4.6 Article

Birth cohort-specific trends of sun-related behaviors among individuals from an international consortium of melanoma-prone families

期刊

BMC PUBLIC HEALTH
卷 21, 期 1, 页码 -

出版社

BMC
DOI: 10.1186/s12889-021-10424-5

关键词

Trends; Sun-related behaviors; Sunscreen use; Sun exposure; Sunburn; Sunbed; Melanoma; High-risk families; Skin Cancer

资金

  1. European Commission [LSH-CT-2006-018702]
  2. Cancer Research UK [C588/A4994, C588/A10589, C8216/A6129]
  3. US National Institutes of Health [R01 CA83115]
  4. National Health and Medical Research Council of Australia [NHMRC] [107359, 402761, 633004, 566946, 211172, 1093017, 1147843]
  5. Cancer Council New South Wales [77/00, 06/10]
  6. CAPES (Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior)
  7. FAPESP (Fundacao para o Amparo da Pesquisa do Estado de Sao Paulo) - SP, Brazil [2007/04313-2]
  8. Cancer Research Foundations of Radiumhemmet
  9. Swedish Cancer Society
  10. Paulsson Trust
  11. European Research Council [ERC-2011-294576]
  12. Spanish Fondo de Investigaciones Sanitarias grant [PI15/00716, PI15/00956]
  13. CIBER de Enfermedades Raras of the Instituto de Salud Carlos III, Spain
  14. European Regional Development Fund A way to achieve Europe ERDF
  15. Catalan Government, Spain [AGAUR 2014_SGR_603]
  16. Fundacio La Marato de TV3 , Catalonia, Spain [201331-30]
  17. Fundacion Cientifica de la Asociacion Espanola Contra el Cancer, Spain [GCB15152978SOEN]
  18. CERCA Programme/Generalitat de Catalunya
  19. Italian Ministry of Health [RF-201602362288]
  20. Comision Honoraria de Lucha Contra el Cancer, CSIC, Fundacion Manuel Perez, Montevideo, Uruguay
  21. CONACYT, Mexico [152256/158706]
  22. Diagnoptics
  23. Lund University
  24. Cancer Institute New South Wales [CINSW 05/TPG/1-01, 10/TPG/1-02, 15/CDF/1-14]

向作者/读者索取更多资源

The study found that individuals from melanoma-prone families have increased sunscreen use and decreased likelihood of sunburns in more recent birth cohorts, but overall sun exposure has not reduced. Additionally, there was an increased likelihood of sunbed use in more recent birth cohorts among melanoma-prone individuals. Melanoma cases had higher sunscreen use, lower sun exposure, and lower odds of sunburn and sunbed use after diagnosis compared to before.
Background Individuals from melanoma-prone families have similar or reduced sun-protective behaviors compared to the general population. Studies on trends in sun-related behaviors have been temporally and geographically limited. Methods Individuals from an international consortium of melanoma-prone families (GenoMEL) were retrospectively asked about sunscreen use, sun exposure (time spent outside), sunburns, and sunbed use at several timepoints over their lifetime. Generalized linear mixed models were used to examine the association between these outcomes and birth cohort defined by decade spans, after adjusting for covariates. Results A total of 2407 participants from 547 families across 17 centers were analyzed. Sunscreen use increased across subsequent birth cohorts, and although the likelihood of sunburns increased until the 1950s birth cohort, it decreased thereafter. Average sun exposure did not change across the birth cohorts, and the likelihood of sunbed use increased in more recent birth cohorts. We generally did not find any differences in sun-related behavior when comparing melanoma cases to non-cases. Melanoma cases had increased sunscreen use, decreased sun exposure, and decreased odds of sunburn and sunbed use after melanoma diagnosis compared to before diagnosis. Conclusions Although sunscreen use has increased and the likelihood of sunburns has decreased in more recent birth cohorts, individuals in melanoma-prone families have not reduced their overall sun exposure and had an increased likelihood of sunbed use in more recent birth cohorts. These observations demonstrate partial improvements in melanoma prevention and suggest that additional intervention strategies may be needed to achieve optimal sun-protective behavior in melanoma-prone families.

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