Family Attitudes and Communication about Sun Protection and Sun Protection Practices among Young Adult Melanoma Survivors and Their Family Members.

Family Attitudes and Communication about Sun Protection and Sun Protection Practices among Young Adult Melanoma Survivors and Their Family Members.
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DOI:
10.1080/10810730.2021.2008552
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发表时间:
2021-11-02
影响因子:
4.4
通讯作者:
Pesanelli, Morgan
Pesanelli, Morgan
中科院分区:
医学3区
文献类型:
--
作者:
Manne, Sharon;Kashy, Deborah A.;Pagoto, Sherry;Peterson, Susan K.;Heckman, Carolyn J.;Gallo, Joseph;Berger, Adam;Buller, David B.;Kulik, Alexandria;Frederick, Sara;Pesanelli, Morgan

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年轻的黑色素瘤幸存者和他们的家人患黑色素瘤的风险增加,但很少从事防晒行为。人们对家庭因素在防晒中的作用知之甚少。我们的目标是:1)检查幸存者和家庭防晒之间的对应关系,个人态度,以及家庭态度和关于降低风险行为的沟通; 2)评估家庭态度和沟通在个人防晒态度和行为之间的关联中的中介作用。529名参与者完成了个人态度、家庭态度和沟通以及防晒行为的测量。多层次模型评估家庭通信在太阳相关的态度和行为和调解。家庭有不同程度的共同的态度和行为,与家庭规范较高的对应关系。幸存者报告说,更强的家庭规范,更大的家庭福利,和更多的讨论比兄弟姐妹。对于两性来说,家庭讨论与更高的防晒有关。仅对女性来说,更有利的态度与防晒有关,部分原因是女性与家人讨论防晒,并持有更强的规范。由于家庭的态度和做法是一致的,以家庭为重点的干预措施可能是有效的。在女性中,提高风险意识和防晒功效以及克服障碍可以促进加强规范标准,沟通和参与防晒。
Young melanoma survivors and their family are at increased risk for developing melanoma, but seldom engage in sun protection behaviors. Little is known about the role of family factors in sun protection. Our goals were: 1) examine correspondence between survivors and family sun protection, individual attitudes, and family attitudes and communication about risk-reducing behaviors, and; 2) evaluate the mediating role of family attitudes and communication in the association between individual sun protection attitudes and behavior. Measures of individual attitudes, family attitudes and communication, and sun protection behaviors were completed by 529 participants. Multilevel modeling assessed family correspondence in sun-related attitudes and behaviors and mediation. Families had varying levels of shared attitudes and behaviors, with higher correspondence for family norms. Survivors reported stronger family norms, greater family benefits, and more discussion than siblings. For both sexes, family discussion was associated with higher sun protection. For women only, more favorable attitudes were associated with sun protection partly because women discussed sun protection with family and held stronger norms. Because families’ attitudes and practices correspond, family-focused interventions may prove effective. Among females, increasing risk awareness and sunscreen efficacy and overcoming barriers may foster enhanced normative standards, communication about, and engagement in sun protection.
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