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

Lacson, John Charles A. ; Zamani, Shawn A. ; Froes, Luis Alberto Ribeiro ; Mitra, Nandita ; Qian, Lu ; Doyle, Scarlet H. ; Azizi, Esther ; Balestrini, Claudia ; Bishop, D. Timothy and Bruno, William , et al. (2021) In BMC Public Health 21(1).
Abstract

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... (More)

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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type
Contribution to journal
publication status
published
subject
keywords
High-risk families, Melanoma, Skin Cancer, Sun exposure, Sun-related behaviors, Sunbed, Sunburn, Sunscreen use, Trends
in
BMC Public Health
volume
21
issue
1
article number
692
publisher
BioMed Central (BMC)
external identifiers
  • pmid:33888076
  • scopus:85104702573
ISSN
1471-2458
DOI
10.1186/s12889-021-10424-5
project
MISS (Melanoma in Southern Sweden) population based cohort of 40 000 women
language
English
LU publication?
yes
id
ed27964f-b870-4272-8035-d35a42719b79
date added to LUP
2021-05-10 15:54:24
date last changed
2025-01-13 07:57:45
@article{ed27964f-b870-4272-8035-d35a42719b79,
  abstract     = {{<p>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.</p>}},
  author       = {{Lacson, John Charles A. and Zamani, Shawn A. and Froes, Luis Alberto Ribeiro and Mitra, Nandita and Qian, Lu and Doyle, Scarlet H. and Azizi, Esther and Balestrini, Claudia and Bishop, D. Timothy and Bruno, William and Carlos-Ortega, Blanca and Cuellar, Francisco and Cust, Anne E. and Elder, David E. and Gerdes, Anne Marie and Ghiorzo, Paola and Grazziotin, Thais C. and Gruis, Nelleke A. and Hansson, Johan and Hočevar, Marko and Höiom, Veronica and Holland, Elizabeth A. and Ingvar, Christian and Landman, Gilles and Larre-Borges, Alejandra and Mann, Graham J. and Molgo, Montserrat and Moredo, Luciana Facure and Olsson, Håkan and Out-Luiting, Jacoba J. and Perić, Barbara and Pjanova, Dace and Puig, Susana and Salas-Alanis, Julio and Schmid, Helen and Wadt, Karin A.W. and Newton-Bishop, Julia A. and Kanetsky, Peter A.}},
  issn         = {{1471-2458}},
  keywords     = {{High-risk families; Melanoma; Skin Cancer; Sun exposure; Sun-related behaviors; Sunbed; Sunburn; Sunscreen use; Trends}},
  language     = {{eng}},
  number       = {{1}},
  publisher    = {{BioMed Central (BMC)}},
  series       = {{BMC Public Health}},
  title        = {{Birth cohort-specific trends of sun-related behaviors among individuals from an international consortium of melanoma-prone families}},
  url          = {{http://dx.doi.org/10.1186/s12889-021-10424-5}},
  doi          = {{10.1186/s12889-021-10424-5}},
  volume       = {{21}},
  year         = {{2021}},
}