title: Resource provision and environmental change for the prevention of skin cancer: systematic review of qualitative evidence from high-income countries.
abstract: This paper presents the findings of a systematic review of qualitative studies from high-income (OECD) countries relating to sun protection and skin cancer, with a focus on barriers and facilitators for the following interventions: resource provision; environmental change; and multi-component interventions. Twenty-three study reports were included in the review. Data were analysed using a thematic analysis methodology with the Health Belief Model as a framework. The risk and potential severity of skin cancer are not seen as important concerns, and tanning which is not deliberate is seen as less dangerous. There are a number of social and practical barriers to the use of sun protection resources, including cost, inconvenience and social norms. There are important differences between age groups and between men and women in attitudes.
authors.affiliation: Department of Social and Environmental Health Research, London School of Hygiene & Tropical Medicine, 15-17 Tavistock Place, London WC1H 9SH, UK. theo.lorenc@lshtm.ac.uk
authors.forename: Theo
authors.initials: T
authors.lastname: Lorenc
authors.forename: Farah
authors.initials: F
authors.lastname: Jamal
authors.forename: Chris
authors.initials: C
authors.lastname: Cooper
mesh_terms: D000328:Adult; D000367:Age Factors; D001294:Attitude to Health; D002648:Child; D019049:Developed Countries / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008297:Male; D036301:Qualitative Research; D012737:Sex Factors; D012878:Skin Neoplasms / Q000517:prevention & control* / Q000523:psychology; D012959:Socioeconomic Factors; D055108:Sunbathing / Q000523:psychology; D013473:Sunscreening Agents / Q000627:therapeutic use
chemical_list: D013473:Sunscreening Agents