004, 150, 179-185.
11. Kasparian, N.A.; McLoone, J.K.; Meiser, B. Skin cancer-related prevention and screening behaviors: A review of the literature. J. Behav. Med. 2009, 32, 406-428.
12. Garvin, T.; Eyles, J. Public health responses for skin cancer prevention: The policy framing of sun safety in Australia, Canada and England. Soc. Sci. Med. 2001, 53, 1175-1189.
13. Stanton, W.R.; Janda, M.; Baade, P.D.; Anderson, P. Primary prevention of skin cancer: A review of sun protection in Australia and internationally. Health Promot. Int. 2004, 19, 369-378.
14. Edlich, R.F.; Winters, K.L.; Cox, M.J.; Becker, D.G.; Horowitz, J.H.; Nichter, L.S.; Britt, L.D.; Edlich, T.J. 3rd.; Long, W.B. National health strategies to reduce sun exposure in Australia and the United States. J. Long Term Eff. Med. Implants 2004, 14, 215-224.
15. Saraiya, M.; Glanz, K.; Briss, P.A.; Nichols, P.; White, C.; Das, D.; Smith, S.J.; Tannor, B.; Hutchinson, A.B.; Wilson, K.M., et al. Interventions to prevent skin cancer by reducing exposure to ultraviolet radiation: A systematic review. Am. J. Prev. Med. 2004, 27, 422-466.
16. Montague, M.; Borland, R.; Sinclair, C. Slip! Slop! Slap! And sunsmart, 1980-2000: Skin cancer control and 20 years of population-based campaigning. Health Educ. Behav. 2001, 28, 290-305.
17. Planning for A Brighter Future: A Review of Sun Protection and Barriers to Behavioral Change in Children and Adolescents. Available online: http://www.ncbi.nlm.nih.gov/pubmed/19061583(accessed on 15 September 2008).
18. Goulart, J.M.; Wang, S.Q. Knowledge, motivation, and behavior patterns of the general public towards sun protection. Photochem. Photobiol. Sci. 2010, 9, 432-438.
19. Devos, S.A.; van der Endt, J.D.; Broeckx, W.; Vandaele, M.; del Marmol, V.; Roseeuw, D.; Maselis, T. Sunscreen use and skin protection behaviour on the Belgian beach: A comparison 9 years later. Eur. J. Cancer Prev. 2012, 21, 474-477.
20. Wickenheiser, M.; Baker, M.K.; Gaber, R.; Blatt, H.; Robinson, J.K. Sun protection preferences and behaviors among young adult males during maximum ultraviolet radiation exposure activities. Int. J. Environ. Res. Public Health 2013, 10, 3203-3216.
21. O'Riordan, D.L.; Geller, A.C.; Brooks, D.R.; Zhang, Z.; Miller, D.R. Sunburn reduction through parental role modeling and sunscreen vigilance. J. Pediatr. 2003, 142, 67-72.
22. Van Osch, L.; Reubsaet, A.; Lechner, L.; de Vries, H. The formation of specific action plans can enhance sun protection behavior in motivated parents. Prev. Med. 2008, 47, 127-132.
23. Easton, A.N.; Price, J.H.; Boehm, K.; Telljohann, S.K. Sun protection counseling by pediatricians. Arch. Pediatr. Adolesc. Med. 1997, 151, 1133-1138.
24. Weinstein, J.M.; Yarnold, P.R.; Hornung, R.L. Parental knowledge and practice of primary skin cancer prevention: Gaps and solutions. Pediatr. Dermatol. 2001, 18, 473-477.
25. Buller, D.B.; Borland, R. Skin cancer prevention for children: A critical review. Health Educ. Behav. 1999, 26, 317-343.
26. Cokkinides, V.; Weinstock, M.; Glanz, K.; Albano, J.; Ward, E.; Thun, M. Trends in sunburns, sun protection practices, and attitudes toward sun exposure protection and tanning among us adolescents, 1998-2004. Pediatrics 2006, 118, 853-864.
27. Alberg, A.J.; Herbst, R.M.; Genkinger, J.M.; Duszynski, K.R. Knowledge, attitudes, and behaviors toward skin cancer in Maryland youths. J. Adolesc. Health 2002, 31, 372-377.
28. Wright, C.; Reeder, A.I.; Gray, A.; Cox, B. Child sun protection: Sun-related attitudes mediate the association between children's knowledge and behaviours. J. Paediatr. Child Health 2008, 44, 692-698.
29. Li, J.; Uter, W.; Pfahlberg, A.; Gefeller, O. Parental perspective on sun protection for young children in Bavaria. Photodermatol. Photoimmunol. Photomed. 2011, 27, 196-202.
30. Pfahlberg, A.; Gefeller, O.; Kolmel, K.F. Public awareness of malignant melanoma risk factors in Germany. J. Epidemiol. Community Health 1997, 51, 698-700.
31. Li, J.; Uter, W.; Pfahlberg, A.; Gefeller, O. A comparison of patterns of sun protection during beach holidays and everyday outdoor activities in a population sample of young German children. Br. J. Dermatol. 2012, 166, 803-810.
32. Can An Hour or Two of Sun Protection Education Keep the Sunburn Away? Evaluation of the Environmental Protection Agency's Sunwise School Program. Available online: http://www.ncbi.nlm.nih.gov/pubmed/14613488 (accessed on 3 November 2003).
33. Kubar, W.L.; Rodrigue, J.R.; Hoffmann, R.G., 3rd. Children and exposure to the sun: Relationships among attitudes, knowledge, intentions, and behavior. Psychol. Rep. 1995, 77, 1136-1138.
34. Hill, D.; Dixon, H. Promoting sun protection in children: Rationale and challenges. Health Educ. Behav. 1999, 26, 409-417.
35. Tripp, M.K.; Vernon, S.W.; Gritz, E.R.; Diamond, P.M.; Mullen, P.D. Children's skin cancer prevention: A systematic review of parents' psychosocial measures. Am. J. Prev. Med. 2013, 44, 265-273.
36. Kölmel, K.F.; Pfahlberg, A.; Gefeller, O. Prevention of melanoma by sun protective measures in childhood. Temporal changes in awareness of parents. Hautarzt 1997, 48, 391-396.
37. Pfahlberg, A.; Gefeller, O.; Cleffmann, U.; Kolmel, K.F. Sun Protection of Children: Changing Patterns of Preventive Knowledge and Behaviour. In Classification and Knowledge Organization; Klar, R., Opitz, O., Eds.; Springer: Berlin, Germany, 1997; pp. 490-498.
38. Pfahlberg, A.; Gefeller, O.; Kölmel, K.F. The Improvement of Sun Protection among Children: Empirical Evidence from Successive Studies in Gottingen. In Skin Cancer and UV-Radiation; Altmeyer, P., Hoffmann, K., Stücker, M., Eds.; Springer: Berlin, Germany, 1997; pp. 923-929.
39. Cafri, G.; Thompson, J.K.; Roehrig, M.; van den Berg, P.; Jacobsen, P.B.; Stark, S. An investigation of appearance motives for tanning: The development and evaluation of the physical appearance reasons for tanning scale (parts) and its relation to sunbathing and indoor tanning intentions. Body Image 2006, 3, 199-209.
40. Cafri, G.; Thompson, J.K.; Roehrig, M.; Rojas, A.; Sperry, S.; Jacobsen, P.B.; Hillhouse, J. Appearance motives to tan and not tan: Evidence for validity and reliability of a new scale. Ann. Behav. Med. 2008, 35, 209-220.
41. Knight, J.M.; Kirincich, A.N.; Farmer, E.R.; Hood, A.F. Awareness of the risks of tanning lamps does not influence behavior among college students. Arch. Dermatol. 2002, 138, 1311-1315.
42. Williams, A.L.; Grogan, S.; Clark-Carter, D.; Buckley, E. Appearance-based interventions to reduce ultraviolet exposure and/or increase sun protection intentions and behaviours: A systematic review and meta-analyses. Br. J. Health Psychol. 2013, 18, 182-217.
43. Autier, P. Sunscreen abuse for intentional sun exposure. Br. J. Dermatol. 2009, 161, S40-S45.
44. Linos, E.; Swetter, S.M.; Cockburn, M.G.; Colditz, G.A.; Clarke, C.A. Increasing burden of melanoma in the United States. J. Investig. Dermatol. 2009, 129, 1666-1674.
45. Gandini, S.; Sera, F.; Cattaruzza, M.S.; Pasquini, P.; Zanetti, R.; Masini, C.; Boyle, P.; Melchi, C.F. Meta-analysis of risk factors for cutaneous melanoma: III. Family history, actinic damage and phenotypic factors. Eur. J. Cancer 2005, 41, 2040-2059.