Sun protection and exposure behaviors among Hispanic adults in the United States: differences according to acculturation and among Hispanic subgroups.

Sun protection and exposure behaviors among Hispanic adults in the United States: differences according to acculturation and among Hispanic subgroups.
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DOI:
10.1186/1471-2458-12-985
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发表时间:
2012-11-15
期刊:
影响因子:
4.5
通讯作者:
Goydos JS
Goydos JS
中科院分区:
医学2区
文献类型:
--
作者:
Coups EJ;Stapleton JL;Hudson SV;Medina-Forrester A;Natale-Pereira A;Goydos JS

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缺乏针对越来越多的美国西班牙裔人的皮肤癌预防干预措施。目前的研究检查了防晒和暴露行为的流行程度和相关性(即,防晒霜的使用、寻找阴凉处、防晒衣的使用和晒伤),重点关注根据文化适应和西班牙裔血统的潜在差异。该样本由1676名西班牙裔成年人组成,他们报告有太阳敏感皮肤(即,如果他们在几个月没有在阳光下晒太阳后,在没有保护措施的情况下外出一小时,他们会被晒伤)。参与者完成了调查问题,作为全国代表性的2010年全国健康访谈调查的一部分。2012年8月进行了分析。更大的文化适应与风险(即,不穿防晒衣)和防护(即,使用防晒霜)与阳光相关的做法,并且会增加晒伤的风险。防晒和暴露行为也因个人的西班牙裔而异,例如墨西哥血统的个人比其他几个亚组使用防晒服和晒伤的比例更高。几个西班牙裔亚群(例如,那些文化适应程度较高或来自某些来源的人是皮肤癌预防干预措施的重要目标群体。未来的研究需要测试文化相关的,量身定制的干预措施,以促进美国西班牙裔人的防晒行为。这些举措应侧重于公共卫生教育和提高医疗保健提供者对拉美裔人预防皮肤癌重要性的认识。
Skin cancer prevention interventions that target the growing number of U.S. Hispanics are lacking. The current study examined the prevalence and correlates of sun protection and exposure behaviors (i.e., sunscreen use, shade seeking, use of sun protective clothing, and sunburns) among U.S. Hispanics with sun sensitive skin, with a focus on potential differences according to acculturation and Hispanic origin. The sample consisted of 1676 Hispanic adults who reported having sun sensitive skin (i.e., they would experience a sunburn if they went out in the sun for one hour without protection after several months of not being in the sun). Participants completed survey questions as part of the nationally representative 2010 National Health Interview Survey. Analyses were conducted in August 2012. Greater acculturation was linked with both risky (i.e., not wearing sun protective clothing) and protective (i.e., using sunscreen) sun-related practices and with an increased risk of sunburns. Sun protection and exposure behaviors also varied according to individuals’ Hispanic origin, with for example individuals of Mexican heritage having a higher rate of using sun protective clothing and experiencing sunburns than several other subgroups. Several Hispanic subpopulations (e.g., those who are more acculturated or from certain origins) represent important groups to target in skin cancer prevention interventions. Future research is needed to test culturally relevant, tailored interventions to promote sun protection behaviors among U.S. Hispanics. Such initiatives should focus on public health education and increasing healthcare provider awareness of the importance of skin cancer prevention among Hispanics.
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