title: Sun protection practices and sun exposure among children with a parental history of melanoma.
abstract: BACKGROUND
  First-degree relatives of melanoma survivors have a substantially higher lifetime risk for melanoma than individuals with no family history. Exposure to ultraviolet radiation (UVR) is the primary modifiable risk factor for the disease. Reducing UV exposure through sun protection may be particularly important for children with a parental history of melanoma. Nonetheless, limited prior research has investigated sun protection practices and sun exposure among these children.
  
  
  METHODS
  The California Cancer Registry was used to identify melanoma survivors eligible to participate in a survey to assess their children's sun protection practices and sun exposure. The survey was administered by mail, telephone, or web to Latino and non-Latino white melanoma survivors with at least one child (0-17 years; N = 324).
  
  
  RESULTS
  Sun exposure was high and the rate of sunburn was equivalent to or higher than estimates from average-risk populations. Use of sun protection was suboptimal. Latino children were less likely to wear sunscreen and hats and more likely to wear sunglasses, although these differences disappeared in adjusted analyses. Increasing age of the child was associated with lower sun protection and higher risk for sunburn, whereas higher objective risk for melanoma predicted improved sun protection and a higher risk for sunburns. Perception of high barriers to sun protection was the strongest modifiable correlate of sun protection.
  
  
  CONCLUSIONS
  Interventions to improve sun protection and reduce sun exposure and sunburns in high-risk children are needed.
  
  
  CONCLUSIONS
  Intervening in high-risk populations may help reduce the burden of melanoma in the United States.
authors.affiliation: UCLA Fielding School of Public Health and Jonsson Comprehensive Cancer Center, Los Angeles, California. bglenn@ucla.edu.
authors.forename: Beth A
authors.initials: BA
authors.lastname: Glenn
authors.affiliation: UCLA Fielding School of Public Health and Jonsson Comprehensive Cancer Center, Los Angeles, California.
authors.forename: Tiffany
authors.initials: T
authors.lastname: Lin
authors.affiliation: UCLA Fielding School of Public Health and Jonsson Comprehensive Cancer Center, Los Angeles, California.
authors.forename: L Cindy
authors.initials: LC
authors.lastname: Chang
authors.affiliation: UCLA Fielding School of Public Health and Jonsson Comprehensive Cancer Center, Los Angeles, California.
authors.forename: Ashley
authors.initials: A
authors.lastname: Okada
authors.affiliation: UCLA Fielding School of Public Health and Jonsson Comprehensive Cancer Center, Los Angeles, California.
authors.forename: Weng Kee
authors.initials: WK
authors.lastname: Wong
authors.affiliation: Perelman School of Medicine and School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania.
authors.forename: Karen
authors.initials: K
authors.lastname: Glanz
authors.affiliation: UCLA Fielding School of Public Health and Jonsson Comprehensive Cancer Center, Los Angeles, California.
authors.forename: Roshan
authors.initials: R
authors.lastname: Bastani
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D003625:Data Collection; D005260:Female; D006801:Humans; D008297:Male; D008545:Melanoma / Q000401:mortality / Q000517:prevention & control*; D008875:Middle Aged; D012307:Risk Factors; D012878:Skin Neoplasms / Q000517:prevention & control*; D055108:Sunbathing / Q000193:education*; D055815:Young Adult