UV Safe: New approaches to reduce teen UV exposure

描述（由申请人提供）：室内和室外的紫外线暴露现在被认为是增加皮肤癌发病率的重要因素。高中生防晒不足和寻求晒黑行为增加的问题已经得到了很好的证明。然而，尚未为这一群体制定有效的社区一级干预措施。一种新的教育方法，证明“风险外观”从紫外线暴露提供了承诺，以改变这些行为。我们建议利用我们在社区防晒干预的经验，以解决高中生的这些危险行为。干预成分将需要针对两种性别和女性的户外防晒行为谁是故意使用室内晒黑灯。在进行多社区随机对照试验之前，我们提出这个年龄组存在一些独特的问题，需要更好地了解和试点测试干预成分。首先，目前关于高中女性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“外表风险”干预措施的有效性需要在高中一级进行测试。第三，父母的影响，在高中，特别是母亲的角色模型晒黑的重要性，向我们表明，青少年的风险，以外观干预的父母组成部分需要开发和试点测试。因此，我们建议进行两组研究：1）确定晒黑寻求的预测因子和模式（室内和室外）行为的前瞻性研究高中女生谁目前使用室内晒黑或在采取的行为的风险; 2）开发和试点测试“外观风险”在随后的方案中，将对青少年及其父母进行干预，以改变室内和室外紫外线暴露行为。在这些开发活动中，我们将包括肤色的客观测量，以确定这种方法是否可行，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.