UV Safe: New approaches to reduce teen UV exposure

描述（由申请人提供）：无论是在室内还是室外，紫外线照射现在被认为是增加皮肤癌发病率的重要因素。在高中生中，防晒不足和晒黑行为增加的问题已经得到了充分的记录。然而，还没有针对这一人群制定有效的社区一级干预措施。一种展示紫外线照射“对外表的危害”的新教育方法有望改变这些行为。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。干预成分需要针对男女和有意使用室内晒黑灯的女性的室外防晒行为。在进行多社区随机对照试验之前，我们提出这个年龄组有一些独特的问题，需要更好地理解和干预成分的试点测试。首先，目前关于高中女生室内晒黑行为的横截面信息不足以制定干预的内容和时机。其次，青少年“对外表的风险”干预措施的有效性需要在高中阶段进行测试。第三，记录在案的父母对高中影响的重要性，特别是母亲在晒黑方面的角色榜样，向我们表明，青少年外貌风险干预的父母成分需要开发和试点测试。因此，我们建议进行两组研究：1)对目前使用室内美黑或有采取这种行为风险的高中女生进行前瞻性研究，确定寻求美黑（室内和室外）行为的预测因素和模式；2)为青少年及其父母制定和试点“外貌风险”干预措施，以改变室内和室外紫外线暴露行为，并在随后的提案中进行严格测试。在这些开发活动中，我们将包括肤色的客观测量，以确定该方法是否可行，作为后续社区研究的结果测量。

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.