title: Sunscreen use and skin protection behavior on the Belgian beach.
abstract: BACKGROUND
  Public health campaigns encourage the public to protect themselves against skin cancer by using sunscreens and taking other protective measures. However, it is difficult to estimate the level of awareness among the general public.
  
  
  METHODS
  This study explores the prevalence and predictors of solar protection behavior in a community sample of beachgoers. During the months of May, June, July and August 2001 a total of 360 participants (145 men and 215 women) were randomly selected from several Belgian beaches in and around the city of Ostend, Belgium. The solar protection behavior of each participant was assessed by direct observation and interview.
  
  
  RESULTS
  The risk awareness percentages were 70.6% for skin cancer, 60.8% for sunburn and 25.0% for skin aging. These percentages were considerably higher in the female participant group than in the male group. Sunscreen cream was the most popular preventive behavior, especially in the female population, whereas the alternative protective measures (limited exposure during peak sun hours, the use of shade and the use of protective clothing and hats) were more popular in the male group.
  
  
  CONCLUSIONS
  While solar protection has become part of routine beach behavior, there is room for improvement by more frequent application of sunscreen cream, the use of a higher sun protection factor (SPF) (15+), timed sunbathing, more use of clothing and hats and more seeking of shade. The results of this study can assist in evaluating the effectiveness of current sun-protection campaigns and health education programs.
authors.affiliation: Department of Dermatology, University Hospital Gent, Gent, Belgium. DrDevos.S@pandora.be
authors.forename: Steven A
authors.initials: SA
authors.lastname: Devos
authors.forename: Katrien
authors.initials: K
authors.lastname: Baeyens
authors.forename: Lien
authors.initials: L
authors.lastname: Van Hecke
mesh_terms: D000293:Adolescent; D000328:Adult; D001530:Belgium / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D005260:Female; D020022:Genetic Predisposition to Disease / Q000453:epidemiology; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007223:Infant; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D019370:Observation; D015995:Prevalence; D011481:Protective Clothing / Q000706:statistics & numerical data; D011897:Random Allocation; D012737:Sex Factors; D015595:Skin Aging; D012878:Skin Neoplasms / Q000517:prevention & control*; D013471:Sunburn / Q000517:prevention & control*; D013473:Sunscreening Agents / Q000627:therapeutic use*; D013997:Time Factors
chemical_list: D013473:Sunscreening Agents