title: The association between demographic and behavioral characteristics and sunburn among U.S. adults - National Health Interview Survey, 2010.
abstract: OBJECTIVE
  To examine the association between demographic and behavioral characteristics and sunburn among U.S. adults.
  
  
  METHODS
  We used 2010 National Health Interview Survey data (N=24,970) to conduct multivariable logistic regressions examining associations with having 1 or more sunburns in the past year and having 4 or more sunburns in the past year.
  
  
  RESULTS
  Overall, 37.1% of adults experienced sunburn in the past year. The adjusted prevalence of sunburn was particularly common among adults aged 18-29years (52.0%), those who repeatedly burn or freckle after 2weeks in the sun (45.9%), whites (44.3%), indoor tanners (44.1%), those with a family history of melanoma (43.9%), and those who are US-born (39.5%). Physical activity, alcohol consumption, and overweight/obesity were positively associated with sunburn (all P<0.001); sun protection behaviors were not significantly associated with sunburn (P=0.35). Among those who were sunburned in the past year, 12.1% experienced 4 or more sunburns.
  
  
  CONCLUSIONS
  Sunburn is common, particularly among younger adults, those with a more sun-sensitive skin type, whites, those with a family history of melanoma, the highly physically active, and indoor tanners. Efforts are needed to facilitate sun-safety during outdoor recreation, improve the consistency of sun protection practices, and prevent sunburn, particularly among these subgroups.
authors.affiliation: Centers for Disease Control and Prevention, Division of Cancer Prevention and Control, 4770 Buford Highway, NE, Mailstop F-76, Atlanta, GA 30341, USA. Electronic address: dholman@cdc.gov.
authors.forename: Dawn M
authors.initials: DM
authors.lastname: Holman
authors.affiliation: Centers for Disease Control and Prevention, Division of Cancer Prevention and Control, 4770 Buford Highway, NE, Mailstop F-76, Atlanta, GA 30341, USA. Electronic address: zab3@cdc.gov.
authors.forename: Zahava
authors.initials: Z
authors.lastname: Berkowitz
authors.affiliation: Centers for Disease Control and Prevention, Division of Cancer Prevention and Control, 4770 Buford Highway, NE, Mailstop F-76, Atlanta, GA 30341, USA. Electronic address: irm2@cdc.gov.
authors.forename: Gery P
authors.initials: GP
authors.lastname: Guy
authors.affiliation: National Cancer Institute, Division of Cancer Control & Population Sciences, 9609 Medical Center Drive, Bethesda, MD 20892, USA. Electronic address: hartmana@mail.nih.gov.
authors.forename: Anne M
authors.initials: AM
authors.lastname: Hartman
authors.affiliation: National Cancer Institute, Division of Cancer Control & Population Sciences, 9609 Medical Center Drive, Bethesda, MD 20892, USA. Electronic address: pernafm@mail.nih.gov.
authors.forename: Frank M
authors.initials: FM
authors.lastname: Perna
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D004781:Environmental Exposure / Q000706:statistics & numerical data; D005260:Female; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008545:Melanoma / Q000517:prevention & control*; D008875:Middle Aged; D015995:Prevalence; D012959:Socioeconomic Factors; D055108:Sunbathing / Q000706:statistics & numerical data*; D013471:Sunburn / Q000453:epidemiology* / Q000209:etiology / Q000517:prevention & control*; D013473:Sunscreening Agents / Q000627:therapeutic use*; D014466:Ultraviolet Rays / Q000009:adverse effects*; D014481:United States / Q000453:epidemiology; D055815:Young Adult
chemical_list: D013473:Sunscreening Agents
keywords: Adult; Health behavior; Primary prevention; Skin neoplasms; Sunburn