UV Safe: New approaches to reduce teen UV exposure

描述(申请人提供)：紫外线照射，无论是室内还是室外，现在被认为是增加皮肤癌发病率的重要因素。高中生的防晒不足和越来越多的晒黑行为的问题已经有了很好的记录。然而，尚未为这一人群制定有效的社区一级干预措施。一种新的教育方法展示了紫外线暴露对外表的风险，这为改变这些行为提供了希望。我们建议利用我们在社区防晒干预方面的经验来解决高中生的这些危险行为。干预部分需要针对有意使用室内日光灯晒黑的两性和女性的户外防晒行为。在进行多社区随机对照试验之前，我们提出在这个年龄组中有一些独特的问题需要更好地理解和对干预成分进行试点测试。首先，目前关于高中女性室内晒黑行为的横断面信息不足以制定干预的内容和时机。第二，需要在高中阶段测试青少年“出现风险”干预措施的有效性。第三，父母影响在高中的重要性，特别是晒黑的母亲角色模范，向我们表明，青少年外表风险干预的父母部分需要开发和试点测试。因此，我们建议进行两组研究：1)在一项针对目前正在使用室内晒黑或有可能采用这种行为的高中女性的前瞻性研究中，确定寻求晒黑(室内和室外)行为的预测因素和模式；以及2)为青少年及其父母开发和试行“出现风险”干预措施，以改变室内和室外紫外线暴露行为，并在随后的研究中进行严格的测试。在这些开发活动中，我们将包括客观的肤色测量，以确定该方法作为后续社区研究的结果测量是否可行。

DESCRIPTION (provided by applicant): Ultraviolet light exposure, both indoors and out, is now recognized as a significant contributor to increasing skin cancer rates. The problem of inadequate sun protection and increasing tan seeking behaviors in high school students has been well documented. However, effective community level interventions have not been developed for this population. A new educational approach of demonstrating "risk-to-appearance" from UV exposure offers promise to change these behaviors. We propose to use our experience in community sun protection interventions to address these risk behaviors of high school students. Intervention components will need to be directed both at the outdoor sun protection behaviors of both genders and females who are intentional tanners using indoor tanning lights. Before conducting a multi-community randomized control trial we submit there are unique issues in this age group that require better understanding and pilot testing of intervention components. First, the current cross-sectional information on high school female indoor tanning behavior is insuffi cient to develop the content and timing of interventions. Second, the effectiveness of adolescent "risk-to-appearance" interventions needs to be tested at the high school level. Third, the documented importance of parental influence in high school, particularly maternal role modeling of tanning, indicates to us that a parental component of adolescent risk-to appearance interventions needs to be developed and pilot tested. Therefore, we propose to conduct 2 sets of studies to: 1) determine the predictors and patterns of tan seeking (indoor and outdoor) behaviors in a prospective study of high school females who currently use indoor tanning or are at risk of adopting the behavior; and 2) develop and pilot test "risk-to-appearance" interventions for adolescents and their parents to change indoor and outdoor UV exposure behaviors to be rigorously tested in a subsequent pr oposal. In these development activities, we will include objective measures of skin color to determine if this methodology is feasible as an outcome measure in a subsequent community study.