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Erschienen in: International Journal of Behavioral Medicine 1/2022

30.04.2021 | Full length manuscript

Correlates of Sun Protection Behaviors Among Adults in Puerto Rico

verfasst von: Zhaomeng Niu, Guillermo Tortolero-Luna, Carolina Lozada, Carolyn J. Heckman, Elliot J. Coups

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

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Abstract

Background

The incidence of skin cancer has been increasing in Puerto Rico in recent years. Sun protection behaviors are suboptimal among Puerto Ricans. However, there are limited data regarding major factors associated with Puerto Rican adults’ sun protection behaviors. To examine factors associated with Puerto Rican adults’ sun protection behaviors, a survey study was conducted in Puerto Rico.

Method

A population-based sample of 667 Puerto Rican adults completed a telephone survey in 2016. Survey items addressed potential correlates of sun protection behaviors. Hierarchical multiple regression analyses examining correlates of the sun protection behaviors index were conducted.

Results

Higher levels of sun protection behaviors were found among English language acculturated compared to Spanish language acculturated individuals (p < .05) and among individuals with private versus no health insurance (p < .05). Higher levels of sun protection behaviors were found among individuals with greater skin cancer knowledge (p < .001), fewer sun protection barriers (p < .01), and greater sun protection self-efficacy (p < .001).

Conclusion

By identifying correlates of Puerto Rican adults’ sun protection behaviors, this timely study provides insight on factors to target in future skin cancer interventions in this understudied population.
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Literatur
1.
3.
Zurück zum Zitat Hu S, Ma F, Collado-Mesa F, Kirsner RS. UV radiation, latitude, and melanoma in US Hispanics and blacks. Arch Dermatol. 2004;140(7):819–24.CrossRef Hu S, Ma F, Collado-Mesa F, Kirsner RS. UV radiation, latitude, and melanoma in US Hispanics and blacks. Arch Dermatol. 2004;140(7):819–24.CrossRef
4.
Zurück zum Zitat Wu XC, Eide MJ, King J, Saraiya M, Huang Y, Wiggins C, et al. Racial and ethnic variations in incidence and survival of cutaneous melanoma in the United States, 1999–2006. J Am Acad Dermatol. 2011;65(5 Suppl 1):S26-37.PubMed Wu XC, Eide MJ, King J, Saraiya M, Huang Y, Wiggins C, et al. Racial and ethnic variations in incidence and survival of cutaneous melanoma in the United States, 1999–2006. J Am Acad Dermatol. 2011;65(5 Suppl 1):S26-37.PubMed
5.
Zurück zum Zitat MacKie RM, Hauschild A, Eggermont AM. Epidemiology of invasive cutaneous melanoma. Ann Oncol. 2009;20 Suppl 6:vi1–7. MacKie RM, Hauschild A, Eggermont AM. Epidemiology of invasive cutaneous melanoma. Ann Oncol. 2009;20 Suppl 6:vi1–7.
6.
Zurück zum Zitat Ries L, Eisner M, Kosary C, et al. SEER Cancer Statistics Review, 1975–2002. Bethesda, MD: National Cancer Institute; 2005. Ries L, Eisner M, Kosary C, et al. SEER Cancer Statistics Review, 1975–2002. Bethesda, MD: National Cancer Institute; 2005.
7.
Zurück zum Zitat Valentin SM, Sanchez JL, Figueroa LD, Nazario CM. Epidemiology of melanoma in Puerto Rico, 1987–2002. P R Health Sci J. 2007;26(4):343–8.PubMed Valentin SM, Sanchez JL, Figueroa LD, Nazario CM. Epidemiology of melanoma in Puerto Rico, 1987–2002. P R Health Sci J. 2007;26(4):343–8.PubMed
8.
Zurück zum Zitat De La Torre-Lugo EM, Figueroa LD, Sanchez JL, Morales-Burgos A, Conde D. Skin cancer in Puerto Rico: a multiannual incidence comparative study. P R Health Sci J. 2010;29(3):312–6. De La Torre-Lugo EM, Figueroa LD, Sanchez JL, Morales-Burgos A, Conde D. Skin cancer in Puerto Rico: a multiannual incidence comparative study. P R Health Sci J. 2010;29(3):312–6.
9.
Zurück zum Zitat 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.CrossRef 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.CrossRef
10.
Zurück zum Zitat 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.CrossRef 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.CrossRef
11.
Zurück zum Zitat Weiss J, Kirsner RS, Hu S. Trends in primary skin cancer prevention among US Hispanics: a systematic review. J Drugs Dermatol. 2012;11(5):580–6.PubMed Weiss J, Kirsner RS, Hu S. Trends in primary skin cancer prevention among US Hispanics: a systematic review. J Drugs Dermatol. 2012;11(5):580–6.PubMed
12.
Zurück zum Zitat Calderón TA, Bleakley A, Jordan AB, Lazovich D, Glanz K Mar Correlates of sun protection behaviors in racially and ethnically diverse US adults Preventive medicine reports. 2019;1 (13) 346 353. Calderón TA, Bleakley A, Jordan AB, Lazovich D, Glanz K Mar Correlates of sun protection behaviors in racially and ethnically diverse US adults Preventive medicine reports. 2019;1 (13) 346 353.
13.
Zurück zum Zitat Coups EJ, Stapleton JL. A Medina-Forrester A Natale-Pereira G Tortolero-Luna Sun protection behaviors among Puerto Rican adults JAMA Dermatol. 2014;150 (8) 899 901. Coups EJ, Stapleton JL. A Medina-Forrester A Natale-Pereira G Tortolero-Luna Sun protection behaviors among Puerto Rican adults JAMA Dermatol. 2014;150 (8) 899 901.
14.
Zurück zum Zitat Myers RE, Ross E, Jepson C, Wolf T, Balshem A, Millner L, et al. Modeling adherence to colorectal cancer screening. Prev Med. 1994;23(2):142–51.CrossRef Myers RE, Ross E, Jepson C, Wolf T, Balshem A, Millner L, et al. Modeling adherence to colorectal cancer screening. Prev Med. 1994;23(2):142–51.CrossRef
15.
Zurück zum Zitat Coups EJ, Manne SL, Strickland PO, Hilgart M, Goydos JS, Heckman CJ, Chamorro P, Rao BK, Davis M, Smith FO, Thorndike FP. Aug Randomized controlled trial of the mySmartSkin web-based intervention to promote skin self-examination and sun protection behaviors among individuals diagnosed with melanoma: study design and baseline characteristics Contemp Clin Trials 2019;1 (83) 117 127. Coups EJ, Manne SL, Strickland PO, Hilgart M, Goydos JS, Heckman CJ, Chamorro P, Rao BK, Davis M, Smith FO, Thorndike FP. Aug Randomized controlled trial of the mySmartSkin web-based intervention to promote skin self-examination and sun protection behaviors among individuals diagnosed with melanoma: study design and baseline characteristics Contemp Clin Trials 2019;1 (83) 117 127.
16.
Zurück zum Zitat Heckman C, Manne S, Kashy D, Ritterband L, Bhurosy T, Coups E. Correlates of Sun Protection Behaviors Among Melanoma Survivors. Heckman C, Manne S, Kashy D, Ritterband L, Bhurosy T, Coups E. Correlates of Sun Protection Behaviors Among Melanoma Survivors.
17.
Zurück zum Zitat Manne SL, Heckman CJ, Kashy D, Lozada C, Gallo J, Ritterband L, Coups EJ. Prevalence and correlates of skin self-examination practices among cutaneous malignant melanoma survivors Preventive Medicine Reports 2020;1 (19) 101 110. Manne SL, Heckman CJ, Kashy D, Lozada C, Gallo J, Ritterband L, Coups EJ. Prevalence and correlates of skin self-examination practices among cutaneous malignant melanoma survivors Preventive Medicine Reports 2020;1 (19) 101 110.
18.
Zurück zum Zitat Coups EJ, Stapleton JL, Manne SL, Hudson SV, Medina-Forrester A, Rosenberg SA, Gordon M, Tatum KS, Robinson JK, Natale-Pereira A, Goydos JS. Psychosocial correlates of sun protection behaviors among US Hispanic adults J Behav Med 2014;37 (6) 1082 1090. Coups EJ, Stapleton JL, Manne SL, Hudson SV, Medina-Forrester A, Rosenberg SA, Gordon M, Tatum KS, Robinson JK, Natale-Pereira A, Goydos JS. Psychosocial correlates of sun protection behaviors among US Hispanic adults J Behav Med 2014;37 (6) 1082 1090.
19.
Zurück zum Zitat Viola KV, Rezzadeh KS, Federman DG, Mathew CJ, Hu S. Knowledge and behaviors toward the sun and skin cancer: a study of Hispanics in New York and Florida. J Dermatol Res Ther. 2016;2:013. Viola KV, Rezzadeh KS, Federman DG, Mathew CJ, Hu S. Knowledge and behaviors toward the sun and skin cancer: a study of Hispanics in New York and Florida. J Dermatol Res Ther. 2016;2:013.
20.
Zurück zum Zitat Andreeva VA, Unger JB, Yaroch AL, Cockburn MG, Baezconde-Garbanati L, Reynolds KD. Apr Acculturation and sun-safe behaviors among US Latinos: findings from the 2005 Health Information National Trends Survey Am J Public Health 2009;99 (4) 734 741. Andreeva VA, Unger JB, Yaroch AL, Cockburn MG, Baezconde-Garbanati L, Reynolds KD. Apr Acculturation and sun-safe behaviors among US Latinos: findings from the 2005 Health Information National Trends Survey Am J Public Health 2009;99 (4) 734 741.
21.
Zurück zum Zitat Marin G, Gamba RJ. Aug A new measurement of acculturation for Hispanics: The Bidimensional Acculturation Scale for Hispanics (BAS) Hisp J Behav Sci 1996;18 (3) 297 316. Marin G, Gamba RJ. Aug A new measurement of acculturation for Hispanics: The Bidimensional Acculturation Scale for Hispanics (BAS) Hisp J Behav Sci 1996;18 (3) 297 316.
22.
Zurück zum Zitat Health Information National Trends Survey (HINTS). Retrieved from. (n.d.). http://hints.cancer.gov. Health Information National Trends Survey (HINTS). Retrieved from. (n.d.). http://​hints.​cancer.​gov.​
23.
Zurück zum Zitat Glanz K, Yaroch AL, Dancel M, et al. Measures of sun exposure and sun protection practices for behavioral and epidemiologic research. Arch Dermatol. 2008;144(2):217–22217283179.CrossRef Glanz K, Yaroch AL, Dancel M, et al. Measures of sun exposure and sun protection practices for behavioral and epidemiologic research. Arch Dermatol. 2008;144(2):217–22217283179.CrossRef
24.
Zurück zum Zitat Glanz K, Schoenfeld E, Weinstock MA, Layi G, J Kidd, Shigaki DM. Development and reliability of a brief skin cancer risk assessment tool Cancer Detect Prev 2003;27 (4) 311 315. Glanz K, Schoenfeld E, Weinstock MA, Layi G, J Kidd, Shigaki DM. Development and reliability of a brief skin cancer risk assessment tool Cancer Detect Prev 2003;27 (4) 311 315.
25.
Zurück zum Zitat Bränström R, Chang YM, Kasparian N, Affleck P, Tibben A, Aspinwall LG, Azizi E, Baron-Epel O, Battistuzzi L, Bruno W, Chan M. Melanoma risk factors, perceived threat and intentional tanning: an online survey European journal of cancer prevention: the official journal of the European Cancer Prevention Organisation (ECP). 2010;19 (3) 216. Bränström R, Chang YM, Kasparian N, Affleck P, Tibben A, Aspinwall LG, Azizi E, Baron-Epel O, Battistuzzi L, Bruno W, Chan M. Melanoma risk factors, perceived threat and intentional tanning: an online survey European journal of cancer prevention: the official journal of the European Cancer Prevention Organisation (ECP). 2010;19 (3) 216.
27.
Zurück zum Zitat Janssen E, van Osch L, de Vries H, Lechner L. Measuring risk perceptions of skin cancer: reliability and validity of different operationalizations. Br J Health Psychol. 2011;16(1):92–112.CrossRef Janssen E, van Osch L, de Vries H, Lechner L. Measuring risk perceptions of skin cancer: reliability and validity of different operationalizations. Br J Health Psychol. 2011;16(1):92–112.CrossRef
28.
Zurück zum Zitat Manne S, Fasanella N, Connors J, Floyd B, Wang H, Lessin S. Sun protection and skin surveillance practices among relatives of patients with malignant melanoma: prevalence and predictors. Prev Med. 2004;39(1):36–47.CrossRef Manne S, Fasanella N, Connors J, Floyd B, Wang H, Lessin S. Sun protection and skin surveillance practices among relatives of patients with malignant melanoma: prevalence and predictors. Prev Med. 2004;39(1):36–47.CrossRef
29.
Zurück zum Zitat Bränström R, Kasparian NA, Chang YM, Affleck P, Tibben A, Aspinwall LG, et al. Predictors of sun protection behaviors and severe sunburn in an international online study. Cancer Epidemiol Biomark Prev. 2010;19(9):2199–210.CrossRef Bränström R, Kasparian NA, Chang YM, Affleck P, Tibben A, Aspinwall LG, et al. Predictors of sun protection behaviors and severe sunburn in an international online study. Cancer Epidemiol Biomark Prev. 2010;19(9):2199–210.CrossRef
30.
Zurück zum Zitat Jackson KM, Aiken LS. A psychosocial model of sun protection and sunbathing in young women: the impact of health beliefs, attitudes, norms, and self-efficacy for sun protection. Health Psychol. 2000;19(5):469–78.CrossRef Jackson KM, Aiken LS. A psychosocial model of sun protection and sunbathing in young women: the impact of health beliefs, attitudes, norms, and self-efficacy for sun protection. Health Psychol. 2000;19(5):469–78.CrossRef
31.
Zurück zum Zitat DM Holman H Ding GP Guy M Watson AM Hartman FM Perna, Prevalence of sun protection use and sunburn and association of demographic and behaviorial characteristics with sunburn among US adults JAMA Dermatol 2018;154 (5) 561 568. DM Holman H Ding GP Guy M Watson AM Hartman FM Perna, Prevalence of sun protection use and sunburn and association of demographic and behaviorial characteristics with sunburn among US adults JAMA Dermatol 2018;154 (5) 561 568.
33.
Zurück zum Zitat Umberson D. Family status and health behaviors: Social control as a dimension of social integration J Health Soc Behav. 1987;1 306 319. Umberson D. Family status and health behaviors: Social control as a dimension of social integration J Health Soc Behav. 1987;1 306 319.
34.
Zurück zum Zitat Coups EJ, Stapleton JL, Hudson SV, Medina-Forrester A, Rosenberg SA, Gordon M, Natale-Pereira A, Goydos JS. Skin cancer surveillance behaviors among US Hispanic adults J Am Acad Dermatol. 2013;68 (4)576 584. Coups EJ, Stapleton JL, Hudson SV, Medina-Forrester A, Rosenberg SA, Gordon M, Natale-Pereira A, Goydos JS. Skin cancer surveillance behaviors among US Hispanic adults J Am Acad Dermatol. 2013;68 (4)576 584.
35.
Zurück zum Zitat Ursachi G, Horodnic IA, Zait A. How reliable are measurement scales? External factors with indirect influence on reliability estimators Procedia Economics and Finance. 2015;1 (20) 679 686. Ursachi G, Horodnic IA, Zait A. How reliable are measurement scales? External factors with indirect influence on reliability estimators Procedia Economics and Finance. 2015;1 (20) 679 686.
Metadaten
Titel
Correlates of Sun Protection Behaviors Among Adults in Puerto Rico
verfasst von
Zhaomeng Niu
Guillermo Tortolero-Luna
Carolina Lozada
Carolyn J. Heckman
Elliot J. Coups
Publikationsdatum
30.04.2021
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/s12529-021-09991-z

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