Sun protective behaviors among adolescents and young adults in the United States.

Autor:	Challapalli SD; Department of Otorhinolaryngology-Head and Neck Surgery, McGovern Medical School, Houston, Texas, USA., Shetty KR; Department of Otorhinolaryngology-Head and Neck Surgery, McGovern Medical School, Houston, Texas, USA., Bui Q; Division of Biostatistics, Washington University in St. Louis School of Medicine, St. Louis, Missouri, USA., Osazuwa-Peters N; Department of Head and Neck Surgery & Communication Sciences, Duke University School of Medicine, Durham, North Carolina, USA; Duke Cancer Institute, Duke University, Durham, North Carolina, USA., Adjei Boakye E; Department of Public Health Sciences, Henry Ford Health System, Detroit, Michigan, USA; Department of Otolaryngology - Head and Neck Surgery, Henry Ford Health System, Detroit, Michigan, USA. Electronic address: eadjei1@hfhs.org.
Jazyk:	angličtina
Zdroj:	Journal of the National Medical Association [J Natl Med Assoc] 2023 Aug; Vol. 115 (4), pp. 353-361. Date of Electronic Publication: 2023 May 02.
DOI:	10.1016/j.jnma.2023.04.002
Abstrakt:	Purpose: We described sun protective behaviors in adolescents and young adults (AYA) compared to older adults. Methods: We used data from the 2013-2018 National Health and Nutrition Examination Survey, a nationally representative samples of the civilian, noninstitutionalized US population (10,710 respondents aged between 20 and 59 and without a history of skin cancer diagnoses). The primary exposure for the study was age group: aged 20-39 defined as AYA and aged 40-59 as adults. The outcome variable was sun protective behaviors: stay in the shade, wear a long-sleeved shirt, use sunscreen, at least one of the three; and all three measures. Multivariable logistic regression models were used to assess association between age group and sun protective behaviors adjusting for sociodemographic factors. Results: Overall, 51.3% of respondents were AYA, 76.1% reported staying in the shade, 50.9% using sunscreen, 33.3% wearing long-sleeved clothes, 88.1% engaging in one of the three behaviors, and 17.1% engaging in all three behaviors. In the adjusted models, the odds of engaging in all three behaviors among AYAs was 28% (aOR: 0.72, 95% CI: 0.62-0.83) lower than adult respondents. Compared to adults, AYAs were 22% less likely to wear long sleeved clothes (aOR: 0.78, 95% CI: 0.70-0.87). There were no significant differences in the odds of engaging in at least one sun protective behavior, using sunscreen, and staying in the shade between AYAs and adults. Conclusions: More targeted interventions need to be implemented to decrease the risk of skin cancer in the AYA population. Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (Copyright © 2023 National Medical Association. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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