Table 2.
Select quotes by theme, Skin Cancer Qualitative Assessment Study, 2017.
Theme | Supporting Quote | Sex | Race/ethnicity | Age | Location | Risk group |
---|---|---|---|---|---|---|
Exposure to skin cancer messaging | (q1) “I see the selfies of the sunburns on Snapchat [laughs]…They just say like, ‘I'm paying the price, I got all sunburned,’ something like that, show the skin.” | M | HIS | 18–29 | L.A. | L |
(q2) “When I used to work on the beach, same thing, supervisor or the manager would be, “Hey, you got to put on some sunblock. Let me get you a hat. If we didn't have a hat, he'd go into this gift shop, buy us one all the time, at least for myself.” | M | HIS | 30–44 | Miami | E | |
(q3) “I went to a Marine Corps boot camp, they always told you about sunblock, sunscreen. They're not on your butt about it, but because mostly they tell you to do because you're going to be in the sun every day, all day long. They pushed it to where you buy it yourself. There's a little store inside the base and you go there whenever they allow you to and you buy it. You buy a bunch so you don't go back.” | M | HIS | 18–29 | Chicago | E | |
Beliefs and behaviors about sun protection and skin cancer | (q4) “I used [tanning beds] when I was younger because I was a cheerleader… and my legs would be out and some of the white girls were darker than me because they went to the tanning bed, so then I felt like I had to, too.” | F | AA | 30–44 | Atlanta | E |
(q5) “I think like four years ago, so I was 18…At that time, I was into the working out, bodybuilding type of thing, you work out, you tan, whatever… I just didn't like it. It's like one of them things you're just better off being natural.” | M | AA | 30–44 | Chicago | E | |
(q6) “I would use the sunscreens, but I sweat a lot and if you sweat a lot it don't really do that much. Most of the time I wear long sleeves when I'm working to keep my skin covered.” | M | AA | 18–29 | Atlanta | E | |
(q7) “I just feel like if I put on sunscreen [it is] more for beauty reasons, not for health reasons. If I put on sunscreen it's because I don't want my face to be darker than my body, but not necessarily because of cancer, or skin cancer.” | F | AA | 18–29 | Miami | E | |
(q8) “I've never really again been like, ‘Oh, I have to cover up or put on sunscreen,’ even when I go to the beach. I went out in the country, last week, I see everybody putting on sunscreen, I'm like, ‘Oh, it's OK.’ I guess, Blacks, we never really needed sunscreen, it is what it is when we go outside. For the most part, that's what it is, just put on some shorts and go” | M | AA | 18–29 | Atlanta | E | |
Perceived personal risk | (q9) “Skin cancer for us isn't widely known in our communities. I know for me, in my family, so it's not hereditary, so I wouldn't have a concern about it. I probably wouldn't have concerns.” | M | AA | 30–44 | Atlanta | L |
(q10) “I really didn't think Blacks would get it. I always thought it would be white people, so that's why I guess I didn't take it serious.” | F | AA | 18–44 | Miami | E | |
(q11) “Growing up, nobody really talked about skin cancer at all. [laughs] It's more about, unfortunately, it's more about colorism, more about getting darker. Old people, I remember would say, ‘Get out of the sun. Don't get so dark.’ I would remember that more so than anybody really caring about skin cancer or caring about my health. I was just more about color, complexion.” | M | AA | 30–44 | Atlanta | L | |
(q12) “I don't really think about skin cancer. I don't really think about protecting my skin. I, usually, play sports in the sun. I never thought about it as a kid. I never thought about it as a young adult. For me, I feel like my skin color is what protects me from the sun.” | M | AA | 30–44 | Miami | L | |
(q13) “We don't think we can get sunburned and a lot of time we do, we just don't realize we are burned […] I was out for so long with a tank top and not realizing that I could get burned and peel, and burning until it happened to me. I'm like, ‘Wow, we do get burned.’ We do need to protect our skin.” | F | AA | 30–44 | Miami | L | |
(q14) “I was livid when I found out I was low in vitamin D from my doc. I was mad. I work in the sun eight hours a flipping day. I don't get it.” | F | AA | 30–44 | Miami | L | |
(q15) “Just because all the Latino areas that you can think of are very close to the equator. Everything close to the equator, everyone has dark skin and then if you think of people who are from Norway or away from the equator, [they are] super white.” | F | HIS | 18–29 | Chicago | L | |
(q16) “Grandpa, great-grandpa, nobody has had any skin cancer. They always worked on the farms. Why would I get it? If I'm not in the sun.” | M | HIS | 18–29 | L.A. | E | |
(q17) “I sometimes tan, and I've never looked that up because everybody tells me, ‘That's bad, you're going to get cancer.’ I'm like, ‘I don't want to hear it. I don't want to know, my skin looks beautiful.” | F | HIS | 30–44 | Chicago | E |
Abbreviations: F = female; M = male; L = low risk; E = elevated risk; L.A. = Los Angeles; AA = black/African American; HIS=Hispanic/Latino.