nach oben

International Journal of Behavioral Medicine

Erschienen in:

04.05.2021 | Full length manuscript

Acculturation, Sun Tanning Behavior, and Tanning Attitudes Among Asian College Students in the Northeastern USA

verfasst von: Jennifer M. Bowers, Jada G. Hamilton, Yelena P. Wu, Anne Moyer, Jennifer L. Hay

Erschienen in: International Journal of Behavioral Medicine | Ausgabe 1/2022

Einloggen, um Zugang zu erhalten

Abstract

Background

College students participate in high levels of tanning, a skin cancer risk behavior due to ultraviolet radiation exposure, yet little is known about Asian college students’ behavior. This study examined the relationship between tanning attitudes, acculturation to the USA (cultural assimilation), and tanning behavior.

Method

An online survey was used to recruit 211 Asian college students in the northeastern USA (47.4% born outside of the USA) to respond to questions about recent tanning behavior, sun protection strategies, attitudes about tanning, and acculturation to the USA.

Results

Attitudes about tanning, particularly desire for a darker skin tone and social norms, along with acculturation to the USA, were predictive of intentional tanning. The sample reported high levels of sun protection, which was associated with low acculturation.

Conclusion

The significant role of acculturation in this study indicates that it may be a useful factor to include in future tanning intervention studies of relevant populations.

WHO. The known health effects of UV. 2018. Available from: www.who.int/uv/faq/uvhealtfac/en/.

ACS. Cancer facts and figures. 2018. Available from: https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/annual-cancer-facts-and-figures/2018/cancer-facts-and-figures-2018.pdf.

Noone A, Howlader N, Krapcho M, Miller D, Brest A, Yu M, et al. SEER cancer statistics review, 1975–2015. National Cancer Institute. 2018.

Guy GP, Machlin SR, Ekwueme DU, Yabroff KR. Prevalence and costs of skin cancer treatment in the U.S., 2002–2006 and 2007–2011. Am J Prev Med. 2015;48(2):183–7.

CDC. Skin cancer 2017. Available from: http://www.cdc.gov/cancer/skin/.

Gandini S, Sera F, Cattaruzza MS, Pasquini P, Zanetti R, Masini C, et al. Meta-analysis of risk factors for cutaneous melanoma: III. Family history, actinic damage and phenotypic factors. Eur J Cancer (Oxford, England : 1990). 2005;41(14):2040–59.

Bataille V, de Vries E. Melanoma—part 1: epidemiology, risk factors, and prevention. BMJ (Clinical research ed). 2008;337:a2249.CrossRef

Gloster HM, Jr., Neal K. Skin cancer in skin of color. J Am Acad Dermatol. 2006;55(5):741–60; quiz 61–4.

Kim GK, Del Rosso JQ, Bellew S. Skin cancer in Asians: part 1: nonmelanoma skin cancer. J Clin Aesthet Dermatol. 2009;2(8):39–42.PubMedPubMedCentral

10.

Bradford PT. Skin cancer in skin of color. Dermatology nursing / Dermatology Nurses’ Association. 2009;21(4):170–8.PubMedCentral

11.

Brash DE, Ziegler A, Jonason AS, Simon JA, Kunala S, Leffell DJ. Sunlight and sunburn in human skin cancer: p53, apoptosis, and tumor promotion. J Investig Dermatol Symp Proc. 1996;1(2):136–42.PubMed

12.

Saraiya M, Balluz L, XJ Wen M, Joseph D. Sunburn prevalence among adults – United States, 1999, 2002, and 2004. Morb Mortal Wkly Rep. 2007;56:524–528.

13.

McLeod GFH, Reeder AI, Gray AR, McGee R. Unintended sunburn: a potential target for sun protection messages. J Skin Can. 2017;2017:6902942.

14.

Dusza SW, Halpern AC, Satagopan JM, Oliveria SA, Weinstock MA, Scope A, et al. Prospective study of sunburn and sun behavior patterns during adolescence. Pediatrics. 2012;129(2):309–17.PubMedPubMedCentralCrossRef

15.

Ishihara K, Saida T, Otsuka F, Yamazaki N. Statistical profiles of malignant melanoma and other skin cancers in Japan: 2007 update. Int J Clin Oncol. 2008;13(1):33–41.PubMedCrossRef

16.

Ohtsuka H, Nagamatsu S. Changing trends in the number of deaths from nonmelanoma skin cancer in Japan, 1955–2000. Dermatology (Basel, Switzerland). 2005;210(3):206–10.CrossRef

17.

Koh D, Wang H, Lee J, Chia KS, Lee HP, Goh CL. Basal cell carcinoma, squamous cell carcinoma and melanoma of the skin: analysis of the Singapore Cancer Registry data 1968–97. Br J Dermatol. 2003;148(6):1161–6.PubMedCrossRef

18.

Oh C-M, Cho H, Won Y-J, Kong H-J, Roh YH, Jeong K-H, et al. Nationwide trends in the incidence of melanoma and non-melanoma skin cancers from 1999 to 2014 in South Korea. J Korean Cancer Assoc. 2017;0(0):0.

19.

Byrd-Miles K, Toombs EL, Peck GL. Skin cancer in individuals of African, Asian, Latin-American, and American-Indian descent: differences in incidence, clinical presentation, and survival compared to Caucasians. J Drugs Dermatol: JDD. 2007;6(1):10–6.PubMed

20.

Cress RD, Holly EA. Incidence of cutaneous melanoma among non-Hispanic Whites, Hispanics, Asians, and Blacks: an analysis of California Cancer Registry data, 1988–93. Cancer causes & control : CCC. 1997;8(2):246–52.PubMedCrossRef

21.

Chen YJ, Wu CY, Chen JT, Shen JL, Chen CC, Wang HC. Clinicopathologic analysis of malignant melanoma in Taiwan. J Am Acad Dermatol. 1999;41(6):945–9.PubMedCrossRef

22.

Collins RJ. Melanoma in the Chinese of Hong Kong. Emphasis on volar and subungual sites. Cancer. 1984;54(7):1482–8.

23.

Hunt Y, Augustson E, Rutten L, Moser R, Yaroch A. History and culture of tanning in the United States. Shedding light on indoor tanning. New York, NY, US: Springer Science + Business Media; 2012. p. 5–31.

24.

Hunter M. The persistent problem of colorism: skin tone, status, and inequality. Sociol Compass. 2007;1(1):237–54.CrossRef

25.

Chen HY, Yarnal C, Chick G, Jablonski N. Egg white or sun-kissed: a cross-cultural exploration of skin color and women’s leisure behavior. Sex Roles. 2018;78(3–4):255–71.CrossRef

26.

Chen H-Y, Robinson JK, Jablonski NG. A cross-cultural exploration on the psychological aspects of skin color aesthetics: implications for sun-related behavior. Trans Behav Med. 2019;10(1):234–43.

27.

Cafri G, Thompson JK, Jacobsen PB, Hillhouse J. Investigating the role of appearance-based factors in predicting sunbathing and tanning salon use. J Behav Med. 2009;32(6):532–44.CrossRef

28.

Hutchinson AD, Prichard I, Ettridge K, Wilson C. Skin tone dissatisfaction, sun exposure, and sun protection in Australian adolescents. Int J Behav Med. 2015;22(4):435–42.PubMedCrossRef

29.

Hay JL, Geller AC, Schoenhammer M, Gordon M, Bishop M, Shuk E, et al. Tanning and beauty: mother and teenage daughters in discussion. J Health Psychol. 2016;21(7):1261–70.PubMedCrossRef

30.

Kirk L, Greenfield S. Knowledge and attitudes of UK university students in relation to ultraviolet radiation (UVR) exposure and their sun-related behaviours: a qualitative study. BMJ Open. 2017;7(3):e014388.PubMedPubMedCentralCrossRef

31.

Gambla WC, Fernandez AM, Gassman NR, Tan MCB, Daniel CL. College tanning behaviors, attitudes, beliefs, and intentions: a systematic review of the literature. Prev Med. 2017;105:77–87.PubMedCrossRef

32.

Lazovich D, Forster J, Sorensen G, Emmons K, Stryker J, Demierre MF, et al. Characteristics associated with use or intention to use indoor tanning among adolescents. Arch Pediatr Adolesc Med. 2004;158(9):918–24.PubMedCrossRef

33.

Hillhouse J, Adler CM, Drinnon J, Turrisi R. Application of Azjen’s theory of planned behavior to predict sunbathing, tanning salon use, and sunscreen use intentions and behaviors. J Behav Med. 1997;20(4):365–78.PubMedCrossRef

34.

Hillhouse J, Turrisi R, Cleveland MJ, Scaglione NM, Baker K, Florence LC. Theory-driven longitudinal study exploring indoor tanning initiation in teens using a person-centered approach. Ann Behav Med. 2016;50(1):48–57.PubMedCrossRef

35.

Carcioppolo N, Orrego Dunleavy V, Yang Q. How do perceived descriptive norms influence indoor tanning intentions? An application of the theory of normative social behavior. Health Commun. 2017;32(2):230–9.PubMedCrossRef

36.

Cokkinides V, Weinstock M, Lazovich D, Ward E, Thun M. Indoor tanning use among adolescents in the US, 1998 to 2004. Cancer. 2009;115(1):190–8.PubMedCrossRef

37.

Redfield R, Linton R, Herskovits MJ. Memorandum for the study of acculturation. Am Anthropol. 1936;38(1):149–52.CrossRef

38.

Graves TD. Acculturation, access, and alcohol in a tri-ethnic community. Am Anthropol. 1967;69(3–4):306–21.CrossRef

39.

Ward C, Geeraert N. Advancing acculturation theory and research: the acculturation process in its ecological context. Curr Opin Psychol. 2016;8:98–104.PubMedCrossRef

40.

Baek Choi J, Thomas M. Predictive factors of acculturation attitudes and social support among Asian immigrants in the USA. Int J Soc Welf. 2009;18(1):76–84.CrossRef

41.

Alidu L, Grunfeld EA. A systematic review of acculturation, obesity and health behaviours among migrants to high-income countries. Psychol Health. 2018;33(6):724–45.PubMedCrossRef

42.

Choi S, Rankin S, Stewart A, Oka R. Effects of acculturation on smoking behavior in Asian Americans: a meta-analysis. J Cardiovas Nurs. 2008;23(1).

43.

Lui PP, Zamboanga BL. Acculturation and alcohol use among Asian Americans: a meta-analytic review. Psychology of addictive behaviors : J Soc Psychol Addi Behav. 2018;32(2):173–86.CrossRef

44.

Andreeva VA, Unger JB, Yaroch AL, Cockburn MG, Baezconde-Garbanati L, Reynolds KD. Acculturation and sun-safe behaviors among US Latinos: findings from the 2005 Health Information National Trends Survey. Am J Public Health. 2009;99(4):734–41.PubMedPubMedCentralCrossRef

45.

Coups EJ, Stapleton JL, Hudson SV, Medina-Forrester A, Natale-Pereira A, Goydos JS. Sun protection and exposure behaviors among Hispanic adults in the United States: differences according to acculturation and among Hispanic subgroups. BMC Public Health. 2012;12:985.PubMedPubMedCentralCrossRef

46.

Coups EJ, Stapleton JL, Hudson SV, Medina-Forrester A, Rosenberg SA, Gordon MA, et al. Linguistic acculturation and skin cancer-related behaviors among Hispanics in the southern and western United States. JAMA Dermatol. 2013;149(6):679–86.PubMedPubMedCentralCrossRef

47.

Day AK, Wilson CJ, Hutchinson AD, Roberts RM. Sun-related behaviours among young Australians with Asian ethnic background: differences according to sociocultural norms and skin tone perceptions. Eur J Cancer Care. 2015;24(4):514–21.CrossRef

48.

Day AK, Wilson CJ, Hutchinson AD, Roberts RM. Acculturation, skin tone preferences, and tanning behaviours among young adult Asian Australians. J Primary Prevent. 2016;37(5):421–32.CrossRef

49.

Gorell E, Lee C, Munoz C, Chang AL. Adoption of Western culture by Californian Asian Americans: attitudes and practices promoting sun exposure. Arch Dermatol. 2009;145(5):552–6.PubMedCrossRef

50.

Lazovich D, Stryker JE, Mayer JA, Hillhouse J, Dennis LK, Pichon L, et al. Measuring nonsolar tanning behavior: indoor and sunless tanning. Arch Dermatol. 2008;144(2):225–30.PubMedCrossRef

51.

Glanz K, Yaroch AL, Dancel M, Saraiya M, Crane LA, Buller DB, et al. Measures of sun exposure and sun protection practices for behavioral and epidemiologic research. Arch Dermatol. 2008;144(2):217–22.PubMedCrossRef

52.

Miller WR, Johnson WR. A natural language screening measure for motivation to change. Addict Behav. 2008;33(9):1177–82.PubMedCrossRef

53.

Cafri G, Thompson JK, Roehrig M, Rojas A, Sperry S, Jacobsen PB, et al. Appearance motives to tan and not tan: evidence for validity and reliability of a new scale. Ann Behav Med. 2008;35(2):209–20.PubMedCrossRef

54.

Fitzpatrick T. The validity and practicality of sun-reactive skin type I through VI. Arch Dermatol. 1988;124:869–71.PubMedCrossRef

55.

Suinn RM, Ahuna C, Khoo G. The Suinn-Lew Asian Self-Identity Acculturation Scale: concurrent and factorial validation. Educ Psychol Measur. 1992;52:1041–6.CrossRef

56.

Basch CH, Cadorett V, MacLean SA, Hillyer GC, Kernan WD. Attitudes and behaviors related to sun-safety in college students. J Community Health. 2017;42(4):757–62.PubMedCrossRef

57.

Mahler HIM, Kulik JA, Gibbons FX, Gerrard M, Harrell J. Effects of appearance-based intervention on sun protection intentions and self-reported behaviors. Health Psychol. 2003;22(2):199–209.PubMedCrossRef

58.

Phillips CE, King C, Kivisalu TM, O’Toole SK. A reliability generalization of the Suinn-Lew Asian Self-Identity Acculturation Scale. SAGE Open. 2016;6(3):215824401666174.CrossRef

59.

Persson S, Benn Y, Dhingra K, Clark-Carter D, Owen AL, Grogan S. Appearance-based interventions to reduce UV exposure: a systematic review. British J Health Psychol. 2018.

Titel: Acculturation, Sun Tanning Behavior, and Tanning Attitudes Among Asian College Students in the Northeastern USA
verfasst von: Jennifer M. Bowers
Jada G. Hamilton
Yelena P. Wu
Anne Moyer
Jennifer L. Hay
Publikationsdatum: 04.05.2021
Verlag: Springer US
Erschienen in: International Journal of Behavioral Medicine / Ausgabe 1/2022
Print ISSN: 1070-5503
Elektronische ISSN: 1532-7558
DOI: https://doi.org/10.1007/s12529-021-09993-x

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Springer Medizin

Acculturation, Sun Tanning Behavior, and Tanning Attitudes Among Asian College Students in the Northeastern USA

Abstract

Background

Method

Results

Conclusion

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Springer Medizin

Abstract

Background

Method

Results

Conclusion

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 1/2022

The Influence of Personality Type D on Cardiovascular Prognosis in Patients After Coronary Artery Bypass Grafting: Data from a 5-Year-Follow-up Study

Evidence That Habit Moderates the Implicit Belief-Behavior Relationship in Health Behaviors

Action Control of Colorectal Cancer Screening Participation with fecal immunochemical test (FIT)

Examining Factors Associated with Gender Identity Among Individuals Disengaged from HIV Care in Argentina

Relationships Between Dietary Intake and Weight-Related Experiential Avoidance Following Behavioral Weight-Loss Treatment

Decision-making for Risk-reducing Salpingo-oophorectomy (RRSO) in Southeast Asian BRCA Mutation Carriers With Breast Cancer: A Qualitative Study