Sun exposure and sun-protection behaviors and attitudes among US youth, 11to 18 years of age

Background. Adolescence is a high-risk period for the development of melano ma and nonmelanocytic skin cancers later in life. This study examines the p revalence and correlates of sun-protection practices among U.S. youth. Methods. During July-October, 1998, a national, population-based telephone survey was conducted (N = 1,192 paired interviews of youth and their parent s). Weighted prevalence and adjusted prevalence odds ratios and 95% confide nce intervals were estimated. Multiple logistic regression analyses examine d associations between sociodemographics, attitudes, and other modifiable c orrelates to specific behaviors. Results. Routinely practiced sun-protection behaviors among youth on sunny days were wearing sunglasses (32%) or long pants (21%), staying in the shad e (22%), and applying sunscreen (31%). Fifty-eight percent used a sunscreen with SPF greater than or equal to 15 when at the beach or pool. Age, sex, and sun sensitivity were associated with substantial variation in some sun- protection behaviors. Factors associated with specific sun-protection behav iors included a lower appeal to tanning, a higher perceived benefit of sun protection, and information from family and friends about sun protection. Conclusion. Effective sun protection is practiced by less than one-third of U.S. youth. This baseline survey will help to monitor progress in skin can cer prevention in this critical age group in the future. (C) 2001 American Health Foundation and Academic Press.