Mary K Tripp1, Susan K Peterson2, Alexander V Prokhorov2, Sanjay S Shete3, Jeffrey E Lee4, Jeffrey E Gershenwald5, Ellen R Gritz2. 1. Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, Texas. Electronic address: mtripp@mdanderson.org. 2. Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, Texas. 3. Department of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, Texas. 4. Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas. 5. Departments of Surgical Oncology and Cancer Biology, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Abstract
INTRODUCTION: Sunburns during childhood increase melanoma risk. Children of melanoma survivors are at higher risk, but little is known about their sunburn and sun protection. One study showed that almost half of melanoma survivors' children experienced sunburn in the past year. This study evaluated sunburn and sun protection in melanoma survivors' children, and relevant survivor characteristics from Social Cognitive Theory and the Health Belief Model. METHODS:Melanoma survivors (N=340) were recruited from a comprehensive cancer center. Survivors completed a baseline questionnaire administered by telephone to report on the behavior of their children (N=340) as part of an RCT of a sun protection intervention. Data were collected in 2008 and analyzed in 2015. RESULTS: In the prior 6 months, 28% of children experienced sunburn. "Always" or "frequent" sun protection varied by behavior: sunscreen, 69%; lip balm, 15%; wide-brimmed hats, 9%; sleeved shirts, 28%; pants, 48%; sunglasses, 10%; shade, 33%; and limiting time outdoors, 45%. Survivors' sunburn and sun protection were positively associated with these outcomes in children. Correlates of sunburn also included older child age and higher risk perceptions. Correlates of sun protection behaviors included younger child age; stronger intentions, higher self-efficacy, and more positive outcome expectations about sun protection; and greater number of melanomas in survivors. CONCLUSIONS:Melanoma survivors may have a heightened awareness of the importance of their children's sun protection, but their children are not routinely protected. Correlates of children's sunburn and sun protection suggest subgroups of survivors to target with interventions to improve sun protection.
RCT Entities:
INTRODUCTION: Sunburns during childhood increase melanoma risk. Children of melanoma survivors are at higher risk, but little is known about their sunburn and sun protection. One study showed that almost half of melanoma survivors' children experienced sunburn in the past year. This study evaluated sunburn and sun protection in melanoma survivors' children, and relevant survivor characteristics from Social Cognitive Theory and the Health Belief Model. METHODS:Melanoma survivors (N=340) were recruited from a comprehensive cancer center. Survivors completed a baseline questionnaire administered by telephone to report on the behavior of their children (N=340) as part of an RCT of a sun protection intervention. Data were collected in 2008 and analyzed in 2015. RESULTS: In the prior 6 months, 28% of children experienced sunburn. "Always" or "frequent" sun protection varied by behavior: sunscreen, 69%; lip balm, 15%; wide-brimmed hats, 9%; sleeved shirts, 28%; pants, 48%; sunglasses, 10%; shade, 33%; and limiting time outdoors, 45%. Survivors' sunburn and sun protection were positively associated with these outcomes in children. Correlates of sunburn also included older child age and higher risk perceptions. Correlates of sun protection behaviors included younger child age; stronger intentions, higher self-efficacy, and more positive outcome expectations about sun protection; and greater number of melanomas in survivors. CONCLUSIONS:Melanoma survivors may have a heightened awareness of the importance of their children's sun protection, but their children are not routinely protected. Correlates of children's sunburn and sun protection suggest subgroups of survivors to target with interventions to improve sun protection.
Authors: Bridget Gosis; Blake P Sampson; Andrew B Seidenberg; Sophie J Balk; Mark Gottlieb; Alan C Geller Journal: J Invest Dermatol Date: 2013-08-23 Impact factor: 8.551
Authors: Mary K Tripp; Sally W Vernon; Ellen R Gritz; Pamela M Diamond; Patricia Dolan Mullen Journal: Am J Prev Med Date: 2013-03 Impact factor: 5.043
Authors: Ellen R Gritz; Mary K Tripp; Carl A de Moor; Susan A Eicher; Nancy H Mueller; Jeanne H Spedale Journal: Pediatr Dermatol Date: 2003 Jan-Feb Impact factor: 1.588
Authors: Yelena P Wu; Bridget G Parsons; Ryan Mooney; Lisa G Aspinwall; Kristin Cloyes; Jennifer L Hay; Wendy Kohlmann; Douglas Grossman; Sancy A Leachman Journal: J Community Health Date: 2018-10
Authors: Yelena P Wu; Bridget G Parsons; Elizabeth Nagelhout; Benjamin Haaland; Jakob Jensen; Kelsey Zaugg; Heloisa Caputo; Riley Lensink; Garrett Harding; Jeffrey Yancey; Stephanie Z Klein; Sancy A Leachman; Kenneth P Tercyak Journal: Transl Behav Med Date: 2019-05-16 Impact factor: 3.046
Authors: Yelena P Wu; Bridget G Parsons; Lisa G Aspinwall; Jennifer L Hay; Kenneth M Boucher; Heloisa Caputo; Ryan Mooney; Douglas Grossman; Sancy A Leachman Journal: Pediatr Dermatol Date: 2019-03-20 Impact factor: 1.588
Authors: Sharon Manne; Deborah A Kashy; Sherry Pagoto; Susan K Peterson; Carolyn J Heckman; Joseph Gallo; Adam Berger; David B Buller; Alexandria Kulik; Sara Frederick; Morgan Pesanelli Journal: J Health Commun Date: 2021-11-29
Authors: Yelena P Wu; Elizabeth Nagelhout; Lisa G Aspinwall; Kenneth M Boucher; Bridget G Parsons; Wendy Kohlmann; Kimberly A Kaphingst; Sheila Homburger; Ryan D Perkins; Douglas Grossman; Garrett Harding; Sancy A Leachman Journal: Patient Educ Couns Date: 2017-10-19
Authors: Yelena P Wu; Kenneth Boucher; Nan Hu; Jennifer Hay; Wendy Kohlmann; Lisa G Aspinwall; Deborah J Bowen; Bridget G Parsons; Elizabeth S Nagelhout; Douglas Grossman; Kathi Mooney; Sancy A Leachman; Kenneth P Tercyak Journal: Psychooncology Date: 2019-11-10 Impact factor: 3.894
Authors: John Charles A Lacson; Shawn A Zamani; Luis Alberto Ribeiro Froes; Nandita Mitra; Lu Qian; Scarlet H Doyle; Esther Azizi; Claudia Balestrini; D Timothy Bishop; William Bruno; Blanca Carlos-Ortega; Francisco Cuellar; Anne E Cust; David E Elder; Anne-Marie Gerdes; Paola Ghiorzo; Thais C Grazziotin; Nelleke A Gruis; Johan Hansson; Marko Hočevar; Veronica Höiom; Elizabeth A Holland; Christian Ingvar; Gilles Landman; Alejandra Larre-Borges; Graham J Mann; Montserrat Molgo; Luciana Facure Moredo; Håkan Olsson; Jacoba J Out-Luiting; Barbara Perić; Dace Pjanova; Susana Puig; Julio Salas-Alanis; Helen Schmid; Karin A W Wadt; Julia A Newton-Bishop; Peter A Kanetsky Journal: BMC Public Health Date: 2021-04-23 Impact factor: 3.295