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Open Access 01-03-2022 | Skin Cancer | Original Article

Female university students’ knowledge, attitudes, and behaviours towards sun exposure and the use of artificial tanning devices: the essence of reducing risky behaviours

Authors: Orla McDaid, Vidar Melby

Published in: Journal of Public Health | Issue 3/2022

Abstract

Aim

To investigate female university students’ knowledge, attitudes, and behaviours towards sun exposure and the use of artificial tanning devices.

Subject and methods

A descriptive correlational survey design using online questionnaires, targeting a population of female university students aged 18–25 from one university in the United Kingdom.

Results

Three hundred and thirty-five students participated (response rate = 26.4%). Students demonstrated average knowledge and good attitude to tanning behaviours, but neither were statistically significantly associated with tanning behaviours. Students showed a history of substantial tanning behaviours, including the use of sunbeds, primarily because having a tanned skin made them look good and thus feel better.

Conclusion

This study has re-affirmed that there is no simple correlation between individuals’ knowledge and attitudes and subsequent sun-tanning behaviours. Feeling good and looking good are critical attributes to female university students’ self-esteem, and these values and beliefs outweigh risk perception of sun-tanning behaviours, and female university students continue to engage in risky tanning behaviours. Focused health promotion activities by public health authorities and higher education institutions should target students’ principal belief of looking good feeling good, as such targeted health promotion may reduce harmful sun tanning behaviours and ultimately mitigate the rising incidence in skin cancers.

Ashinoff R, Levine VJ, Steuer AB, Sedwick C (2009) Teens and tanning knowledge and attitudes. J Clin Aesthet Dermatol 2:48–50PubMedPubMedCentral

Boyle R, O'Hagan AH, Donnelly D, Donnelly C, Gordon S, McElwee G, Gavin A (2010) Trends in reported sun bed use, sunburn, and sun care knowledge and attitudes in a U.K. region: results of a survey of the Northern Ireland population. Br J Dermatol 163:1269–1275. https://doi.org/10.1111/j.1365-2133.2010.09977.xCrossRefPubMed

Cancer Focus Northern Ireland (2018) Care in the sun. Cancer Focus Northern Ireland, Belfast. https://cancerfocusni.org/cancer-prevention/care-in-the-sun/. Accessed 6 Dec 2018

Cancer Research UK (2019) Melanoma skin cancer incidence statistics. Cancer Research UK, London. https://www.cancerresearchuk.org/health-professional/cancer-statistics/statistics-by-cancer-type/melanoma-skin-cancer/incidence. Accessed 11 Oct 2019

Donadiki EM, Jiménez-García R, Hernández-Barrera V, Sourtzi P, Carrasco-Garrido P, López de Andrés A, Jimenez-Trujillo I, Velonakis EG (2014) Health belief model applied to non-compliance with HPV vaccine among female university students. Public Health 128(3):268–273. https://doi.org/10.1016/j.puhe.2013.12.004CrossRefPubMed

Felts M, Burke SC, Vail-Smith K, Whetstone LM (2010) College students' knowledge, attitudes and perceptions of risks regarding intentional sun exposure. Am J Health Educ 41(5):274–283. https://doi.org/10.1080/19325037.2010.10599154CrossRef

Fogel J, Krausz F (2013) Watching reality television beauty shows is associated with tanning lamp use and outdoor tanning among college students. J Am Acad Dermatol 68(5):784–789. https://doi.org/10.1016/j.jaad.2012.09.055CrossRefPubMed

Gambla WC, Fernandez AM, Gassman NR, Tan MCB, Daniel CL (2017) College tanning behaviors, attitudes, beliefs, and intentions: a systematic review of the literature. Prev Med 105:77–87. https://doi.org/10.1016/j.ypmed.2017.08.029CrossRefPubMed

Gavin A, Donnelly C, Devlin A, Devereux C, O'Callaghan G, McElwee G, Gordon S, Crossan T, McMahon N, Loan P, Martin S, McPeak L, Caughey J, O'Hagan AH (2010) Public at risk: a survey of sunbed parlour operating practices in Northern Ireland. Br J Dermatol 162:627–632. https://doi.org/10.1111/j.1365-2133.2009.09591.xCrossRefPubMed

Ghiasvand R, Rueegg CS, Weiderpass E, Green AC, Lund E, Veierød MB (2017) Indoor tanning and melanoma risk: long-term evidence from a prospective population-based cohort study. Am J Epidemiol 185:147–156. https://doi.org/10.1093/aje/kww148CrossRefPubMed

Hasson F, McKenna H, Keeney S (2015) Surveys. In: Gerrish K, Lathlean J (eds) The research process in nursing, 7th edn. Wiley, Chichester, pp 255–266

Heckman CJ, Coups EJ, Manne SL (2008) Prevalence and correlates of indoor tanning among US adults. J Am Acad Dermatol 58(5):769–780. https://doi.org/10.1016/j.jaad.2008.01.020CrossRefPubMedPubMedCentral

Hedges T, Scriven A (2010) Young park users' attitudes and behaviour to sun protection. Glob Health Promot 17:24–31. https://doi.org/10.1177/1757975910383928CrossRefPubMed

Hollovary E (2009) Does a base tan protect from future burns or give a false sense of security? Clin J Oncol Nurs 13:103–104. https://doi.org/10.1188/09.CJON.103-104CrossRefPubMed

Holloway L, Humphrey L, Heron L, Pilling C, Kitchen H, Højbjerre L, Strandberg-Larsen M, Hansen BB (2014) Patient-reported outcome measures for systemic lupus erythematosus clinical trials: a review of content validity, face validity and psychometric performance. Health Qual Life Outcomes 12:116. https://doi.org/10.1186/s12955-014-0116-1CrossRefPubMedPubMedCentral

Holman DM, Watson M (2013) Correlates of intentional tanning among adolescents in the United States: a systematic review of the literature. J Adolesc Health 52(5):S52–S59. https://doi.org/10.1016/j.jadohealth.2012.09.021CrossRefPubMedPubMedCentral

Mayer JA, Woodruff SI, Slymen DJ, Sallis JF, Forster JL, Clapp EJ, Hoerster KD, Pichon LC, Weeks JR, Belch GE, Weinstock MA, Gilmer T (2011) Adolescents' use of indoor tanning: a large-scale evaluation of psychosocial, environmental, and policy-level correlates. Am J Public Health 101:930–938. https://doi.org/10.2105/AJPH.2010.300079CrossRefPubMedPubMedCentral

McColl E, Thomas R (2000) The use and design of questionnaires master classes in primary care research No. 2. The Royal College of General Practitioners, London

Mendese G, Gilchrest BA (2012) Selected indoor tanning myths and controversies. In: Heckman CJ, Manne SL (eds) Shedding light on indoor tanning. Springer Netherlands, Dordrecht, pp 121–133CrossRef

Mingoia J, Hutchinson AD, Gleaves DH, Wilson C (2019) The impact of a social media literacy intervention on positive attitudes to tanning: a pilot study. Comput Hum Behav 90:188–195. https://doi.org/10.1016/j.chb.2018.09.004CrossRef

Mousavi F, Golestan B, Vaseie M, Vaseie L, Khajeh-Kazemi R (2011) Knowledge, attitude, and practice of adults to the protective actions against sun in Northwest Tehran, Iran. Arch Iran Med 14:126–131PubMed

N. Ireland Cancer Registry (2016) All cancer (excluding NMSC). NI Cancer Registry, Belfast. https://www.qub.ac.uk/research-centres/nicr/FileStore/OfficialStats2015/FACTSHEETS/Filetoupload,746047,en.pdf. Accessed 10 Dec 2018

Pallant J (2016) SPSS survival manual: a step by step guide to data analysis using IBM SPSS. McGraw-Hill Education, Maidenhead

Robertson FM, Fitzgerald L (2017) Skin cancer in the youth population of the United Kingdom. J Cancer Policy 12:67–71. https://doi.org/10.1016/j.jcpo.2017.03.003CrossRef

Rodgers RF, Wilking C, Gottlieb M, Daynard R, Lovering M, Matsumoto A, Luk S, Naab P, Iannuccilli A, Shoemaker H, Convertino A, Franko DL (2016) A qualitative study of the decision to engage in tanning behaviors among female college students. Rev Psychol Appl 66(1):1–8. https://doi.org/10.1016/j.erap.2015.11.003CrossRef

Schneider S, Diehl K, Bock C, Schlüter M, Breitbart EW, Volkmer B, Greinert R (2013) Sunbed use, user characteristics, and motivations for tanning: results from the German population-based sun-study 2012. JAMA Dermatol 149:43–49. https://doi.org/10.1001/2013.jamadermatol.562CrossRefPubMed

Sivamani RK, Crane LA, Dellavalle RP (2009) The benefits and risks of ultraviolet tanning and its alternatives: the role of prudent sun exposure. Dermatol Clin 27(2):149–154. https://doi.org/10.1016/j.det.2008.11.008CrossRefPubMedPubMedCentral

Tavakol M, Dennick R (2011) Making sense of Cronbach's alpha. Int J Med Educ 2:53–55. https://doi.org/10.5116/ijme.4dfb.8dfdCrossRefPubMedPubMedCentral

Thomas CL, Peñas PF (2017) Why do young adults tan? J Eur Acad Dermatol Venereol 31:e259–e261. https://doi.org/10.1111/jdv.14057CrossRefPubMed

Waters HR, Adamson A (2018) The health and economic implications of the use of tanning devices. J Cancer Policy 17:45–50. https://doi.org/10.1016/j.jcpo.2016.12.003CrossRef

Watson M, Holman DM, Fox KA, Guy GP, Seidenberg AB, Sampson BP, Sinclair C, Lazovich D (2013) Preventing skin cancer through reduction of indoor tanning: current evidence. Am J Prev Med 44(6):682–689. https://doi.org/10.1016/j.amepre.2013.02.015CrossRefPubMedPubMedCentral

Wehner MR, Chren MM, Nameth D, Choudhry A, Gaskins M, Nead KT, Boscardin WJ, Linos E (2014) International prevalence of indoor tanning: a systematic review and meta-analysis. JAMA Dermatol 150:390–400. https://doi.org/10.1001/jamadermatol.2013.6896CrossRefPubMedPubMedCentral

World Cancer Research Fund (2019) Skin cancer statistics. World Cancer Research Fund International, London. https://www.wcrf.org/dietandcancer/cancer-trends/skin-cancer-statistics. Accessed 28 Oct 2019

World Health Organisation (2019) Skin cancer. WHO, Geneva. http://www.who.int/uv/faq/skincancer/en/index1.html. Accessed 11 Oct 2019

World Health Organization (2017) Artificial tanning devices: public health interventions to manage sunbeds. WHO, Geneva

Xiu P (2015) Pathology. Mosby, Edinburgh

Title: Female university students’ knowledge, attitudes, and behaviours towards sun exposure and the use of artificial tanning devices: the essence of reducing risky behaviours
Authors: Orla McDaid
Vidar Melby
Publication date: 01-03-2022
Publisher: Springer Berlin Heidelberg
Keyword: Skin Cancer
Published in: Journal of Public Health / Issue 3/2022
Print ISSN: 2198-1833
Electronic ISSN: 1613-2238
DOI: https://doi.org/10.1007/s10389-020-01335-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Female university students’ knowledge, attitudes, and behaviours towards sun exposure and the use of artificial tanning devices: the essence of reducing risky behaviours

Abstract

Aim

Subject and methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Aim

Subject and methods

Results

Conclusion

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