Factors associated with inconsistent sun protection in first-degree relatives of melanoma survivors Journal Article


Authors: Shuk, E.; Burkhalter, J. E.; Baguer, C. F.; Holland, S. M.; Pinkhasik, A.; Brady, M. S.; Coit, D. G.; Ariyan, C. E.; Hay, J. L.
Article Title: Factors associated with inconsistent sun protection in first-degree relatives of melanoma survivors
Abstract: First-degree relatives (FDRs) of melanoma survivors are at heightened risk for developing melanoma, but use sun protection inconsistently. To develop appropriate interventions, in this article we identify factors related to sun protection inconsistency in melanoma FDRs using ethnographic decision tree modeling. We conducted in-home interviews with 25 melanoma FDRs balanced across gender and sunbathing attitudes and identified factors related to daily decision making about use of sunscreen, shade seeking, hats, and clothing. Results indicated primary facilitators for sun protection involved water settings and sunny weather. Physical activities such as exercise served to promote as well as inhibit sun protection. If participants anticipated shade cover, they tended to forgo other sun protection. The use of hats and clothing was often dictated by nonsun-protection goals. Understanding factors related to inconsistent sun protection with detail and nuance is an important prerequisite to interventions aimed to improve sun-protection maintenance in this population. © The Author(s) 2012.
Keywords: adult; aged; middle aged; young adult; genetics; united states; methodology; ultraviolet radiation; sunscreen; melanoma; protective clothing; attitude to health; survivor; survivors; health promotion; health knowledge, attitudes, practice; ultraviolet rays; decision making; decision trees; environmental exposure; sunscreening agents; behavior change; cultural anthropology; high risk behavior; decision tree; anthropology, cultural; risk-taking; ethnography; risk, behaviors
Journal Title: Qualitative Health Research
Volume: 22
Issue: 7
ISSN: 1049-7323
Publisher: Sage Publications  
Date Published: 2012-07-01
Start Page: 934
End Page: 945
Language: English
DOI: 10.1177/1049732312443426
PROVIDER: scopus
PUBMED: 22645220
PMCID: PMC4057020
DOI/URL:
Notes: --- - "Export Date: 2 July 2012" - "CODEN: QHREE" - "Source: Scopus"
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MSK Authors
  1. Susan M Holland
    13 Holland
  2. Mary Sue Brady
    165 Brady
  3. Charlotte Eielson Ariyan
    78 Ariyan
  4. Daniel Coit
    420 Coit
  5. Jennifer L Hay
    161 Hay
  6. Elyse Shuk
    48 Shuk