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      Sun-protective behaviors and sunburn among US adults

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          Abstract

          Individuals can reduce the risk of developing skin cancer by minimizing ultraviolet sunlight exposure, though recent trends in sun-protective behaviors remain to be investigated. To evaluate sun-protective behaviors and sunburn among US adults. We analyzed data from the 2010, 2015, and 2020 National Health Interview Survey (NHIS), an annual, cross-sectional survey conducted by the US Census Bureau. Multivariable regression models were stratified by demographic variables and constructed to evaluate sun-protective behaviors and sunburn avoidance across time. From 2010 through 2020, US adults had significantly increased prevalence of seeking shade ( p value, 0.003), wearing wide-brimmed hats (< 0.001), wearing long-sleeved shirts (< 0.001), using sunscreen (< 0.001), and avoiding sunburns (< 0.001) and significantly decreased prevalence of sun avoidance (< 0.001). Disparities in sun-protective behaviors also exist among different sexes, ages, education levels, and those reporting higher sun sensitivity. This cross-sectional study found that by 2020, US adults had an increased prevalence of wearing sun-protective clothing and sunscreen use, though decreased prevalence of sun avoidance. Although certain sun-protective behaviors have become more prevalent, the incidence of skin cancer continues to rise. Efforts to understand drivers of sun-protective behaviors and targeted intervention efforts are needed.

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          Incidence Estimate of Nonmelanoma Skin Cancer (Keratinocyte Carcinomas) in the U.S. Population, 2012.

          Howard W Rogers, Martin Weinstock, Steven Feldman … (2015)
          Understanding skin cancer incidence is critical for planning prevention and treatment strategies and allocating medical resources. However, owing to lack of national reporting and previously nonspecific diagnosis classification, accurate measurement of the US incidence of nonmelanoma skin cancer (NMSC) has been difficult.
          Article 0 comments Cited 282 times – based on 0 reviews     Review now
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            Is Open Access

            Estimated Projection of US Cancer Incidence and Death to 2040

            Lola Rahib, Mackenzie R. Wehner, Lynn Matrisian … (2021)
            Question How will the landscape of cancer incidences and deaths change in the next 2 decades? Findings In this cross-sectional study, the results estimate that leading cancer incidences and deaths in the US will be notably different in the year 2040 compared with current rankings. Estimates included increases in melanoma incidence, pancreatic cancer deaths, and liver cancer deaths, and decreases in prostate cancer incidence and breast cancer deaths. Meaning These estimates will be important to guide research, health care, and health policy efforts and emphasize the importance of cancer screening, early detection, and prevention. This cross-sectional study examines recent data from the Surveillance, Epidemiology, and End Results Program and US Census to estimate projections for US cancer incidence and deaths to 2040. Importance Coping with the current and future burden of cancer requires an in-depth understanding of trends in cancer incidences and deaths. Estimated projections of cancer incidences and deaths will be important to guide future research funding allocations, health care planning, and health policy efforts. Objective To estimate cancer incidences and deaths in the United States to the year 2040. Design and Setting This cross-sectional study’s estimated projection analysis used population growth projections and current population-based cancer incidence and death rates to calculate the changes in incidences and deaths to the year 2040. Cancer-specific incidences and deaths in the US were estimated for the most common cancer types. Demographic cancer-specific delay-adjusted incidence rates from the Surveillance, Epidemiology, and End Results Program were combined with US Census Bureau population growth projections (2016) and average annual percentage changes in incidence and death rates. Statistical analyses were performed from July 2020 to February 2021. Main Outcomes and Measures Total cancer incidences and deaths to the year 2040. Results This study estimated that the most common cancers in 2040 will be breast (364 000 cases) with melanoma (219 000 cases) becoming the second most common cancer; lung, third (208 000 cases); colorectal remaining fourth (147 000 cases); and prostate cancer dropping to the fourteenth most common cancer (66 000 cases). Lung cancer (63 000 deaths) was estimated to continue as the leading cause of cancer-related death in 2040, with pancreatic cancer (46 000 deaths) and liver and intrahepatic bile duct cancer (41 000 deaths) surpassing colorectal cancer (34 000 deaths) to become the second and third most common causes of cancer-related death, respectively. Breast cancer (30 000 deaths) was estimated to decrease to the fifth most common cause of cancer death. Conclusions and Relevance These findings suggest that there will be marked changes in the landscape of cancer incidence and deaths by 2040.
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              The epidemiology of UV induced skin cancer

              Bruce Armstrong, Anne Kricker (2001)
              Article 0 comments Cited 259 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                John G. Zampella: John.Zampella@nyulangone.org
                Journal
                Journal ID (nlm-ta): Arch Dermatol Res
                Journal ID (iso-abbrev): Arch Dermatol Res
                Title: Archives of Dermatological Research
                Publisher: Springer Berlin Heidelberg (Berlin/Heidelberg )
                ISSN (Print): 0340-3696
                ISSN (Electronic): 1432-069X
                Publication date (Electronic): 15 February 2023
                Pages: 1-10
                Affiliations
                [1 ]GRID grid.137628.9, ISNI 0000 0004 1936 8753, The Ronald O. Perelman Department of Dermatology, , New York University Grossman School of Medicine, ; 555 Madison Ave, New York, NY 10022 USA
                [2 ]GRID grid.137628.9, ISNI 0000 0004 1936 8753, New York University Grossman School of Medicine, ; New York, NY USA
                Article
                Publisher ID: 2547
                DOI: 10.1007/s00403-023-02547-z
                PMC ID: 9930066
                PubMed ID: 36790452
                SO-VID: 6038a19a-4456-4d8d-8d98-588b81396d42
                Copyright © © The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023, Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
                License:

                This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.

                History
                Date received : 31 October 2022
                Date revision received : 17 January 2023
                Date accepted : 22 January 2023
                Categories
                Subject: Original Paper

                ScienceOpen disciplines: Dermatology
                Keywords: sun protection,sunburn,behaviors,skin cancer,sunscreen,epidemiology
                Data availability:
                ScienceOpen disciplines: Dermatology
                Keywords: sun protection, sunburn, behaviors, skin cancer, sunscreen, epidemiology

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