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Elliot J. Coups - One of the best experts on this subject based on the ideXlab platform.
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Associations between linguistic acculturation and skin cancer knowledge and beliefs among U.S. Hispanic adults
Preventive medicine reports, 2019Co-Authors: Adrienne Viola, Jerod L. Stapleton, Elliot J. CoupsAbstract:Abstract The incidence of melanoma among U.S. Hispanics is rising and Hispanics have poorer melanoma survival compared to non-Hispanic whites. Acculturation has been linked with skin cancer-related behaviors among Hispanic individuals, such that Hispanic individuals who are more acculturated to U.S. norms and attitudes have been found to use Sunscreen more frequently, to seek shade and use Sun Protective Clothing less often, to Sunbathe and indoor tan more frequently, and to have more Sunburns than less acculturated individuals. However, little is known about factors that may account for the effect of acculturation on such behaviors and outcomes. The goal of this study was to examine the association between linguistic acculturation and skin cancer-related knowledge and beliefs among Hispanic adults. 788 Hispanic adults completed an online survey measuring linguistic acculturation, Sun protection knowledge, perceived skin cancer risk, perceived severity, perceived worry, skin color preference, perceived Suntan benefits, photo-aging concerns, Sun protection norms, tanning norms and skin cancer fatalism. Compared with Spanish-acculturated Hispanics, English-acculturated Hispanics had greater knowledge, lower levels of perceived risk of skin cancer, lower perceived severity of skin cancer, less worry about skin cancer, greater perceived Suntan benefits, and lower photo-aging concerns. This study highlights the importance of considering an individual's level of acculturation when designing skin cancer prevention interventions. Additional research is warranted to develop and test culturally relevant, tailored interventions to reduce the risks of skin cancer among U.S. Hispanics.
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Society of Behavioral Medicine Position Statement: promote Sun-safety policies and practices for youth in educational, childcare, and recreational settings.
Translational behavioral medicine, 2019Co-Authors: Carolyn J. Heckman, Elliot J. Coups, Mary Riley, Jerod L. StapletonAbstract:Youth should be allowed and encouraged to engage in Sun-safe behaviors in educational, childcare, and recreational settings, including use of Sunscreen, wide-brimmed hats, other Sun-Protective Clothing, and shade.
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Parent and Child Characteristics Associated with Child Sunburn and Sun Protection Among U.S. Hispanics
Pediatric Dermatology, 2017Co-Authors: Jerod L. Stapleton, Ana Natale-pereira, James S. Goydos, Elliot J. CoupsAbstract:Background/Objectives Skin cancer incidence has been increasing in U.S. Hispanics over several decades and the postdiagnosis outcomes are worse for Hispanics than for non-Hispanic whites. Parents are influential in children's health preventive behaviors, but little is known about parental factors associated with children's skin cancer–related behaviors in the U.S. Hispanic population. The present study examined parental and child correlates of skin cancer–related behaviors (Sunburns, Sunbathing, Sun-Protective Clothing use, and Sunscreen use) of children of Hispanic parents. Methods This survey study included a population-based sample of 360 U.S. Hispanic parents (44.8% male) who had a child 14 years of age or younger. Measures included parental reports of parent and child demographic characteristics, parent skin cancer knowledge and linguistic acculturation, and parent and child skin cancer–related behaviors. Results Approximately 28% of children and 31.9% of parents experienced at least one Sunburn in the past year and approximately 29% of children and 36.7% of parents were reported to Sunbathe. Moderate use of Sun-Protective Clothing and Sunscreen was reported for parents and their children. Child Sun-Protective Clothing use and Sunscreen use, Sunburns, and Sunbathing were associated with the corresponding behaviors of their parents. Conclusions Future research should consider the role of acculturation and perceived risk in the Sun protection behaviors of U.S. Hispanic children, particularly in those who report a fair skin type. Hispanic parents should be included in interventions targeting their children's skin cancer–related behaviors, and it is suggested that such interventions could also encourage parents to improve their own behaviors.
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Psychosocial correlates of Sun protection behaviors among U.S. Hispanic adults
Journal of Behavioral Medicine, 2014Co-Authors: Elliot J. Coups, Jerod L. Stapleton, Shawna V. Hudson, Amanda Medina-forrester, Stephen A. Rosenberg, Marsha A. Gordon, Kristina S. Tatum, Sharon L. Manne, June K. Robinson, Ana Natale-pereiraAbstract:The incidence of skin cancer among U.S. Hispanics increased 1.3 % annually from 1992 to 2008. However, little research has focused on skin cancer prevention among the rapidly growing Hispanic population. In this study, we examined theory-driven, psychosocial correlates of Sun protection behaviors in a population-based sample of 787 Hispanic adults (49.6 % female, mean age = 41.0 years) residing in five southern or western U.S. states. Participants completed an English- or Spanish-language online survey in September 2011. The outcomes of focus were Sunscreen use, shade seeking, and use of Sun Protective Clothing. The correlates included Suntan benefits, Sun protection benefits and barriers, skin color preference, perceived natural skin protection, photo-aging concerns, perceived skin cancer risk, skin cancer worry, skin cancer fatalism, and Sun protection descriptive norms. Results of multiple linear regression analyses revealed the following: Sun protection barriers were negatively associated with each outcome; descriptive norms were positively associated with each outcome; perceived natural skin protection was inversely associated with Sunscreen use; skin cancer worry was positively associated with shade seeking and use of Sun Protective Clothing; skin cancer fatalism was negatively associated with shade seeking; and skin color preference was negatively associated with use of Sun Protective Clothing. A number of additional statistically significant associations were identified in bivariate correlation analyses. This study informs the potential content of interventions to promote engagement in Sun protection behaviors among U.S. Hispanics.
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Psychosocial correlates of Sun protection behaviors among U.S. Hispanic adults Elliot J. CoupsJerod L. StapletonSharon L. ManneShawna V. Hudson • Amanda Medina-ForresterStephen A. RosenbergMarsha Gordon • Kristina S. TatumJune K. RobinsonAna Natale-P
2014Co-Authors: Kristina S. Tatum, Elliot J. Coups, Jerod L. Stapleton, Shawna V. Hudson, James S. Goydos, Rutgers Robert, V. Hudson, Sharon L. Manne, June K. RobinsonAbstract:The incidence of skin cancer among U.S. His- panics increased 1.3 % annually from 1992 to 2008. However, little research has focused on skin cancer pre- vention among the rapidly growing Hispanic population. In this study, we examined theory-driven, psychosocial cor- relates of Sun protection behaviors in a population-based sample of 787 Hispanic adults (49.6 % female, mean age = 41.0 years) residing in five southern or western U.S. states. Participants completed an English- or Spanish-lan- guage online survey in September 2011. The outcomes of focus were Sunscreen use, shade seeking, and use of Sun Protective Clothing. The correlates included Suntan bene- fits, Sun protection benefits and barriers, skin color pref- erence, perceived natural skin protection, photo-aging concerns, perceived skin cancer risk, skin cancer worry, skin cancer fatalism, and Sun protection descriptive norms. Results of multiple linear regression analyses revealed the following: Sun protection barriers were negatively associ- ated with each outcome; descriptive norms were positively associated with each outcome; perceived natural skin pro- tection was inversely associated with Sunscreen use; skin cancer worry was positively associated with shade seeking and use of Sun Protective Clothing; skin cancer fatalism was negatively associated with shade seeking; and skin color preference was negatively associated with use of Sun pro- tective Clothing. A number of additional statistically sig- nificant associations were identified in bivariate correlation analyses. This study informs the potential content of interventions to promote engagement in Sun protection behaviors among U.S. Hispanics.
Simone L. Harrison - One of the best experts on this subject based on the ideXlab platform.
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Towards parametric modelling of skin cancer risk: estimation of body surface area covered by Protective Clothing using base mesh modelling
Advances in Intelligent Systems and Computing, 2018Co-Authors: Leyde Briceno, Simone L. Harrison, Gunther PaulAbstract:The accumulated exposure to ultra-violet radiation creates an occupational and public health risk, and is carcinogenic to humans. The body surface area coverage by Clothing (BSAC) contributes to skin cancer risk, and is a requirement in international standards on Sun Protective Clothing, such as AS/NZS 4399:2017. BSAC is usually calculated utilising human subjects or physical mannequins using coating methods, indirect methods or direct measurements estimating the fraction of body covered. These methods are laborious and inflexible, and do not support computer based apparel design. To obtain a simpler, process integrated method, we determine the proportion of exposed body surface area using variable digital human models as virtual subjects, and image processing tools. Parametric, neutral posture human bodies of varying body stature, weight and age, including females and males, were generated in MakeHuman v1.1.1, and a Protective Clothing mesh, covering the minimum BSA specified in AS/NZS 4399:2017 was added. The MakeHuman definition of a human is based on fuzzy logic, with the main parameters normalised, and linked in a non-linear relation. The Whole Body Surface Area (WBSA) and the BSAC were obtained employing MeshLab, integrating elements on the respective surfaces, which were processed to improve precision. A procedure was developed to control geometric inconsistencies between the body base mesh and the Clothing mesh. Thus different representative, generalized groups of subjects were analysed to explore BSAC. The method assists in the evaluation of exposed body areas in a wider spectrum of different occupations with their respective typical Protective Clothing conditions.
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the garment protection factor gpf an index for Sun Protective Clothing that combines garment coverage and uvr transmittance
2018Co-Authors: Simone L. Harrison, Alex Rawlings, Nathan Downs, Alfio V. ParisiAbstract:Introduction: Clothing provides a Protective barrier that reduces the amount of ultraviolet radiation (UVR) reaching the skin. Industry standards for Sun-Protective Clothing have been implemented in Australia/New Zealand, Europe, and the USA. However, ratings and labelling used for Clothing marketed as Sun-Protective do not routinely communicate the importance of garment coverage, although evidence suggests that this may be as important in preventing skin damage as the UVR-transmittance of the fabric. We propose a new index for Sun-Protective Clothing called 'the Garment Protection Factor (GPF)' which considers both the body surface area (BSA) covered by a garment and the Ultraviolet Protection Factor (UPF) of the fabric from which it is made. Methods: Manikins (range of sizes and ages) were fixed to an optical bench and marked with horizontal lines at 1 cm intervals. The GPF algorithm was developed based on the number of lines visible on clothed versus unclothed manikins and the UPF of the garment fabric. Results: The GPF weights fabric UPF by the BSA-covered above the minimum specified in international Sun-Protective Clothing standards for upper-body, lower-body and all-in-one garments. GPF increases with BSA-covered and UPF. Three nominal categories are proposed: 0 ≤GPF<3 for garments that 'meet' minimum standards; 3 ≤GPF< 6 for garments that provide 'good' Sun-protection; and GPF ≥6 for garments that provide ‘excellent’ protection. Conclusions: The proposed GPF provides a means by which garment design (in terms of proportion of skin covered) and fabric UPF can be reported in a single index. Adopting the GPF would encourage manufacturers to design Sun-Protective garments that exceed the minimum standard for BSA-coverage. The research may also assist efforts to standardize the evaluation and labelling of Sun-Protective Clothing across global markets, with positive implications for consumer awareness and skin cancer prevention world-wide.
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The Garment Protection Factor (GPF): an index for Sun-Protective Clothing that combines garment coverage and UVR transmittance
2018Co-Authors: Simone L. Harrison, Alex Rawlings, Nathan Downs, Alfio V. ParisiAbstract:Introduction: Clothing provides a Protective barrier that reduces the amount of ultraviolet radiation (UVR) reaching the skin. Industry standards for Sun-Protective Clothing have been implemented in Australia/New Zealand, Europe, and the USA. However, ratings and labelling used for Clothing marketed as Sun-Protective do not routinely communicate the importance of garment coverage, although evidence suggests that this may be as important in preventing skin damage as the UVR-transmittance of the fabric. We propose a new index for Sun-Protective Clothing called 'the Garment Protection Factor (GPF)' which considers both the body surface area (BSA) covered by a garment and the Ultraviolet Protection Factor (UPF) of the fabric from which it is made. Methods: Manikins (range of sizes and ages) were fixed to an optical bench and marked with horizontal lines at 1 cm intervals. The GPF algorithm was developed based on the number of lines visible on clothed versus unclothed manikins and the UPF of the garment fabric. Results: The GPF weights fabric UPF by the BSA-covered above the minimum specified in international Sun-Protective Clothing standards for upper-body, lower-body and all-in-one garments. GPF increases with BSA-covered and UPF. Three nominal categories are proposed: 0 ≤GPF
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A comprehensive approach to evaluating and classifying Sun-Protective Clothing.
British Journal of Dermatology, 2018Co-Authors: Nathan Downs, Simone L. HarrisonAbstract:Background: National standards for Clothing designed to protect the wearer from the harmful effects of solar ultraviolet radiation (UVR) have been implemented in Australia/New Zealand, Europe, and the USA. Industry standards reflect the need to protect the skin by covering a considerable proportion of the potentially exposed body surface area (BSA) and by reducing UVR-transmission through fabric (the Ultraviolet Protection Factor; UPF). Objectives: This research aimed to develop a new index for rating Sun-Protective Clothing that incorporates the BSA coverage of the garment in addition to the UPF of the fabric. Methods: A mannequin model was fixed to an optical bench and marked with horizontal lines at 1 cm intervals. An algorithm (the Garment Protector Factor; GPF) was developed based on the number of lines visible on the clothed versus unclothed mannequin and the UPF of the garment textile. This data was collected in 2015-16 and analysed in 2016. Results: The GPF weights fabric UPF by BSA coverage above the minimum required by international Sun-Protective Clothing standards for upper-body, lower-body and full-body garments. GPF increases with BSA coverage of the garment and fabric UPF. Three nominal categories are proposed for the GPF: 0 ≤ GPF < 3 for garments that 'meet' minimum standards; 3 ≤ GPF < 6 for garments providing 'good' Sun-protection; and GPF ≥ 6 indicating 'excellent' protection. Conclusions: Adoption of the proposed rating scheme should encourage manufacturers to design Sun-Protective garments that exceed the minimum standard for BSA coverage, with positive implications for skin cancer prevention, consumer education and Sun-protection awareness.
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Sun Protective behaviors at an outdoor entertainment event in Australia.
Nursing & Health Sciences, 2017Co-Authors: Fiona Barrett, Simone L. Harrison, Cindy Woods, Jane Nikles, Kim Usher, Jane ConwayAbstract:An observational study was conducted to examine the use of Sun Protective hats, Clothing, and Sunglasses of people attending an outdoor entertainment event in an area of high-to-extreme ultraviolet radiation in New South Wales, Australia. Armidale is unique, as it is a highly-elevated area, almost 1000 m above sea level, and temperatures are often mild with very high-to-extreme levels of ultraviolet radiation. Four trained data collectors observed attendees as they entered the event, and recorded their use of Sun Protective hats, Clothing, and Sunglasses. While more than half of the attendees wore Sun Protective hats, only 14% wore Sun Protective Clothing. Broadbrimmed hats were considered Sun Protective, while Sun Protective Clothing was defined by shirts with at least three-quarter-length sleeves. Females were more likely to wear both a Sun Protective hat and Clothing than males, and children were less protected than adults. Legislative changes are required to ensure that organizers of outdoor events have a legal responsibility to provide a safe environment for attendees, including strategies to help reduce ultraviolet radiation exposure.
Jerod L. Stapleton - One of the best experts on this subject based on the ideXlab platform.
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Associations between linguistic acculturation and skin cancer knowledge and beliefs among U.S. Hispanic adults
Preventive medicine reports, 2019Co-Authors: Adrienne Viola, Jerod L. Stapleton, Elliot J. CoupsAbstract:Abstract The incidence of melanoma among U.S. Hispanics is rising and Hispanics have poorer melanoma survival compared to non-Hispanic whites. Acculturation has been linked with skin cancer-related behaviors among Hispanic individuals, such that Hispanic individuals who are more acculturated to U.S. norms and attitudes have been found to use Sunscreen more frequently, to seek shade and use Sun Protective Clothing less often, to Sunbathe and indoor tan more frequently, and to have more Sunburns than less acculturated individuals. However, little is known about factors that may account for the effect of acculturation on such behaviors and outcomes. The goal of this study was to examine the association between linguistic acculturation and skin cancer-related knowledge and beliefs among Hispanic adults. 788 Hispanic adults completed an online survey measuring linguistic acculturation, Sun protection knowledge, perceived skin cancer risk, perceived severity, perceived worry, skin color preference, perceived Suntan benefits, photo-aging concerns, Sun protection norms, tanning norms and skin cancer fatalism. Compared with Spanish-acculturated Hispanics, English-acculturated Hispanics had greater knowledge, lower levels of perceived risk of skin cancer, lower perceived severity of skin cancer, less worry about skin cancer, greater perceived Suntan benefits, and lower photo-aging concerns. This study highlights the importance of considering an individual's level of acculturation when designing skin cancer prevention interventions. Additional research is warranted to develop and test culturally relevant, tailored interventions to reduce the risks of skin cancer among U.S. Hispanics.
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Society of Behavioral Medicine Position Statement: promote Sun-safety policies and practices for youth in educational, childcare, and recreational settings.
Translational behavioral medicine, 2019Co-Authors: Carolyn J. Heckman, Elliot J. Coups, Mary Riley, Jerod L. StapletonAbstract:Youth should be allowed and encouraged to engage in Sun-safe behaviors in educational, childcare, and recreational settings, including use of Sunscreen, wide-brimmed hats, other Sun-Protective Clothing, and shade.
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Parent and Child Characteristics Associated with Child Sunburn and Sun Protection Among U.S. Hispanics
Pediatric Dermatology, 2017Co-Authors: Jerod L. Stapleton, Ana Natale-pereira, James S. Goydos, Elliot J. CoupsAbstract:Background/Objectives Skin cancer incidence has been increasing in U.S. Hispanics over several decades and the postdiagnosis outcomes are worse for Hispanics than for non-Hispanic whites. Parents are influential in children's health preventive behaviors, but little is known about parental factors associated with children's skin cancer–related behaviors in the U.S. Hispanic population. The present study examined parental and child correlates of skin cancer–related behaviors (Sunburns, Sunbathing, Sun-Protective Clothing use, and Sunscreen use) of children of Hispanic parents. Methods This survey study included a population-based sample of 360 U.S. Hispanic parents (44.8% male) who had a child 14 years of age or younger. Measures included parental reports of parent and child demographic characteristics, parent skin cancer knowledge and linguistic acculturation, and parent and child skin cancer–related behaviors. Results Approximately 28% of children and 31.9% of parents experienced at least one Sunburn in the past year and approximately 29% of children and 36.7% of parents were reported to Sunbathe. Moderate use of Sun-Protective Clothing and Sunscreen was reported for parents and their children. Child Sun-Protective Clothing use and Sunscreen use, Sunburns, and Sunbathing were associated with the corresponding behaviors of their parents. Conclusions Future research should consider the role of acculturation and perceived risk in the Sun protection behaviors of U.S. Hispanic children, particularly in those who report a fair skin type. Hispanic parents should be included in interventions targeting their children's skin cancer–related behaviors, and it is suggested that such interventions could also encourage parents to improve their own behaviors.
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Psychosocial correlates of Sun protection behaviors among U.S. Hispanic adults
Journal of Behavioral Medicine, 2014Co-Authors: Elliot J. Coups, Jerod L. Stapleton, Shawna V. Hudson, Amanda Medina-forrester, Stephen A. Rosenberg, Marsha A. Gordon, Kristina S. Tatum, Sharon L. Manne, June K. Robinson, Ana Natale-pereiraAbstract:The incidence of skin cancer among U.S. Hispanics increased 1.3 % annually from 1992 to 2008. However, little research has focused on skin cancer prevention among the rapidly growing Hispanic population. In this study, we examined theory-driven, psychosocial correlates of Sun protection behaviors in a population-based sample of 787 Hispanic adults (49.6 % female, mean age = 41.0 years) residing in five southern or western U.S. states. Participants completed an English- or Spanish-language online survey in September 2011. The outcomes of focus were Sunscreen use, shade seeking, and use of Sun Protective Clothing. The correlates included Suntan benefits, Sun protection benefits and barriers, skin color preference, perceived natural skin protection, photo-aging concerns, perceived skin cancer risk, skin cancer worry, skin cancer fatalism, and Sun protection descriptive norms. Results of multiple linear regression analyses revealed the following: Sun protection barriers were negatively associated with each outcome; descriptive norms were positively associated with each outcome; perceived natural skin protection was inversely associated with Sunscreen use; skin cancer worry was positively associated with shade seeking and use of Sun Protective Clothing; skin cancer fatalism was negatively associated with shade seeking; and skin color preference was negatively associated with use of Sun Protective Clothing. A number of additional statistically significant associations were identified in bivariate correlation analyses. This study informs the potential content of interventions to promote engagement in Sun protection behaviors among U.S. Hispanics.
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Psychosocial correlates of Sun protection behaviors among U.S. Hispanic adults Elliot J. CoupsJerod L. StapletonSharon L. ManneShawna V. Hudson • Amanda Medina-ForresterStephen A. RosenbergMarsha Gordon • Kristina S. TatumJune K. RobinsonAna Natale-P
2014Co-Authors: Kristina S. Tatum, Elliot J. Coups, Jerod L. Stapleton, Shawna V. Hudson, James S. Goydos, Rutgers Robert, V. Hudson, Sharon L. Manne, June K. RobinsonAbstract:The incidence of skin cancer among U.S. His- panics increased 1.3 % annually from 1992 to 2008. However, little research has focused on skin cancer pre- vention among the rapidly growing Hispanic population. In this study, we examined theory-driven, psychosocial cor- relates of Sun protection behaviors in a population-based sample of 787 Hispanic adults (49.6 % female, mean age = 41.0 years) residing in five southern or western U.S. states. Participants completed an English- or Spanish-lan- guage online survey in September 2011. The outcomes of focus were Sunscreen use, shade seeking, and use of Sun Protective Clothing. The correlates included Suntan bene- fits, Sun protection benefits and barriers, skin color pref- erence, perceived natural skin protection, photo-aging concerns, perceived skin cancer risk, skin cancer worry, skin cancer fatalism, and Sun protection descriptive norms. Results of multiple linear regression analyses revealed the following: Sun protection barriers were negatively associ- ated with each outcome; descriptive norms were positively associated with each outcome; perceived natural skin pro- tection was inversely associated with Sunscreen use; skin cancer worry was positively associated with shade seeking and use of Sun Protective Clothing; skin cancer fatalism was negatively associated with shade seeking; and skin color preference was negatively associated with use of Sun pro- tective Clothing. A number of additional statistically sig- nificant associations were identified in bivariate correlation analyses. This study informs the potential content of interventions to promote engagement in Sun protection behaviors among U.S. Hispanics.
Thilo Gambichler - One of the best experts on this subject based on the ideXlab platform.
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Photoprotection by Clothing and Fabric
Principles and Practice of Photoprotection, 2016Co-Authors: Thilo Gambichler, Isabelle Rooms, Lisa SchollAbstract:The main aspects that play a role in the prevention of ultraviolet (UV)-induced skin cancer and photodermatoses by means of Clothing are discussed. In vitro and in vivo test methods are reviewed. Furthermore, we describe various fabric parameters (e.g., composition, construction, dye) and other factors that have an influence on the UV-blocking properties of Clothing. Standards on Sun Protective Clothing are briefly introduced as well.
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Ultraviolet protection of Clothing
Functional Textiles for Improved Performance Protection and Health, 2014Co-Authors: Thilo GambichlerAbstract:Abstract: This chapter discusses the main aspects playing a role in the prevention of ultraviolet (UV)-induced skin cancer and photodermatoses by means of Clothing. The chapter first reviews the in vitro and in vivo test methods and standards on Sun-Protective Clothing. It then describes various fabric parameters (e.g. composition, construction, dye) and other factors that can have an influence on the UV-blocking properties of Clothing. The chapter concludes with a brief outlook on the future of Sun-Protective garments.
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Evaluation of Sun awareness with an emphasis on ultraviolet protection by Clothing: a survey of adults in Western Germany.
Journal of The European Academy of Dermatology and Venereology, 2009Co-Authors: Thilo Gambichler, Peter Altmeyer, Marcel Dissel, Sebastian RotterdamAbstract:Background Little is known about the Sun habits of the population in Germany. Objective We aimed to assess the Sun awareness and notion on ultraviolet (UV) radiation protection by fabrics in adult subjects from North Rhine-Westphalia in Germany. Methods During regular skin cancer screening campaigns, 1206 subjects completed and returned a structured questionnaire on constitutional parameters and the respondents’ Sun habits. Results Staying in the shade and the use of high-factor Sunscreens are the most commonly performed Sun-Protective measures reported by the respondents. Males and lower-educated people use Clothing in conjunction with Sunscreens more infrequently. Most respondents, particularly females, know that Sun protection provided by Clothing is variable. However, the elderly more frequently consider Sun protection by Clothing as excellent. Notably, more than two-thirds of the respondents would prefer Clothing with a labelled ultraviolet protection factor. The respondents of this survey mainly considered baby wear, children wear, and leisure wear for Sun-Protective Clothing, whereby light-weighted, breathable, natural fabrics preferably made of cotton and linen were the most frequently reported Protective textiles. Conclusions Given the lack of epidemiological observations on people's Sun habits and protection in Germany, the present relatively large survey provides useful information and implications for counselling in Sun protection and marketing of UV-Protective Clothing.
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The european standard for Sun-Protective Clothing : EN 13758
Journal of The European Academy of Dermatology and Venereology, 2006Co-Authors: Thilo Gambichler, Jan Laperre, Klaus HoffmannAbstract:Clothing is considered one of the most important tools for Sun protection. Contrary to popular opinion, however, some summer fabrics provide insufficient ultraviolet (UV) protection. The European Committee for Standardization (CEN), has developed a new standard on requirements for test methods and labelling of Sun-Protective garments. This document has now been completed and is published. Within CEN, a working group, CEN/TC 248 WG14 'UV Protective Clothing', was set up with the mission to produce standards on the UV-Protective properties of textile materials. This working group started its activities in 1998 and included 30 experts (dermatologists, physicists, textile technologists, fabric manufacturers and retailers of apparel textiles) from 11 European member states. Within this working group, all medical, ethical, technical and economical aspects of standardization of UV-Protective Clothing were discussed on the basis of the expertise of each member and in consideration of the relevant literature in this field. Decisions were made in consensus. The first part of the standard (EN 13758-1) deals with all details of test methods (e.g. spectrophotometric measurements) for textile materials and part 2 (EN 13758-2) covers classification and marking of apparel textiles. UV-Protective cloths for which compliance with this standard is claimed must fulfill all stringent instructions of testing, classification and marking, including a UV protection factor (UPF) larger than 40 (UPF 40+), average UVA transmission lower than 5%, and design requirements as specified in part 2 of the standard. A pictogram, which is marked with the number of the standard EN 13758-2 and the UPF of 40+, shall be attached to the garment if it is in compliance with the standard. The dermatology community should take cognizance of this new standard document. Garment manufacturers and retailers may now follow these official guidelines for testing and labelling of UV-Protective summer clothes, and the Sun-aware consumer can easily recognize garments that definitely provide sufficient UV protection.
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Role of Clothes in Sun Protection
Recent results in cancer research, 2002Co-Authors: Thilo Gambichler, Peter Altmeyer, Klaus HoffmannAbstract:Ultraviolet (UV) radiation is the carcinogenic factor in Sunlight. Damage to skin cells from repeated UV exposure can lead to the development of skin cancer. Apart from avoidance of the Sun, the most frequently used form of UV protection has been the application of Sunscreens. The use of textiles as a means of Sun protection has been underrated in previous educational campaigns, even though suitable Clothing offers usually simple and effective broadband protection against the Sun. Apart from skin cancer formation, exacerbation of photosensitive disorders and premature skin aging could be prevented by suitable UV-Protective Clothing. Nevertheless, several studies have recently shown that, contrary to popular opinion, some textiles provide only limited UV protection. It has been found that one-third of commercial summer Clothing items provide a UV protection factor (UPF) less than 15. Given the increasing interest in Sun protection, recreationally and occupationally, test methods and a rating scheme for Clothing were needed that would ensure sufficient UV protection. Various textile parameters have an influence on the UPF of a finished garment. Important parameters are the fabric porosity, type, color, weight and thickness. The application of UV absorbers into the yarns significantly improves the UPF of a garment. Under the conditions of wear and use several factors can alter the UV-Protective properties of a textile, e.g., stretch, wetness and laundering. The use of UV-blocking cloths can provide excellent protection against the hazards of Sunlight; this is especially true for garments manufactured as UV-Protective Clothing. However, further educational efforts are necessary to change people’s Sun behavior and raise awareness for the use of adequate Sun-Protective Clothing.
James S. Goydos - One of the best experts on this subject based on the ideXlab platform.
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Parent and Child Characteristics Associated with Child Sunburn and Sun Protection Among U.S. Hispanics
Pediatric Dermatology, 2017Co-Authors: Jerod L. Stapleton, Ana Natale-pereira, James S. Goydos, Elliot J. CoupsAbstract:Background/Objectives Skin cancer incidence has been increasing in U.S. Hispanics over several decades and the postdiagnosis outcomes are worse for Hispanics than for non-Hispanic whites. Parents are influential in children's health preventive behaviors, but little is known about parental factors associated with children's skin cancer–related behaviors in the U.S. Hispanic population. The present study examined parental and child correlates of skin cancer–related behaviors (Sunburns, Sunbathing, Sun-Protective Clothing use, and Sunscreen use) of children of Hispanic parents. Methods This survey study included a population-based sample of 360 U.S. Hispanic parents (44.8% male) who had a child 14 years of age or younger. Measures included parental reports of parent and child demographic characteristics, parent skin cancer knowledge and linguistic acculturation, and parent and child skin cancer–related behaviors. Results Approximately 28% of children and 31.9% of parents experienced at least one Sunburn in the past year and approximately 29% of children and 36.7% of parents were reported to Sunbathe. Moderate use of Sun-Protective Clothing and Sunscreen was reported for parents and their children. Child Sun-Protective Clothing use and Sunscreen use, Sunburns, and Sunbathing were associated with the corresponding behaviors of their parents. Conclusions Future research should consider the role of acculturation and perceived risk in the Sun protection behaviors of U.S. Hispanic children, particularly in those who report a fair skin type. Hispanic parents should be included in interventions targeting their children's skin cancer–related behaviors, and it is suggested that such interventions could also encourage parents to improve their own behaviors.
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Psychosocial correlates of Sun protection behaviors among U.S. Hispanic adults Elliot J. CoupsJerod L. StapletonSharon L. ManneShawna V. Hudson • Amanda Medina-ForresterStephen A. RosenbergMarsha Gordon • Kristina S. TatumJune K. RobinsonAna Natale-P
2014Co-Authors: Kristina S. Tatum, Elliot J. Coups, Jerod L. Stapleton, Shawna V. Hudson, James S. Goydos, Rutgers Robert, V. Hudson, Sharon L. Manne, June K. RobinsonAbstract:The incidence of skin cancer among U.S. His- panics increased 1.3 % annually from 1992 to 2008. However, little research has focused on skin cancer pre- vention among the rapidly growing Hispanic population. In this study, we examined theory-driven, psychosocial cor- relates of Sun protection behaviors in a population-based sample of 787 Hispanic adults (49.6 % female, mean age = 41.0 years) residing in five southern or western U.S. states. Participants completed an English- or Spanish-lan- guage online survey in September 2011. The outcomes of focus were Sunscreen use, shade seeking, and use of Sun Protective Clothing. The correlates included Suntan bene- fits, Sun protection benefits and barriers, skin color pref- erence, perceived natural skin protection, photo-aging concerns, perceived skin cancer risk, skin cancer worry, skin cancer fatalism, and Sun protection descriptive norms. Results of multiple linear regression analyses revealed the following: Sun protection barriers were negatively associ- ated with each outcome; descriptive norms were positively associated with each outcome; perceived natural skin pro- tection was inversely associated with Sunscreen use; skin cancer worry was positively associated with shade seeking and use of Sun Protective Clothing; skin cancer fatalism was negatively associated with shade seeking; and skin color preference was negatively associated with use of Sun pro- tective Clothing. A number of additional statistically sig- nificant associations were identified in bivariate correlation analyses. This study informs the potential content of interventions to promote engagement in Sun protection behaviors among U.S. Hispanics.
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Linguistic acculturation and skin cancer-related behaviors among Hispanics in the southern and western United States.
JAMA Dermatology, 2013Co-Authors: Elliot J. Coups, Jerod L. Stapleton, Shawna V. Hudson, Amanda Medina-forrester, Stephen A. Rosenberg, Marsha A. Gordon, Ana Natale-pereira, James S. GoydosAbstract:Objective To examine the association between linguistic acculturation (assessed using the Language Use and Linguistic Preference subscales from the Bidimensional Acculturation Scale for Hispanics) and skin cancer–related behaviors among US Hispanic adults to determine whether, compared with Hispanics denoted as Spanish-acculturated, English-acculturated Hispanics would report less frequent shade seeking and use of Sun Protective Clothing and higher rates of Sunscreen use, Sunbathing, and indoor tanning. Design Online survey study conducted in September 2011. Setting Five southern and western US states. Participants A population-based sample of 788 Hispanic adults drawn from a nationally representative web panel. Main Outcome Measures Self-reported Sunscreen use, shade seeking, use of Sun Protective Clothing, Sunbathing, and indoor tanning. Results Multivariate regression analyses were conducted to examine predictors of the skin cancer–related behaviors. As hypothesized, English-acculturated Hispanics had lower rates of shade seeking and use of Sun Protective Clothing and reported higher rates of Sunbathing and indoor tanning than Spanish-acculturated Hispanics. English-acculturated Hispanics and bicultural Hispanics (ie, those with high Spanish and high English acculturation) reported comparably high rates of Sunbathing and indoor tanning. Results suggested that bicultural Hispanics seek shade and wear Sun Protective Clothing less often than Spanish-acculturated Hispanics but more often than English-acculturated Hispanics. Acculturation was not associated with Sunscreen use. Conclusions Hispanic adults do not routinely engage in behaviors that reduce their risk of skin cancer. Bicultural and English-acculturated Hispanics are particularly in need of skin cancer prevention interventions.
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Sun protection and exposure behaviors among Hispanic adults in the United States: differences according to acculturation and among Hispanic subgroups.
BMC Public Health, 2012Co-Authors: Elliot J. Coups, Jerod L. Stapleton, Shawna V. Hudson, Amanda Medina-forrester, Ana Natale-pereira, James S. GoydosAbstract:Skin cancer prevention interventions that target the growing number of U.S. Hispanics are lacking. The current study examined the prevalence and correlates of Sun protection and exposure behaviors (i.e., Sunscreen use, shade seeking, use of Sun Protective Clothing, and Sunburns) among U.S. Hispanics with Sun sensitive skin, with a focus on potential differences according to acculturation and Hispanic origin. The sample consisted of 1676 Hispanic adults who reported having Sun sensitive skin (i.e., they would experience a Sunburn if they went out in the Sun for one hour without protection after several months of not being in the Sun). Participants completed survey questions as part of the nationally representative 2010 National Health Interview Survey. Analyses were conducted in August 2012. Greater acculturation was linked with both risky (i.e., not wearing Sun Protective Clothing) and Protective (i.e., using Sunscreen) Sun-related practices and with an increased risk of Sunburns. Sun protection and exposure behaviors also varied according to individuals’ Hispanic origin, with for example individuals of Mexican heritage having a higher rate of using Sun Protective Clothing and experiencing Sunburns than several other subgroups. Several Hispanic subpopulations (e.g., those who are more acculturated or from certain origins) represent important groups to target in skin cancer prevention interventions. Future research is needed to test culturally relevant, tailored interventions to promote Sun protection behaviors among U.S. Hispanics. Such initiatives should focus on public health education and increasing healthcare provider awareness of the importance of skin cancer prevention among Hispanics.
