Correlates of sun protection behaviors among Hispanic children residing in a high UVR environment.
Correlates of sun protection behaviors among Hispanic children residing in a high UVR environment.
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DOI：
10.1111/phpp.12287
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发表时间：
2017-03
期刊：
影响因子：
--
通讯作者：
Cockburn MG
中科院分区：
文献类型：
--
作者：
Miller KA;Huh J;Unger JB;Richardson JL;Allen MW;Peng DH;Cockburn MG
在美国，拉美裔美国人的黑色素瘤发病率正在上升。儿童时期过多的阳光暴晒会增加成年后患黑色素瘤的风险，人们对西班牙裔青年防晒行为的激励因素知之甚少。对居住在加利福尼亚州洛杉矶的西班牙裔儿童(N=1891)的防晒相关性进行了研究。研究了多种结构(心理、家庭和文化)和防晒效果(使用防晒霜、防护服和遮荫/避日)之间的关系。家庭变量与西班牙裔儿童中更频繁的防晒相关，以及感知的同伴规范、感知的自我效能和较少的防晒屏障。皮肤癌的风险因素，如较白的皮肤和晒伤经历，以及文化适应程度，与更好的防晒无关。家庭防晒习惯有助于拉美裔儿童的防晒行为，而让家庭参与的干预可能是最有效的。在制定干预策略时，加强对西班牙裔儿童高危亚群(皮肤更白、对阳光更敏感的人)的风险沟通是重要的。然而，在西班牙裔儿童的防晒相关性与非西班牙裔白人儿童中观察到的相关性之间存在重叠，这表明改善防晒的干预措施可能会在不同的文化背景下普遍适用。
Rates of melanoma are rising in Hispanics in the United States. Excessive sun exposure in childhood increases the risk of melanoma in adulthood, and little is known about the factors motivating sun protection behaviors among Hispanic youth. Correlates of sun protection were examined among Hispanic children residing in Los Angeles, California (N = 1891). Associations between multiple constructs (psychosocial, familial, and cultural) and sun protection outcomes (use of sunscreen, protective clothing, and shade seeking/sun avoidance) were examined. Family variables were associated with more frequent sun protection among Hispanic children across outcomes, as were perceived peer norms, perceived self-efficacy, and fewer sun protection barriers. Skin cancer risk factors such as lighter skin and sunburn experience, and level of acculturation were not associated with greater sun protection. Family sun protection habits are instrumental to Hispanic children’s sun safe behaviors, and interventions that engage the family may be most effective. Increasing risk communication to high-risk subgroups of Hispanic children (those with lighter, more sun reactive skin) is important when developing intervention strategies. However, there is overlap between Hispanic children’s sun protection correlates and those observed among non-Hispanic white children, suggesting that interventions to improve sun protection may generalize across cultural contexts.
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