The association between skin characteristics and skin cancer prevention behaviors

Lee Wheless, Ingo Ruczinski, Rhoda M. Alani, Sandra Clipp, Judith Hoffman-Bolton, Timothy J. Jorgensen, Nanette J. Liégeois, Paul Timothy Strickland, Anthony J. Alberg

Research output: Contribution to journalArticle

Abstract

Background: Behaviors such as sunscreen use and wearing sun-protective clothing are thought to prevent certain types of skin cancer and precancerous lesions, but few studies have examined differences in these prevention behaviors by skin type. Methods:We carried out a cross-sectional study (n = 6,858) nested within a community-based prospective cohort in Washington County,Maryland.We measured the associations between skin type, complexion, freckling, and eye color, and sunscreen and sun-protective clothing use. Results: The prevalence of regular sunscreen use was 23% and regular sun-protective clothing use was 21%. There were consistent trends indicating those with the most sun-sensitive skin type were most likely to engage in prevention behaviors. For example, compared with those who tan without burning, those who develop blistering sunburns were more likely to use sunscreen [odds ratio (OR), 6.04; 95% confidence interval (95% CI), 2.82-12.95 men; OR, 4.89; 95% CI, 3.34-7.16 women] and sun-protective clothing (OR, 2.87; 95% CI, 1.71-4.80 men; OR, 4.44; 95% CI, 2.88-6.85 women). Health-related characteristics such as body mass index and cigarette smoking were also significantly inversely associated with prevention behaviors. Conclusion: The overall prevalence of prevention behaviors was low. Those with phenotypic risk factors for skin cancer were most likely to use sunscreen and sun-protective clothing. Those with high-risk skin cancer phenotypes may also be those who are most receptive to skin cancer prevention educational interventions.

Original languageEnglish (US)
Pages (from-to)2613-2619
Number of pages7
JournalCancer Epidemiology Biomarkers and Prevention
Volume18
Issue number10
DOIs
StatePublished - Oct 2009

Fingerprint

Protective Clothing
Skin Neoplasms
Solar System
Sunscreening Agents
Skin
Odds Ratio
Confidence Intervals
Eye Color
Sunburn
Body Mass Index
Cross-Sectional Studies
Smoking
Phenotype
Health

ASJC Scopus subject areas

  • Epidemiology
  • Oncology

Cite this

Wheless, L., Ruczinski, I., Alani, R. M., Clipp, S., Hoffman-Bolton, J., Jorgensen, T. J., ... Alberg, A. J. (2009). The association between skin characteristics and skin cancer prevention behaviors. Cancer Epidemiology Biomarkers and Prevention, 18(10), 2613-2619. https://doi.org/10.1158/1055-9965.EPI-09-0383

The association between skin characteristics and skin cancer prevention behaviors. / Wheless, Lee; Ruczinski, Ingo; Alani, Rhoda M.; Clipp, Sandra; Hoffman-Bolton, Judith; Jorgensen, Timothy J.; Liégeois, Nanette J.; Strickland, Paul Timothy; Alberg, Anthony J.

In: Cancer Epidemiology Biomarkers and Prevention, Vol. 18, No. 10, 10.2009, p. 2613-2619.

Research output: Contribution to journalArticle

Wheless, L, Ruczinski, I, Alani, RM, Clipp, S, Hoffman-Bolton, J, Jorgensen, TJ, Liégeois, NJ, Strickland, PT & Alberg, AJ 2009, 'The association between skin characteristics and skin cancer prevention behaviors', Cancer Epidemiology Biomarkers and Prevention, vol. 18, no. 10, pp. 2613-2619. https://doi.org/10.1158/1055-9965.EPI-09-0383
Wheless, Lee ; Ruczinski, Ingo ; Alani, Rhoda M. ; Clipp, Sandra ; Hoffman-Bolton, Judith ; Jorgensen, Timothy J. ; Liégeois, Nanette J. ; Strickland, Paul Timothy ; Alberg, Anthony J. / The association between skin characteristics and skin cancer prevention behaviors. In: Cancer Epidemiology Biomarkers and Prevention. 2009 ; Vol. 18, No. 10. pp. 2613-2619.
@article{36b2c513eb7a40c1b27df2bea9f169eb,
title = "The association between skin characteristics and skin cancer prevention behaviors",
abstract = "Background: Behaviors such as sunscreen use and wearing sun-protective clothing are thought to prevent certain types of skin cancer and precancerous lesions, but few studies have examined differences in these prevention behaviors by skin type. Methods:We carried out a cross-sectional study (n = 6,858) nested within a community-based prospective cohort in Washington County,Maryland.We measured the associations between skin type, complexion, freckling, and eye color, and sunscreen and sun-protective clothing use. Results: The prevalence of regular sunscreen use was 23{\%} and regular sun-protective clothing use was 21{\%}. There were consistent trends indicating those with the most sun-sensitive skin type were most likely to engage in prevention behaviors. For example, compared with those who tan without burning, those who develop blistering sunburns were more likely to use sunscreen [odds ratio (OR), 6.04; 95{\%} confidence interval (95{\%} CI), 2.82-12.95 men; OR, 4.89; 95{\%} CI, 3.34-7.16 women] and sun-protective clothing (OR, 2.87; 95{\%} CI, 1.71-4.80 men; OR, 4.44; 95{\%} CI, 2.88-6.85 women). Health-related characteristics such as body mass index and cigarette smoking were also significantly inversely associated with prevention behaviors. Conclusion: The overall prevalence of prevention behaviors was low. Those with phenotypic risk factors for skin cancer were most likely to use sunscreen and sun-protective clothing. Those with high-risk skin cancer phenotypes may also be those who are most receptive to skin cancer prevention educational interventions.",
author = "Lee Wheless and Ingo Ruczinski and Alani, {Rhoda M.} and Sandra Clipp and Judith Hoffman-Bolton and Jorgensen, {Timothy J.} and Li{\'e}geois, {Nanette J.} and Strickland, {Paul Timothy} and Alberg, {Anthony J.}",
year = "2009",
month = "10",
doi = "10.1158/1055-9965.EPI-09-0383",
language = "English (US)",
volume = "18",
pages = "2613--2619",
journal = "Cancer Epidemiology Biomarkers and Prevention",
issn = "1055-9965",
publisher = "American Association for Cancer Research Inc.",
number = "10",

}

TY - JOUR

T1 - The association between skin characteristics and skin cancer prevention behaviors

AU - Wheless, Lee

AU - Ruczinski, Ingo

AU - Alani, Rhoda M.

AU - Clipp, Sandra

AU - Hoffman-Bolton, Judith

AU - Jorgensen, Timothy J.

AU - Liégeois, Nanette J.

AU - Strickland, Paul Timothy

AU - Alberg, Anthony J.

PY - 2009/10

Y1 - 2009/10

N2 - Background: Behaviors such as sunscreen use and wearing sun-protective clothing are thought to prevent certain types of skin cancer and precancerous lesions, but few studies have examined differences in these prevention behaviors by skin type. Methods:We carried out a cross-sectional study (n = 6,858) nested within a community-based prospective cohort in Washington County,Maryland.We measured the associations between skin type, complexion, freckling, and eye color, and sunscreen and sun-protective clothing use. Results: The prevalence of regular sunscreen use was 23% and regular sun-protective clothing use was 21%. There were consistent trends indicating those with the most sun-sensitive skin type were most likely to engage in prevention behaviors. For example, compared with those who tan without burning, those who develop blistering sunburns were more likely to use sunscreen [odds ratio (OR), 6.04; 95% confidence interval (95% CI), 2.82-12.95 men; OR, 4.89; 95% CI, 3.34-7.16 women] and sun-protective clothing (OR, 2.87; 95% CI, 1.71-4.80 men; OR, 4.44; 95% CI, 2.88-6.85 women). Health-related characteristics such as body mass index and cigarette smoking were also significantly inversely associated with prevention behaviors. Conclusion: The overall prevalence of prevention behaviors was low. Those with phenotypic risk factors for skin cancer were most likely to use sunscreen and sun-protective clothing. Those with high-risk skin cancer phenotypes may also be those who are most receptive to skin cancer prevention educational interventions.

AB - Background: Behaviors such as sunscreen use and wearing sun-protective clothing are thought to prevent certain types of skin cancer and precancerous lesions, but few studies have examined differences in these prevention behaviors by skin type. Methods:We carried out a cross-sectional study (n = 6,858) nested within a community-based prospective cohort in Washington County,Maryland.We measured the associations between skin type, complexion, freckling, and eye color, and sunscreen and sun-protective clothing use. Results: The prevalence of regular sunscreen use was 23% and regular sun-protective clothing use was 21%. There were consistent trends indicating those with the most sun-sensitive skin type were most likely to engage in prevention behaviors. For example, compared with those who tan without burning, those who develop blistering sunburns were more likely to use sunscreen [odds ratio (OR), 6.04; 95% confidence interval (95% CI), 2.82-12.95 men; OR, 4.89; 95% CI, 3.34-7.16 women] and sun-protective clothing (OR, 2.87; 95% CI, 1.71-4.80 men; OR, 4.44; 95% CI, 2.88-6.85 women). Health-related characteristics such as body mass index and cigarette smoking were also significantly inversely associated with prevention behaviors. Conclusion: The overall prevalence of prevention behaviors was low. Those with phenotypic risk factors for skin cancer were most likely to use sunscreen and sun-protective clothing. Those with high-risk skin cancer phenotypes may also be those who are most receptive to skin cancer prevention educational interventions.

UR - http://www.scopus.com/inward/record.url?scp=70350091303&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=70350091303&partnerID=8YFLogxK

U2 - 10.1158/1055-9965.EPI-09-0383

DO - 10.1158/1055-9965.EPI-09-0383

M3 - Article

C2 - 19755654

AN - SCOPUS:70350091303

VL - 18

SP - 2613

EP - 2619

JO - Cancer Epidemiology Biomarkers and Prevention

JF - Cancer Epidemiology Biomarkers and Prevention

SN - 1055-9965

IS - 10

ER -