title: Linguistic acculturation and skin cancer-related behaviors among Hispanics in the southern and western United States.
abstract: OBJECTIVE
  To examine the association between linguistic acculturation (assessed using the Language Use and Linguistic Preference subscales from the Bidimensional Acculturation Scale for Hispanics) and skin cancer-related behaviors among US Hispanic adults to determine whether, compared with Hispanics denoted as Spanish-acculturated, English-acculturated Hispanics would report less frequent shade seeking and use of sun protective clothing and higher rates of sunscreen use, sunbathing, and indoor tanning.
  
  
  METHODS
  Online survey study conducted in September 2011.
  
  
  METHODS
  Five southern and western US states.
  
  
  METHODS
  A population-based sample of 788 Hispanic adults drawn from a nationally representative web panel.
  
  
  METHODS
  Self-reported sunscreen use, shade seeking, use of sun protective clothing, sunbathing, and indoor tanning.
  
  
  RESULTS
  Multivariate regression analyses were conducted to examine predictors of the skin cancer-related behaviors. As hypothesized, English-acculturated Hispanics had lower rates of shade seeking and use of sun protective clothing and reported higher rates of sunbathing and indoor tanning than Spanish-acculturated Hispanics. English-acculturated Hispanics and bicultural Hispanics (ie, those with high Spanish and high English acculturation) reported comparably high rates of sunbathing and indoor tanning. Results suggested that bicultural Hispanics seek shade and wear sun protective clothing less often than Spanish-acculturated Hispanics but more often than English-acculturated Hispanics. Acculturation was not associated with sunscreen use.
  
  
  CONCLUSIONS
  Hispanic adults do not routinely engage in behaviors that reduce their risk of skin cancer. Bicultural and English-acculturated Hispanics are particularly in need of skin cancer prevention interventions.
authors.affiliation: The Cancer Institute of New Jersey, 195 Little Albany St, Room 5567, New Brunswick, NJ 08901, USA. coupsej@umdnj.edu
authors.forename: Elliot J
authors.initials: EJ
authors.lastname: Coups
authors.forename: Jerod L
authors.initials: JL
authors.lastname: Stapleton
authors.forename: Shawna V
authors.initials: SV
authors.lastname: Hudson
authors.forename: Amanda
authors.initials: A
authors.lastname: Medina-Forrester
authors.forename: Stephen A
authors.initials: SA
authors.lastname: Rosenberg
authors.forename: Marsha A
authors.initials: MA
authors.lastname: Gordon
authors.forename: Ana
authors.initials: A
authors.lastname: Natale-Pereira
authors.forename: James S
authors.initials: JS
authors.lastname: Goydos
mesh_terms: D000069:Acculturation; D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D015438:Health Behavior / Q000208:ethnology*; D006306:Health Surveys; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D007802:Language; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D011481:Protective Clothing / Q000706:statistics & numerical data; D012878:Skin Neoplasms / Q000517:prevention & control*; D055108:Sunbathing / Q000706:statistics & numerical data; D013473:Sunscreening Agents / Q000008:administration & dosage*; D055107:Suntan; D014481:United States
chemical_list: D013473:Sunscreening Agents