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. 2019 Jul 24;3(3):bjgpopen19X101653. doi: 10.3399/bjgpopen19X101653

Table 2. Mean changes of score between the three follow-up occasions (baseline, 3 years, and 10 years), regarding sun habits and sun protection behaviour, and the statistical significance according to the overall effect of time, group, and a combination of both.

Model results
Change in estimated marginal means Tests of fixed effects, P value
Letter Doctor's consultation Phototest
A B C A B C A B C Time Group Time x Group
Sun habits/sun protection behaviour
How often do you sunbathe with the intention to tan during the summer in Sweden? -0.17 -0.12 -0.29a -0.35b 0.06 -0.30a -0.37b -0.06 -0.43b <0.001 0.979 0.402
How often do you usually go on a ‘sun vacation‘ abroad? -0.02 0.04 0.01 -0.09 0.10 0.01 -0.01 0.10 0.09 0.220 0.748 0.897
Do you usually use a sunscreen when sunbathing? 0.16 -0.24 -0.08 -0.39a 0.21 -0.18 -0.09 -0.09 -0.18 0.125 0.787 0.032
If you use sunscreens, which sun protection factor do you choose? -0.19 -0.34 -0.54a -0.54a -0.30 -0.84b -0.23 -0.20 -0.43 <0.001 0.281 0.371
When in the sun, without intention to tan, how often do you use any of the following ways to protect from the sun:
(a) sunscreens 0.22 -0.22 0.00 -0.53b 0.19 -0.34 -0.07 -0.14 -0.20 0.093 0.457 0.004
(b) shirt or sweater with short sleeves -0.16 -0.07 -0.23 0.00 -0.25 -0.25 -0.19 -0.12 -0.31 0.009 0.805 0.708
(c) shirt or sweater with long sleeves -0.08 -0.00 -0.08 -0.22 0.06 -0.17 -0.16 -0.16 -0.32 0.018 0.199 0.654
(d) sun hat or cap -0.06 -0.03 -0.09 -0.24 -0.00 -0.24 -0.14 -0.06 -0.21 0.068 0.038 0.890
(e) trousers with long legs -0.23 0.09 -0.14 -0.35a -0.03 -0.38a -0.22 -0.00 -0.23 <0.001 0.864 0.677
(f) staying in the shade -0.11 -0.23 -0.34a -0.29c 0.04 -0.25 -0.18 -0.20 -0.38a <0.001 0.111 0.384
How many times have you been sunburnt during the past year? -0.09 0.04 -0.05 -0.19c -0.02 -0.21 -0.20c -0.07 -0.27a <0.001 0.907 0.291
How often do you use a sunbed? -0.15c -0.01 -0.17 -0.13 0.02 -0.11 -0.16c -0.15a -0.31b <0.001 0.542 0.109
How long do you usually stay in the sun between 11am and 3pm (Jun–Aug)? -0.30c -0.10 -0.40a -0.40a -0.18 -0.58b -0.06 -0.21 -0.27 <0.001 0.791 0.222
Propensity to increase sun protection
Giving up sunbathing -0.47a -0.17 -0.65b -0.63b -0.03 -0.66b -0.49a -0.24 -0.76b <0.001 0.510 0.909
Using clothes for sun protection -0.22 0.04 -0.17 -0.26 0.08 -0.18 -0.29 -0.07 -0.35 0.006 0.199 0.925
Using sunscreens -0.07 0.03 -0.05 -0.32 0.28 -0.04 -0.09 0.04 -0.05 0.131 0.557 0.658
Staying in the shade -0.34c 0.76b 0.42a -0.74b 0.93b 0.19 -0.22 0.82b 0.60b <0.001 0.626 0.073
Attitudes towards sun exposure
How do you like sunbathing? -0.11 -0.18 -0.29a -0.10 -0.00 -0.10 0.03 -0.11 -0.08 0.015 0.279 0.333
Do you think that the advantages of sunbathing outweigh the disadvantages? -0.29c -0.15 -0.44b -0.29 0.14 -0.15 -0.04 -0.22 -0.26 <0.001 0.885 0.139
How extensive do you consider the health risks of sunbathing? -0.06 -0.14 -0.20 -0.35a 0.19 -0.16 0.08 -0.05 -0.03 0.079 0.895 0.028
How extensive do you consider the risk for you to develop skin cancer? -0.11 -0.02 -0.14 -0.07 0.00 -0.06 0.00 -0.19 -0.19 0.034 0.329 0.531
How important is it for you to get tanned during the summer? -0.08 -0.11 -0.18c 0.01 -0.14 -0.13 -0.15 -0.13 -0.28a <0.001 0.077 0.542
SEPI score -0.45 -0.37 -0.82 -2.20b 0.15 -2.04b -1.20a -0.83 -2.04b <0.001 0.312 0.005

a P<0.01. b P<0.001. c P<0.05.

A = change baseline to 3 years. B = change 3 to 10 years. C = change baseline to 10 years.

A negative value indicates change towards lowered risk behaviour, increased propensity to change behaviour, and lowered risk attitude, respectively. Šidák adjustment for multiple comparisons.