Randomized trial testing a worksite sun protection program in an outdoor recreation industry.
Health communication campaigns intended to reduce chronic and severe exposure to ultraviolet radiation in sunlight and prevent skin cancer are a national priority. Outdoor workers represent an unaddressed, high-risk population. Go Sun Smart (GSS), a worksite sun safety program largely based on the diffusion-of-innovations theory, was evaluated in a pair-matched, group-randomized, pretest-posttest controlled design enrolling employees at 26 ski areas in Western North America. Employees at the intervention ski areas were more aware of GSS (odds ratio [OR] = 8.27, p < .05) and reported less sunburning (adjusted OR = 1.63, p < .05) at posttest than employees at the control areas. A dose response was evident (OR = 1.46, p < .05) with greater observed program implementation associated with fewer sunburns among employees. Program awareness per se was not predictive (p > .05) of reduced sunburning in a mediational analysis. Analyses of nonrespondents, including intent-to-treat analyses, further supported the success of GSS.
Buller
David B
DB
Klein Buendel, Inc., Golden, Colorado 80401, USA. dbuller@kleinbuendel.com
Andersen
Peter A
PA
Walkosz
Barbara J
BJ
Scott
Michael D
MD
Cutter
Gary R
GR
Dignan
Mark B
MB
Zarlengo
Elizabeth M
EM
Voeks
Jenifer H
JH
Giese
Aimee J
AJ
D000293:Adolescent; D000328:Adult; D005260:Female; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009784:Occupational Diseases / Q000517:prevention & control*; D016273:Occupational Exposure / Q000517:prevention & control*; D016730:Program Development; D011481:Protective Clothing / Q000706:statistics & numerical data; D011998:Recreation; D012865:Skiing; D012878:Skin Neoplasms / Q000517:prevention & control*; D013471:Sunburn / Q000453:epidemiology / Q000517:prevention & control*; D013472:Sunlight / Q000009:adverse effects; D013473:Sunscreening Agents / Q000008:administration & dosage; D014466:Ultraviolet Rays / Q000009:adverse effects; D014481:United States
D013473:Sunscreening Agents