Australian adolescents' sun protection behavior: who are we kidding?
OBJECTIVE
To examine the influence of tan preference and skin type on sun protection behaviors of Australian adolescents.


METHODS
The Australian Secondary School Alcohol and Drug Questionnaires were conducted in 1993, 1996, 1999 and 2002 among randomly selected students aged 12--17. Schools were randomly selected from each education sector in each state. The self-administered questionnaire contained questions about tan preferences, skin type and usual SunSmart behavior (use of sunscreen, hats and covering clothing).


RESULTS
The routine use of SunSmart behavior was low in all survey years. There was a significant decrease over time in the proportion of students who practiced SunSmart behavior, with prevalence rates lower in 2002 than in any other survey year (males: p<0.01 and females: p<0.01). As desire for a tan increased, routine practice of SunSmart behaviors decreased. Across the four survey periods, male (p<0.01) and female (p<0.01) students who preferred no tan were significantly more likely to practice SunSmart behavior than students who preferred any sort of tan. Across the four survey years, male (p<0.01) and female (p<0.01) students with skin that 'just burns' were most likely to routinely practice SunSmart behavior.


CONCLUSIONS
Sun protection practices among adolescents have continued to decline significantly over time. Future educational programs require an innovative approach to modify adolescent behaviors in relation to sun exposure and sun protection.
Livingston
Patricia M
PM
Faculty of Health, Medicine, Nursing and Behavioural Sciences, Deakin University, Burwood, Victoria, Australia. trish.livingston@deakin.edu.au
White
Victoria
V
Hayman
Jane
J
Dobbinson
Suzanne
S
D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D001294:Attitude to Health; D001315:Australia / Q000453:epidemiology; D001828:Body Image; D005260:Female; D015438:Health Behavior; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D006301:Health Services Needs and Demand; D006801:Humans; D016015:Logistic Models; D008297:Male; D015995:Prevalence; D011481:Protective Clothing; D000297:Psychology, Adolescent; D012307:Risk Factors; D012648:Self Care / Q000379:methods / Q000523:psychology*; D012878:Skin Neoplasms / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control; D013334:Students / Q000523:psychology* / Q000706:statistics & numerical data; D013471:Sunburn / Q000150:complications / Q000453:epidemiology / Q000517:prevention & control*; D013472:Sunlight / Q000009:adverse effects; D013473:Sunscreening Agents / Q000627:therapeutic use; D011795:Surveys and Questionnaires; D013997:Time Factors
D013473:Sunscreening Agents