Factors associated with inconsistent sun protection in first-degree relatives of melanoma survivors.
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.
Memorial Sloan-Kettering Cancer Center, New York, New York 10022, USA.
Elyse
E
Shuk
Jack E
JE
Burkhalter
Carlos F
CF
Baguer
Susan M
SM
Holland
Alisa
A
Pinkhasik
Mary Sue
MS
Brady
Daniel G
DG
Coit
Charlotte E
CE
Ariyan
Jennifer L
JL
Hay
D000328:Adult; D000368:Aged; D000884:Anthropology, Cultural; D003657:Decision Making; D003663:Decision Trees; D004781:Environmental Exposure / Q000517:prevention & control*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008297:Male; D008545:Melanoma / Q000453:epidemiology* / Q000235:genetics / Q000517:prevention & control; D008875:Middle Aged; D011481:Protective Clothing; D012309:Risk-Taking; D013473:Sunscreening Agents; D017741:Survivors; D014466:Ultraviolet Rays / Q000009:adverse effects*; D014481:United States / Q000453:epidemiology; D055815:Young Adult
D013473:Sunscreening Agents