Sun Safety Ink! A Sun Safety Program for the Tattoo Community

预防皮肤癌是公共卫生的优先事项。超过350万例非黑色素瘤皮肤癌 在过去的30年里，黑色素瘤的发病率翻了一番，给国家的健康带来了负担。 系统越来越多的证据表明，预防计划需要针对年轻人2，3， 皮肤的侵袭性黑色素瘤是青少年和年轻人（15岁- 39)在美国，皮肤癌是可以预防的，因为过度暴露于紫外线辐射（UVR）， 这一因素是可以改变的，已经开展了一些公共卫生运动，以提高认识 关于皮肤癌的风险和促进阳光安全。尽管做出了这些努力，皮肤癌的发病率仍在继续上升。许多 成年人仍然忘记涂抹防晒霜，在阳光照射前不预先涂抹，不重新涂抹，不使用衣服 或者宽边帽，可以阻挡紫外线，不需要遮阳。4.2%的美国成年人从事室内活动 晒黑。众所周知，需要继续努力促进皮肤癌的预防。 同时，大约25%的美国成年人有纹身，年轻人更有可能有纹身。 纹身比老年人多。纹身的流行继续在普通人群中增长，特别是 在军队成员中。有纹身的人在接触到 阳光不仅可以保护自己免受有害的紫外线辐射，还可以减少对纹身的伤害。我们 建议开发和测试Sun Safety Ink! (SSI!),皮肤癌预防计划针对的客户 有执照的纹身工作室工作室已被选为本研究的地点，因为纹身工作室，在 时代，促进新纹身的防晒，以防止它们褪色，并提供一个独特的机会， 覆盖那些晒伤率高、通常不太可能进行防晒的年轻人。的 工作室提供独特和兼容的环境，以促进太阳安全。此外，一些 一些成功的项目通过类似的场所，如美容院和理发店， 商店我们与纹身社区的探索性研究确定：（1）纹身工作室接受 皮肤癌预防计划;（2）纹身的人晒伤率高，阳光照射率低 保护，但开放接收太阳安全信息和（3）原型SSI!程序确认 招聘和实施的可行性。根据这些结果，我们建议充分发展SSI!到 包括针对艺术家的在线太阳安全培训、网站以及附加的太阳安全教育材料（例如， 社交媒体）。我们将与专业纹身艺术家联盟和国家纹身协会合作 招募30个持牌工作室参加一个随机分组的前测后测控制的准， 实验设计本研究的主要结局将是评价SSI的有效性!（1） 增加全身综合防晒措施;（2）减少晒伤和晒黑;以及（3） 减少对晒黑和晒黑吸引力的积极态度。

Skin cancer prevention is a public health priority. Over 3.5 million cases of non-melanoma skin cancers (NMSC) occur annually and melanoma rates have doubled in the last 30 years, burdening the nation's health system. Increasing evidence points to the need for prevention programs to be targeted to young adults2,3 as invasive melanoma of the skin is the third most common cancer among adolescents and young adults (ages 15- 39) in the U.S. Skin cancer is preventable as excess exposure to ultraviolet radiation (UVR), the primary risk factor, is modifiable and a number of public health campaigns have been developed to increase awareness about skin cancer risk and to promote sun safety. Despite these efforts, skin cancer rates continue to rise. Many adults still forget to apply sunscreen, do not pre-apply prior to sun exposure, fail to reapply, do not use clothing or wide-brimmed hats that physically block UVR and do not use shade. 4.2% of US adults engage in indoor tanning. It is well established that continued efforts are needed to promote skin cancer prevention. Concurrently, approximately, 25% of American adults have a tattoo with younger adults more likely to have tattoos than older adults. The popularity of tattoos continues to grow in the general population and particularly among members of the military. Individuals with tattoos need to take extra precaution when exposed to the sun not only to protect themselves from harmful UVR rays but also to reduce damage to their tattoos. We propose to develop and test Sun Safety Ink! (SSI!), a skin cancer prevention program targeted to clients of licensed tattoo studios. The studios have been selected as the venue for this study because tattoo studios, at times, promote sun protection for new tattoos to keep them from fading, and offer a unique opportunity to reach younger adults who have high sunburn rates and are often less likely to practice sun protection. The studios provide a unique and compatible environment for sun safety promotion. Further, a number of successful programs have promoted health practices through similar venues such as beauty parlors and barber shops. Our exploratory research with the tattoo community determined that: (1) tattoo studios were receptive to a skin cancer prevention program; (2) tattooed individuals had high rates of sunburns and low rates of sun protection but were open to receiving sun safety information and (3) a prototype SSI! program confirmed feasibility for recruitment and implementation. Based on these results, we propose to fully develop SSI! to include an online sun safety training for artists, a website, and additional sun safety education materials (e.g., social media). We will work with the Alliance of Professional Tattoo Artists and the National Tattoo Association to recruit 30 licensed studios to participate in a group-randomized pretest-posttest controlled quasi- experimental design. The primary outcomes of the study will be to evaluate the effectiveness of SSI! at: (1) increasing full-body comprehensive sun protection practices; (2) decreasing sun burning and tanning; and, (3) decreasing positive attitudes regarding tanning and tanning attractiveness.