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Gepubliceerd in:

16-08-2017

An integrated model of skin cancer risk in sexual minority males

Auteurs: Aaron J. Blashill, Benjamin M. Rooney, Kristen J. Wells

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 1/2018

Abstract

Sexual minority males are an at-risk group for developing skin cancer. Elevated rates of skin cancer among this population are thought to be driven by excess indoor tanning; however, motivations to indoor tan among this population are unknown. Theoretically, appearance-based and affect regulation motives may be proximal predictors of increased indoor tanning in this population. The current study tests an integrated biopsychosocial model of indoor tanning behaviors and future intentions among a sample of sexual minority males. Participants were 231 sexual minority males, between the age of 14 and 35 years, residing in San Diego County, California, who completed a battery of self-report questionnaires online. Constructs assessed included skin tone, perceived susceptibility to skin cancer, sociocultural pressures to tan, appearance-based motives to tan, affect regulation in regard to indoor tanning, indoor tanning behaviors over the previous 3 months, and future intentions to indoor tan. The three proposed proximal predictors of indoor tanning all displayed significant pathways; however, results varied depending upon the specific outcome measure modeled. Affect regulation was significantly associated with increased odds of indoor tanning, and future intentions to indoor tan. Increased appearance reasons to tan were significantly associated with future intentions to indoor tan, while increased appearance reasons not to tan were significantly associated with fewer number of indoor tanning sessions. Results underscore the unique pathways of affect regulation and appearance-based motives in indoor tanning behaviors. Skin cancer prevention programs focusing on sexual minority males may wish to address affect and appearance concerns.

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Ajzen, I., & Fishbein, M. (1980). Understanding attitudes and predicting social behaviour. Englewood Cliffs: Prentice-Hall.

American Cancer Society (2013). Cancer facts and figures. http://www.cancer.org/research/cancerfactsfigures/cancerfactsfigures/cancer-facts-figures-2013

American Cancer Society (2016). Cancer Facts and Figures. http://www.cancer.org/acs/groups/content/@research/documents/document/acspc-047079.pdf

Blashill, A. J. (2013). Psychosocial correlates of frequent indoor tanning among adolescent boys. Body Image, 10, 259–262. doi:10.1016/j.bodyim.2012.11.005 CrossRefPubMed

Blashill, A. J. (2017). Indoor tanning and skin cancer risk among diverse US youth: Results from a national sample. JAMA Dermatology, 153, 344–345.CrossRefPubMed

Blashill, A. J., & Pagoto, S. (2015). Skin cancer risk in gay and bisexual men: A call to action. JAMA Dermatology, 151, 1293–1294. doi:10.1001/jamadermatol.2015.3125 CrossRefPubMedPubMedCentral

Blashill, A. J., & Safren, S. A. (2014). Skin cancer risk behaviors among US men: The role of sexual orientation. American Journal of Public Health, 104, 1640–1641. doi:10.2105/AJPH.2014.301993 CrossRefPubMedPubMedCentral

Blashill, A. J., & Traeger, L. (2013). Indoor tanning use among adolescent males: The role of perceived weight and bullying. Annals of Behavioral Medicine, 46, 232–236. doi:10.1007/s12160-013-9491-9 CrossRefPubMedPubMedCentral

Cafri, G., Thompson, J. K., Jacobsen, P. B., & Hillhouse, J. (2009). Investigating the role of appearance-based factors in predicting sunbathing and tanning salon use. Journal of Behavioral Medicine, 32, 532–544. doi:10.1007/s10865-009-9224-5 CrossRef

Cafri, G., Thompson, J. K., Roehrig, M., Rojas, A., Sperry, S., Jacobsen, P. B., et al. (2008). Appearance motives to tan and not tan: Evidence for validity and reliability of a new scale. Annals of Behavioral Medicine, 35, 209–220. doi:10.1007/s12160-008-9022-2 CrossRefPubMed

Cafri, G., Thompson, J. K., Roehrig, M., van den Berg, P., Jacobsen, P. B., & Stark, S. (2006). An investigation of appearance motives for tanning: The development and evaluation of the Physical Appearance Reasons For Tanning Scale (PARTS) and its relation to sunbathing and indoor tanning intentions. Body Image, 3, 199–209. doi:10.1016/j.bodyim.2006.05.002 CrossRefPubMed

Chait, S. R., Thompson, J. K., & Jacobsen, P. B. (2015). Preliminary development and evaluation of an appearance-based dissonance induction intervention for reducing UV exposure. Body Image, 12, 68–72. doi:10.1016/j.bodyim.2014.09.004 CrossRefPubMed

Coups, E. J., & Phillips, L. A. (2011). A more systematic review of correlates of indoor tanning. Journal of the European Academy of Dermatology and Venereology, 25, 610–616. doi:10.1111/j.1468-3083.2011.03996.x CrossRefPubMed

Demko, C. A., Borawski, E. A., Debanne, S. M., Cooper, K. D., & Stange, K. C. (2003). Use of indoor tanning facilities by white adolescents in the United States. Archives of Pediatrics and Adolescent Medicine, 157, 854–860. doi:10.1001/archpedi.157.9.854 CrossRefPubMed

El Ghissassi, F., Baan, R., Straif, K., Grosse, Y., Secretan, B., Bouvard, V., et al. (2009). A review of human carcinogens—Part D: Radiation. The lancet Oncology, 10, 751–752. doi:10.1016/S1470-2045(09)70213-X CrossRefPubMed

Feldman, S. R., Liguori, A., Kucenic, M., Rapp, S. R., Fleischer, A. B., Lang, W., et al. (2004). Ultraviolet exposure is a reinforcing stimulus in frequent indoor tanners. Journal of the American Academy of Dermatology, 51, 45–51. doi:10.1016/j.jaad.2004.01.053 CrossRefPubMed

Fergusson, D. M., Horwood, L. J., & Beautrais, A. L. (1999). Is sexual orientation related to mental health problems and suicidality in young people? Archives of General Psychiatry, 56, 876–880. doi:10.1001/archpsyc.56.10.876 CrossRefPubMed

Fitzpatrick, T. B. (1988). The validity and practicality of sun-reactive skin types I through VI. Archives of Dermatology, 124, 869–871. doi:10.1001/archderm.1988.01670060015008 CrossRefPubMed

Floyd, F. J., & Widaman, K. F. (1995). Factor analysis in the development and refinement of clinical assessment instruments. Psychological Assessment, 7, 286–299. doi:10.1037/1040-3590.7.3.286 CrossRef

Green, A., Autier, P., Boniol, M., Boyle, P., Doré, J. F., Gandini, S., et al. (2007). The association of use of sunbeds with cutaneous malignant melanoma and other skin cancers: A systematic review. International Journal of Cancer, 120, 1116–1122. doi:10.1002/ijc.22453

Hatzenbuehler, M. L. (2009). How does sexual minority stigma “get under the skin”? A psychological mediation framework. Psychological Bulletin, 135, 707–730. doi:10.1037/a0016441 CrossRefPubMedPubMedCentral

Hillhouse, J. J., & Turrisi, R. (2002). Examination of the efficacy of an appearance-focused intervention to reduce UV exposure. Journal of Behavioral Medicine, 25, 395–409. doi:10.1023/A:1015870516460 CrossRefPubMed

Hillhouse, J., Turrisi, R., Jaccard, J., & Robinson, J. (2012). Accuracy of self-reported sun exposure and sun protection behavior. Prevention Science, 13, 519–531. doi:10.1007/s11121-012-0278-1 CrossRefPubMedPubMedCentral

Hillhouse, J., Turrisi, R., Stapleton, J., & Robinson, J. (2008). A randomized controlled trial of an appearance-focused intervention to prevent skin cancer. Cancer, 113, 3257–3266. doi:10.1002/cncr.23922 CrossRefPubMedPubMedCentral

Holman, D. M., & Watson, M. (2013). Correlates of intentional tanning among adolescents in the United States: A systematic review of the literature. Journal of Adolescent Health, 52, S52–S59. doi:10.1016/j.jadohealth.2012.09.021 CrossRefPubMedPubMedCentral

Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6, 1–55. doi:10.1080/10705519909540118 CrossRef

Huang, J. L., Curran, P. G., Keeney, J., Poposki, E. M., & DeShon, R. P. (2012). Detecting and deterring insufficient effort responding to surveys. Journal of Business and Psychology, 27, 99–114. doi:10.1007/s10869-011-9231-8 CrossRef

Jackson, K. M., & Aiken, L. S. (2000). A psychosocial model of sun protection and sunbathing in young women: The impact of health beliefs, attitudes, norms, and self-efficacy for sun protection. Health Psychology, 19, 469–478. doi:10.1037/0278-6133.19.5.469 CrossRefPubMed

Janz, N. K., Champion, V. L., & Strecher, V. J. (2008). The health belief model. In K. Glanz, B. K. Rimer, & F. M. Lewis (Eds.), Health behavior and health education: Theory, research and practice (3rd ed., pp. 45–66). San Francisco: Jossey-Bass.

Jorm, A. F., Korten, A. E., Rodgers, B., Jacomb, P. A., & Christensen, H. (2002). Sexual orientation and mental health: Results from a community survey of young and middle-aged adults. The British Journal of Psychiatry, 180, 423–427. doi:10.1192/bjp.180.5.423 CrossRefPubMed

King, M., Semlyen, J., Tai, S. S., Killaspy, H., Osborn, D., Popelyuk, D., et al. (2008). A systematic review of mental disorder, suicide, and deliberate self harm in lesbian, gay and bisexual people. BMC Psychiatry, 8, 70–87. doi:10.1186/1471-244X-8-70 CrossRefPubMedPubMedCentral

Knight, J. M., Kirincich, A. N., Farmer, E. R., & Hood, A. F. (2002). Awareness of the risks of tanning lamps does not influence behavior among college students. Archives of Dermatology, 138, 1311–1315. doi:10.1001/archderm.138.10.1311 CrossRefPubMed

Lazovich, D., Stryker, J. E., Mayer, J. A., Hillhouse, J., Dennis, L. K., Pichon, L., et al. (2008). Measuring nonsolar tanning behavior: Indoor and sunless tanning. Archives of Dermatology, 144, 225–230. doi:10.1001/archdermatol.2007.45 CrossRefPubMed

Lazovich, D., Vogel, R. I., Berwick, M., Weinstock, M. A., Anderson, K. E., & Warshaw, E. M. (2010). Indoor tanning and risk of melanoma: A case-control study in a highly exposed population. Cancer Epidemiology and Prevention Biomarkers. doi:10.1158/1055-9965.EPI-09-1249

Linos, E., Swetter, S. M., Cockburn, M. G., Colditz, G. A., & Clarke, C. A. (2009). Increasing burden of melanoma in the United States. Journal of Investigative Dermatology, 129, 1666–1674. doi:10.1038/jid.2008.423 CrossRefPubMedPubMedCentral

Magin, P., Pond, D., Smith, W., Goode, S., & Paterson, N. (2012). Reliability of skin-type self-assessment: Agreement of adolescents’ repeated Fitzpatrick skin phototype classification ratings during a cohort study. Journal of the European Academy of Dermatology and Venereology, 26, 1396–1399. doi:10.1111/j.1468-3083.2011.04298.x CrossRefPubMed

Mansh, M., Katz, K. A., Linos, E., Chren, M. M., & Arron, S. (2015). Association of skin cancer and indoor tanning in sexual minority men and women. JAMA Dermatology, 151, 1308–1316. doi:10.1001/jamadermatol.2015.3126 CrossRefPubMed

Meyer, I. H. (1995). Minority stress and mental health in gay men. Journal of Health and Social Behavior, 36, 38–56. doi:10.2307/2137286 CrossRefPubMed

Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129, 674–697. doi:10.1037/0033-2909.129.5.674 CrossRefPubMedPubMedCentral

Miyamoto, J., Berkowitz, Z., Jones, S. E., & Saraiya, M. (2012). Indoor tanning device use among male high school students in the United States. Journal of Adolescent Health, 50, 308–310. doi:10.1016/j.jadohealth.2011.08.007 CrossRefPubMed

Morrison, M. A., Morrison, T. G., & Sager, C. L. (2004). Does body satisfaction differ between gay men and lesbian women and heterosexual men and women?: A meta-analytic review. Body Image, 1, 127–138. doi:10.1016/j.bodyim.2004.01.002 CrossRefPubMed

Mustanski, B., Van Wagenen, A., Birkett, M., Eyster, S., & Corliss, H. L. (2014). Identifying sexual orientation health disparities in adolescents: Analysis of pooled data from the Youth Risk Behavior Survey, 2005 and 2007. American Journal of Public Health, 104, 211–217. doi:10.2105/APJH.2013.301748 CrossRefPubMedPubMedCentral

Muthén, L. K., & Muthén, B. O. (2001). Mplus: Statistical analysis with latent variables [computer software]. Los Angeles: Author.

Narayanan, D. L., Saladi, R. N., & Fox, J. L. (2010). Review: Ultraviolet radiation and skin cancer. International Journal of Dermatology, 49, 978–986. doi:10.1111/j.1365-4632.2010.04474.x CrossRefPubMed

O’Riordan, D. L., Field, A. E., Geller, A. C., Brooks, D. R., Aweh, G., Colditz, G. A., et al. (2006). Frequent tanning bed use, weight concerns, and other health risk behaviors in adolescent females (United States). Cancer Causes and Control, 17, 679–686. doi:10.1007/s10552-005-0453-9 CrossRefPubMed

Pachankis, J. E. (2007). The psychological implications of concealing a stigma: A cognitive-affective-behavioral model. Psychological Bulletin, 133, 328–345. doi:10.1037/0033-2909.133.2.328 CrossRefPubMed

Peplau, L. A., Frederick, D. A., Yee, C., Maisel, N., Lever, J., & Ghavami, N. (2009). Body image satisfaction in heterosexual, gay, and lesbian adults. Archives of Sexual Behavior, 38, 713–725. doi:10.1007/s10508-008-9378-1 CrossRefPubMed

Poorsattar, S. P., & Hornung, R. L. (2007). UV light abuse and high-risk tanning behavior among undergraduate college students. Journal of the American Academy of Dermatology, 56, 375–379. doi:10.1016/j.jaad.2006.08.064 CrossRefPubMed

Riggle, E. D., Rostosky, S. S., Black, W. W., & Rosenkrantz, D. E. (2017). Outness, concealment, and authenticity: Associations with LGB individuals’ psychological distress and well-being. Psychology of Sexual Orientation and Gender Diversity, 4, 54–62. doi:10.1037/sgd0000202 CrossRef

Ródenas, J. M., Delgado-Rodríguez, M., Herranz, M. T., Tercedor, J., & Serrano, S. (1996). Sun exposure, pigmentary traits, and risk of cutaneous malignant melanoma: A case-control study in a Mediterranean population. Cancer Causes and Control, 7, 275–283. doi:10.1007/BF00051303 CrossRefPubMed

Rogers, H. W., Weinstock, M. A., Harris, A. R., Hinckley, M. R., Feldman, S. R., Fleischer, A. B., et al. (2010). Incidence estimate of nonmelanoma skin cancer in the United States, 2006. Archives of Dermatology, 146, 283–287. doi:10.1001/archdermatol.2010.19 CrossRefPubMed

Stapleton, J. L., Manne, S. L., Darabos, K., Greene, K., Ray, A. E., Turner, A. L., et al. (2015). Randomized controlled trial of a web-based indoor tanning intervention: Acceptability and preliminary outcomes. Health Psychology, 34, 1278–1285. doi:10.1037/hea0000254 CrossRefPubMedCentral

Thompson, J. K., & Heinberg, L. J. (1999). The media’s influence on body image disturbance and eating disorders: We’ve reviled them, now can we rehabilitate them? Journal of Social Issues, 55, 339–353. doi:10.1111/0022-4537.00119 CrossRef

U.S. Department of Health and Human Services (2014). The surgeon general’s call to action to prevent skin cancer. http://www.surgeongeneral.gov/library/calls/prevent-skin-cancer

Webb, T. L., & Sheeran, P. (2006). Does changing behavioral intentions engender behavior change? A meta-analysis of the experimental evidence. Psychological Bulletin, 132, 249–268. doi:10.1037/0033-2909.132.2.249 CrossRefPubMed

Williams, A. L., Grogan, S., Clark-Carter, D., & Buckley, E. (2013). Appearance-based interventions to reduce ultraviolet exposure and/or increase sun protection intentions and behaviours: A systematic review and meta-analyses. British Journal of Health Psychology, 18, 182–217. doi:10.1111/j.2044-8287.2012.02089.x CrossRefPubMed

Titel: An integrated model of skin cancer risk in sexual minority males
Auteurs: Aaron J. Blashill
Benjamin M. Rooney
Kristen J. Wells
Publicatiedatum: 16-08-2017
Uitgeverij: Springer US
Gepubliceerd in: Journal of Behavioral Medicine / Uitgave 1/2018
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-017-9879-2

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