Skip to main content
Canadian Journal of Public Health = Revue Canadienne de Santé Publique logoLink to Canadian Journal of Public Health = Revue Canadienne de Santé Publique
. 2002 Nov 1;93(6):470–474. doi: 10.1007/BF03405042

Predictors of Sun Protection in Canadian Adults

Mark P Purdue 1,
PMCID: PMC6979931  PMID: 12448874

Abstract

Objective: An analysis of Canadian survey data was performed to identify independent predictors of different protective behaviours and of their use in combination.

Methods: Data from light-skinned respondents of the 1996 National Survey on Sun Exposure & Protective Behaviours who spent 30+ minutes per day of their leisure time in the sun (N=1,027) were analyzed. Multivariable logistic regression models were developed to identify independent predictors of four types of sun protection behaviour (avoiding the sun between 11 a.m. and 4 p.m., seeking shade, wearing protective clothing, applying sunscreen to the body) and of their use in combination.

Results: Eighty-one percent of respondents reported performing at least one protective behaviour; each behaviour was practised by between 40% and 48% of individuals. Respondents more likely to perform the behaviours in combination were older individuals, women and those who did not report being unconcerned about sun protection, wanting a tan, finding sun protection inconvenient or being forgetful about protecting oneself from the sun. These characteristics were generally found to predict each of the individual behaviours, with some notable exceptions (women were less likely than men to wear protective clothing; older individuals were less likely to report sunscreen use). Individuals with a higher education level were more likely to report wearing protective clothing and applying sunscreen. Similarly, respondents reporting a higher income level reported sunscreen use more often.

Interpretation: These findings suggest predictors of sun protection to be considered for the targeting of sun safety initiatives to Canadians with poor sun protection practices.

References

  • 1.Gaudette LA, Gao RN. Changing trends in melanoma incidence and mortality. Health Rep. 1998;10(2):29–41. [PubMed] [Google Scholar]
  • 2.Armstrong BK, Kricker A. How much melanoma is caused by sun exposure? Melanoma Res. 1993;3(6):395–401. doi: 10.1097/00008390-199311000-00002. [DOI] [PubMed] [Google Scholar]
  • 3.Koh HK. Preventive strategies and research for ultraviolet-associated cancer. Environ Health Perspect. 1995;103(Suppl8):255–57. doi: 10.1289/ehp.95103s8255. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 4.Mills CJ, Jackson S. Public education messages for reducing health risks from ultraviolet radiation. Chronic Dis Can. 1995;16(1):33–36. [PubMed] [Google Scholar]
  • 5.Campbell HS, Birdsell JM. Knowledge, beliefs and sun protection behaviors of Alberta adults. Prev Med. 1994;23:160–66. doi: 10.1006/pmed.1994.1022. [DOI] [PubMed] [Google Scholar]
  • 6.Shoveller JA, Lovato CY, Peters L, Rivers JK. Canadian National Survey on Sun Exposure & Protective Behaviours: Adults at leisure. Cancer Prev Control. 1998;2(3):111–16. [PubMed] [Google Scholar]
  • 7.English DR, Armstrong BK, Kricker A, Winter MG, Heenan PJ, Randell PL. Case-control study of sun exposure and squamous cell carcinoma of the skin. Int J Cancer. 1995;60:489–94. doi: 10.1002/ijc.2910600411. [DOI] [PubMed] [Google Scholar]
  • 8.Elwood M, Jopson J. Melanoma and sun exposure: An overview of published studies. Int J Cancer. 1997;73:198–203. doi: 10.1002/(SICI)1097-0215(19971009)73:2<198::AID-IJC6>3.0.CO;2-R. [DOI] [PubMed] [Google Scholar]
  • 9.Whiteman DC, Whiteman CA, Green AC. Childhood sun exposure as a risk factor for melanoma: A systematic review of epidemiologic studies. Cancer Causes Control. 2001;12:69–82. doi: 10.1023/A:1008980919928. [DOI] [PubMed] [Google Scholar]
  • 10.Hall HI, May DS, Lew RA, Koh MK, Nadel M. Sun protection behaviors of the U.S. White population. Prev Med. 1997;26:401–7. doi: 10.1006/pmed.1997.0168. [DOI] [PubMed] [Google Scholar]
  • 11.Hoegh HJ, Davis BD, Manthe AF. Sun avoidance practices among non-Hispanic White Californians. Health Educ Behav. 1999;26(3):360–68. doi: 10.1177/109019819902600306. [DOI] [PubMed] [Google Scholar]
  • 12.Lovato CY, Shoveller JA, Peters L, Rivers JK. Canadian National Survey on Sun Exposure & Protective Behaviours: Methods. Cancer Prev Control. 1998;2(3):105–9. [PubMed] [Google Scholar]
  • 13.Statistics Canada, Special Surveys Division. 1996 Sun Exposure Survey: Microdata User’s Guide. Ottawa: Statistics Canada; 1997. [Google Scholar]
  • 14.Weinstock MA, Colditz GA, Willett WC, Stampfer MJ, Bronstein BR, Mihm MC, Jr., et al. Nonfamilial cutaneous melanoma incidence in women associated with sun exposure before 20 years of age. Pediatrics. 1989;84(2):199–204. [PubMed] [Google Scholar]
  • 15.Zanetti R, Rosso S, Martinez C, Navarro C, Schraub S S-C, et al. The multicentre south European study ‘Helios’. I. Skin characteristics and sunburns in basal cell and squamous cell carcinomas of the skin. Br J Cancer. 1996;73:1440–46. doi: 10.1038/bjc.1996.274. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 16.Elwood JM, Gallagher RP. Sun exposure and the epidemiology of melanoma. In: Gallagher RP, Elwood JM, editors. Epidemiological Aspects of Cutaneous Malignant Melanoma. Boston: Kluwer Academic; 1994. pp. 15–66. [Google Scholar]
  • 17.Miller DL, Weinstock MA. Nonmelanoma skin cancer in the United States: Incidence. J Am Acad Dermatol. 1994;30:774–77. doi: 10.1016/S0190-9622(08)81509-5. [DOI] [PubMed] [Google Scholar]
  • 18.Berwick M, Fine JA, Bolognia JL. Sun exposure and sunscreen use following a community skin cancer screening. Prev Med. 1992;21:302–10. doi: 10.1016/0091-7435(92)90029-H. [DOI] [PubMed] [Google Scholar]
  • 19.Hourani LL, LaFleur B. Predictors of gender differences in sunscreen use and screening outcome among skin cancer screening participants. J Behav Med. 1995;18(5):461–77. doi: 10.1007/BF01904774. [DOI] [PubMed] [Google Scholar]
  • 20.Rosenman KD, Gardiner J, Swanson GM, Mullan P, Zhu Z. Use of skin-cancer prevention strategies among farmers and their spouses. Am J Prev Med. 1995;11(5):342–47. doi: 10.1016/S0749-3797(18)30441-0. [DOI] [PubMed] [Google Scholar]
  • 21.Arthey S, Clarke VA. Suntanning and sun protection: A review of the psychological literature. Soc Sci Med. 1995;40(2):265–74. doi: 10.1016/0277-9536(94)E0063-X. [DOI] [PubMed] [Google Scholar]

Articles from Canadian Journal of Public Health = Revue Canadienne de Santé Publique are provided here courtesy of Springer

RESOURCES