Sun Safety Ink A Skin Cancer Prevention Program for the Tattoo Community

描述（由申请人提供）：皮肤癌预防是国家的优先事项，特别是对年轻人。每年有超过200万例非黑色素瘤皮肤癌病例发生，几十年来，黑色素瘤每年增加4%，给国家的卫生系统带来了负担。皮肤癌可以通过减少主要危险因素——暴露于紫外线辐射（UVR）来预防。然而，尽管开展了许多促进皮肤癌预防的公共卫生运动，但发病率仍在继续上升。许多成年人没有遵循建议的全面的阳光安全措施，如在暴露前涂抹防晒霜，在户外超过2小时时重新涂抹防晒霜，穿能阻挡紫外线的衣服，戴宽檐帽，或在可能的情况下寻找阴凉处。在年轻人中，防晒措施尤其少。众所周知，需要继续努力促进皮肤癌的预防。我们建议开发防晒安全墨水！（SSI!），这是一个针对有执照的纹身沙龙客户的皮肤癌预防项目。许多美国成年人（25%）现在有纹身，年轻人比老年人更有可能纹身。纹身沙龙被选为这项研究的独特场所，因为纹身后护理建议可以包括防晒，沙龙提供了一个接触年轻成年人的机会，他们不太可能练习防晒。有纹身的人需要采取预防措施，不仅要保护他们的皮肤免受有害的紫外线辐射，还要减少纹身的伤害。因此，沙龙提供了一个潜在的有效环境，因为全面的皮肤癌预防措施与纹身后护理建议是一致的。在类似的场所，如美容院和理发店，成功地开展了健康宣传活动。然而，关于纹身人群的防晒措施的信息有限，一致性

DESCRIPTION (provided by applicant): Skin cancer prevention is a national priority, particularly for young adults. Over 2 million cases of non- melanoma skin cancers occur annually and melanoma increased 4% each year for decades, burdening the nation's health system. Skin cancer can be prevented by decreasing the primary risk factor - exposure to ultraviolet radiation (UVR). Yet, despite numerous public health campaigns to promote skin cancer prevention, rates continue to rise. Many adults do not follow recommended comprehensive sun safety practices such as applying sunscreen before exposure, reapplying when outdoors for over 2 hours, using clothing that physically blocks UVR, wearing wide-brimmed hats, or seeking shade when available. Sun safety practices are particularly low in young adults. It is well established that continued efforts to promote skin cancer prevention are needed. We propose to develop Sun Safety INK! (SSI!), a skin cancer prevention program targeted to clients of licensed tattoo salons. Many American adults (25%) now have a tattoo with younger adults more likely to be tattooed than older adults. Tattoo salons have been selected as the unique venue for this study because tattoo aftercare recommendations can include sun protection, and salons offer an opportunity to reach younger adults who are significantly less likely to practice sun safety. Individuals with tattoos need to take precautions not only to protec their skin from harmful UVR but also to reduce tattoo damage. Thus, salons provide a potentially effective environment because comprehensive skin cancer prevention practices are compatible with tattoo aftercare recommendations. Successful health promotions have been conducted in similar venues such as beauty parlors and barbershops. However, limited information is available on the sun safety practices of the tattooed population, the consistency of tattoo aftercare recommendations, and effective methods for promoting sun safety through tattoo salons. Consequently, the aims of this exploratory study are to: (1) determine the most effective means to reach clients of tattoo salons, (2) develop measures to assess sun protection practices of tattooed individuals, and (3) create and evaluate prototype materials for promotion of comprehensive skin cancer prevention in this venue. The exploratory research we propose includes: the establishment of an Expert Advisory Board of skin cancer experts and tattoo salon owners to provide advice on the development and implementation of SSI; semi-structured interviews with tattoo artists on strategies for recommending sun safety to their clientele; and, focus groups with tattooed individuals about their sun safety practices. We will also develop measures to assess sun safety practices and attitudes among the tattooed population with an online survey. Prototype materials will be developed and a pilot test will be implemented in two tattoo parlors; we will survey clients to evaluate program materials and assess changes in knowledge, behaviors, and attitudes about sun safety. This important and necessary exploratory research will provide us with the requisite information to develop an R01 application to test SSI! in a future randomized controlled trial.