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Gepubliceerd in:

01-04-2014

Predicting sun protection behaviors using protection motivation variables

Auteurs: Joanne W. M. Ch’ng, A. Ian Glendon

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 2/2014

Abstract

Protection motivation theory components were used to predict sun protection behaviors (SPBs) using four outcome measures: typical reported behaviors, previous reported behaviors, current sunscreen use as determined by interview, and current observed behaviors (clothing worn) to control for common method bias. Sampled from two SE Queensland public beaches during summer, 199 participants aged 18–29 years completed a questionnaire measuring perceived severity, perceived vulnerability, response efficacy, response costs, and protection motivation (PM). Personal perceived risk (similar to threat appraisal) and response likelihood (similar to coping appraisal) were derived from their respective PM components. Protection motivation predicted all four SPB criterion variables. Personal perceived risk and response likelihood predicted protection motivation. Protection motivation completely mediated the effect of response likelihood on all four criterion variables. Alternative models are considered. Strengths and limitations of the study are outlined and suggestions made for future research.

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Araujo-Soares, V., Rodrigues, A., Presseau, J., & Sniehotta, F. F. (2012). Adolescent sunscreen use in springtime: A prospective predictive study informed by a belief elicitation investigation. Journal of Behavioral Medicine. doi:10.1007/s10865-012-9415-3

Bataille, V. (2003). Genetic epidemiology of melanoma. European Journal of Cancer, 39, 1341–1347. doi:10.1016/S0959-8049(03)00313-7 PubMedCrossRef

Beck, K. H. (1984). The effects of risk probability, outcome severity, efficacy of protection and access to protection on decision-making: A further test of protection motivation theory. Social Behavior and Personality, 12, 121–125. doi:10.2224/sbp.1984.12.2.121 CrossRef

Benvenuto-Andrade, C., Zen, B., Fonseca, G., De Villa, D., & Cestari, T. (2005). Sun exposure and sun protection habits among high-school adolescents in Porto Alegre, Brazil. Photochemistry and Photobiology, 81, 630–635. doi:10.1111/j.1751-1097.2005.tb00236.x PubMedCrossRef

Blanchard, C. M., Reid, R. D., Morrin, L. I., McDonnell, L., McGannon, K., Rhodes, R. E., et al. (2009). Does protection motivation theory explain exercise intentions and behavior during home-based cardiac rehabilitation? Journal of Cardiopulmonary Rehabilitation and Prevention, 29, 188–192. doi:10.1097/HCR.0b013e3181a333a3 PubMedCrossRef

Boniol, M., Autier, P., Boyle, P., & Gandini, S. (2012). Cutaneous melanoma attributable to sunbed use: Systematic review and meta-analysis. British Medical Journal, 345, 1–12. doi:10.1136/bmj.e4757 CrossRef

Boniol, M., Verriest, J., Pedeux, R., & Doré, J. (2008). Proportion of skin surface area of children and young adults from 2 to 18 years old. Journal of Investigative Dermatology, 128, 461–464. doi:10.1038/sj.jid.5701032 PubMed

Bränström, R., Chang, Y.-m., Kasparian, N., Affleck, P., Tibben, A., Aspinwall, L. G., et al. (2010a). Melanoma risk factors, perceived threat, and intentional tanning: An international online survey. European Journal of Cancer Prevention, 19, 216–226. doi:10.1097/CEJ.0b013e3283354847 PubMedCentralPubMedCrossRef

Bränström, R., Kasparian, N., Chang, Y.-M., et al. (2010b). Predictors of sun protection behaviors and severe sunburn in an international online study. Cancer Epidemiology, Biomarkers and Prevention, 19, 2199–2210. doi:10.1158/1055-9965.EPI-10-0196 PubMedCentralPubMedCrossRef

Bränström, R., Ullén, H., & Brandberg, Y. (2004). Attitudes, subjective norms, and perception of behavioural control as predictors of sun-related behaviour in Swedish adults. Preventive Medicine, 39, 992–999. doi:10.1016/j.ypmed.2004.04.004 PubMedCrossRef

Buettner, P. G., & Raasch, B. A. (1998). Incidence rates of skin cancer in Townsville, Australia. International Journal of Cancer, 78, 587–593. doi:10.1002/(SICI)1097-0215(19981123)78:5<587:AID-IJC10>3.0.CO;2-E CrossRef

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

Calder, N., & Aitken, R. (2008). An exploratory study of the influences that compromise the sun protection of young adults. International Journal of Consumer Studies, 32, 579–587. doi:10.1111/j.1470-6431.2008.00699.x CrossRef

Cancer Research UK. (2009). About skin cancer. Retrieved from http://www.sunsmart.org.uk/skin-cancer-facts/about-skin-cancer/index.htm

Cancer Research UK. (2010). Skin cancer statistics—key facts. Retrieved from http://info.cancerresearchuk.org/cancerstats/types/skin/

Cody, R., & Lee, C. (1990). Behaviors, beliefs, and intentions in skin cancer prevention. Journal of Behavioral Medicine, 13, 373–389. doi:10.1007/BF00844885 PubMedCrossRef

Cokkinides, V. E., Johnston-Davis, K., Weinstock, M., O’Connell, M. C., Kalsbeek, W., Thun, M. J., et al. (2001). Sun exposure and sun-protection behaviours and attitudes among U.S. youth, 11 to 18 years of age. Preventive Medicine, 33, 141–151. doi:10.1006/pmed.2001.0877 PubMedCrossRef

Craciun, C., Schüz, N., Lippke, S., & Schwarzer, R. (2010). Risk perception moderates how intentions are translated into sunscreen use. Journal of Behavioral Medicine, 33, 392–398. doi:10.1007/s10865-010-9269-5 PubMedCrossRef

Craciun, C., Schüz, N., Lippke, S., & Schwarzer, R. (2011). Facilitating sunscreen use in women by a theory-based online intervention: A randomized controlled trial. Journal of Health Psychology, 17, 207–216. doi:10.1177/1359105311414955 PubMedCrossRef

Craciun, C., Schüz, N., Lippke, S., & Schwarzer, R. (2012a). A mediator model of sunscreen use: A longitudinal analysis of social-cognitive predictors and mediators. International Journal of Behavioral Medicine, 19, 65–72. doi:10.1007/s12529-011-9153-x PubMedCrossRef

Craciun, C., Schüz, N., Lippke, S., & Schwarzer, R. (2012b). Translating intentions into sunscreen use: An interaction of self-efficacy and appearance norms. Psychology, Health & Medicine, 17, 447–456. doi:org/10.1080/1348506.2011.613941 CrossRef

Craciun, C., Schüz, N., Lippke, S., & Schwarzer, R. (2012c). Enhancing planning strategies for sunscreen use at different stages of change. Health Education Research, 27, 857–867. doi:10.1093/her/cys091 PubMedCrossRef

de Vries, H., van Osch, L., Eijmael, K., Smerecnik, C., & Candel, M. (2012). The role of risk perception in explaining parental sunscreen use. Psychology & Health, 27, 1342–1358. doi:org/10.1080/08870446.2012.684059 CrossRef

DeJoy, D. M. (1996). Theoretical models of health behavior and workplace self-protective behavior. Journal of Safety Research, 27, 61–72. doi:10.1016/0022-4375(96)00007-2 CrossRef

Dobbinson, S., Wakefield, M., Hill, D., Girgis, A., Aitken, J. F., Beckmann, K., et al. (2008). Prevalence and determinants of Australian adolescents’ and adults’ weekend sun protection and sunburn, summer 2003–2004. Journal of the American Academy of Dermatology, 59, 602–614. doi:10.1016/j.jaad.2008.06.011 PubMedCrossRef

Eadie, D., & MacAskill, S. (2007). Results from an exploratory study of sun protection practice: Implications for the design of health promotion messages. Health Education, 107, 250–260. doi:10.1108/09654280742555 CrossRef

Fiedler, K. (2011). Voodoo correlations are everywhere—not only in neuroscience. Perspectives on Psychological Science, 6, 163–171. doi:10.1177/1745691611400237 CrossRef

Floyd, D. L., Prentice-Dunn, S., & Rogers, R. W. (2000). A meta-analysis of research on protection motivation theory. Journal of Applied Social Psychology, 30, 407–429. doi:10.1111/j.1559-1816.2000.tb02323.x CrossRef

Fritschi, L., Green, A., & Solomon, P. F. (1992). Sun exposure in Australian adolescents. Journal of the American Academy of Dermatology, 27, 25–28. doi:10.1016/0190-9622(92)70150-E PubMedCrossRef

Geller, A. C., Colditz, G., Oliveria, S., Emmons, K., Jorgensen, C., Aweh, G. N., et al. (2002). Use of sunscreen, sunburning rates, and tanning bed use among more than 10,000 US children and adolescents. Pediatrics, 109, 1009–1014.PubMedCrossRef

Glanz, K., & Mayer, J. (2005). Reducing ultraviolet radiation exposure to prevent skin cancer: Methodology and measurement. American Journal of Preventive Medicine, 29, 131–142. doi:10.1016/j.amepre.2005.04.007 PubMedCrossRef

Green, A., Battistutta, D., Hart, V., Leslie, D., & Weedon, D. (1996). Skin cancer in a subtropical Australian population: Incidence and lack of association with occupation. American Journal of Epidemiology, 144, 1034–1040.PubMedCrossRef

Grunfeld, E. A. (2004). What influences university students’ intentions to practice safe sun exposure behaviors. Journal of Adolescent Health, 35, 486–492. doi:10.1016/j.jadohealth.2003.11.093 PubMed

Guile, K., & Nicholson, S. (2004). Does knowledge influence melanoma-prone behavior? Awareness, exposure, and sun protection among five social groups. Oncology Nursing Forum, 31, 641–646. doi:10.1188/04.ONF.641-646 PubMedCrossRef

Hall, H. I., May, D. S., Lew, R. A., Koh, H. K., & Nadel, M. (1997). Sun protection behaviors of the U. S. white population. Preventive Medicine, 26, 401–407.PubMedCrossRef

Hamant, E. S., & Adams, B. B. (2005). Sunscreen use among collegiate athletes. Journal of the American Academy of Dermatology, 53, 237–241. doi:10.1016/j.jaad.2005.04.056 PubMedCrossRef

Harrison, S. L., MacLennan, R., Speare, R., & Wronski, I. (1994). Sun exposure and melanocytic naevi in young Australian children. The Lancet, 344, 1529–1532. doi:10.1016/S0140-6736(94)90348-4 CrossRef

Harth, Y., Schemer, A., & Friedman-Birnbaum, R. (1995). Awareness to photodamage versus the actual use of sun protection methods by young adults. Journal of the European Academy of Dermatology and Venereology, 4, 260–266. doi:10.1111/j.1468-3083.1995.tb00348.x CrossRef

Heckman, C. J., Darlow, S., Cohen-Filipic, J., Kloss, J. D., Manne, S. L., Munshi, T., et al. (2012). Psychosocial correlates of sunburn among young adult women. International Journal of Environmental Research and Public Health, 9, 2241–2251. doi:10.3390/ijerph9062241 PubMedCentralPubMedCrossRef

Hedges, T., & Scriven, A. (2008). Sun safety: What are the health messages? The Journal of the Royal Society for the Promotion of Health, 128, 164–169. doi:10.1177/1466424008092231 PubMedCrossRef

Hedges, T., & Scriven, A. (2010). Young park users’ attitudes and behaviour to sun protection. Global Health Promotion, 17, 24–31. doi:10.1177/1757975910383928 PubMedCrossRef

Hillhouse, J. J., Stair, A. W., & Adler, C. M. (1996). Predictors of sunbathing and sunscreen use in college undergraduates. Journal of Behavioral Medicine, 19, 543–561. doi:10.1007/BF01904903 PubMedCrossRef

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 PubMedCrossRef

Kasparian, N. A., McLoone, J. K., & Meiser, B. (2009). Skin cancer-related prevention and screening behaviours: A review of the literature. Journal of Behavioral Medicine, 32, 406–428. doi:10.1007/s10865-009-9219-2 PubMedCrossRef

Keeney, S., McKenna, H., Fleming, P., & McIlfatrick, S. (2009). Attitudes, knowledge and behaviours with regard to skin cancer: A literature review. European Journal of Oncology Nursing, 13, 29–35. doi:10.1016/j.ejon.2008.11.004 PubMedCrossRef

Lagerlund, M., Dixon, H. G., Simpson, J. A., Spittal, M., Taylor, H. R., & Dobbinson, S. J. (2006). Observed use of sunglasses in public outdoor settings around Melbourne, Australia: 1993 to 2002. Preventive Medicine, 42, 291–296. doi:10.1016/j.ypmed.2006.01.003 PubMedCrossRef

Linstone, H. A., & Turoff, M. (1975). The Delphi method: Techniques and applications. Reading, MA: Addison Wesley.

Livingston, P. M., White, V., Hayman, J., & Dobbinson, S. (2003). Sun exposure and sun protection behaviors among Australian adolescents: Trends over time. Preventive Medicine, 37, 577–584. doi:10.1016/j.ypmed.2003.09.004 PubMedCrossRef

Livingston, P. M., White, V., Hayman, J., & Dobbinson, S. (2007). Australian adolescents’ sun protection behavior: Who are we kidding? Preventive Medicine, 44, 508–512. doi:10.1016/j.ypmed.2007.02.015 PubMedCrossRef

Lower, T., Girgis, A., & Sanson-Fisher, R. (1998). The prevalence and predictors of solar protection use among adolescents. Preventive Medicine, 27, 391–399. doi:10.1006/pmed.1998.0309 PubMedCrossRef

Mahler, H. I. M., Kulik, J. A., Gerrard, M., & Gibbons, F. X. (2007). Long-term effects of appearance-based interventions on sun protection behaviors. Health Psychology, 26, 350–360. doi:10.1037/0278-6133.26.3.350 PubMedCrossRef

Mahler, H. I. M., Kulik, J. A., Harrell, J., Correa, A., Gibbons, F. X., & Gerrard, M. (2005). Effects of UV photographs, photoaging information, and use of sunless tanning lotion on sun protection behaviors. Archives of Dermatology, 141, 373–380.PubMedCrossRef

Manne, S., & Lessin, S. (2006). Prevalence and correlates of sun protection and skin self-examination practices among cutaneous malignant melanoma survivors. Journal of Behavioral Medicine, 29, 419–434. doi:10.1007/s10865-006-9064-5 PubMedCrossRef

McMath, B. F., & Prentice-Dunn, S. (2005). The role of individual differences in responses to persuasive appeals. Journal of Applied Social Psychology, 35, 621–643. doi:10.1111/j.1559-1816.2005.tb02138.x CrossRef

Mermelstein, R., & Riesenberg, L. (1992). Changing knowledge and attitudes about skin cancer risk factors in adolescents. Health Psychology, 11, 371–376. doi:10.1037/0278-6133.11.6.371 PubMedCrossRef

Milne, S. E., Sheeran, P., & Orbell, S. (2000). Prediction and intervention in health-related behavior: A meta-analysis of protection motivation theory. Journal of Applied Social Psychology, 30, 106–143. doi:10.1111/j.1559-1816.2000.tb02308.x CrossRef

Myers, L. B., & Horswill, M. S. (2006). Social cognitive predictors of sun protection intention and behavior. Behavioral Medicine, 32, 57–63. doi:org/10.3200/BMED.32.2.57-63 PubMedCrossRef

Ogden, J. (2003). Some problems with social cognition models: A pragmatic and conceptual analysis. Health Psychology, 22, 424–428. doi:10.1037/0278-6133.22.4.424 PubMedCrossRef

Pagoto, S., McChargue, D., & Fuqua, R. W. (2003). Effects of a multicomponent intervention on motivation and sun protection behaviors among Midwestern beachgoers. Health Psychology, 22, 429–433. doi:10.1037/0278-6133.22.4.429 PubMedCrossRef

Peacey, V., Steptoe, A., Sanderman, R., & Wardle, J. (2006). Ten-year changes in sun protection behaviours and beliefs of young adults in 13 European countries. Preventive Medicine, 43, 460–465. doi:10.1016/j.ypmed.2006.07.010 PubMedCrossRef

Pechmann, C., Zhao, G., Goldberg, M. E., & Reibling, E. T. (2003). What to convey in antismoking advertisements for adolescents: The use of protection motivation theory to identify effective message themes. Journal of Marketing, 67, 1–18.CrossRef

Plotnikoff, R. C., & Higginbotham, N. (1995). Predicting low-fat diet intentions and behaviors for the prevention of coronary heart disease: An application of protection motivation theory among an Australian population. Psychology & Health, 10, 397–408. doi:10.1080/08870449508401959 CrossRef

Podsakoff, P. M., MacKenzie, S. B., Lee, J., & Podsakoff, N. P. (2003). Common method biases in behavioral research: A critical review of the literature and recommended remedies. Journal of Applied Psychology, 88, 879–903. doi:10.1037/0021-9010.88.5.879 PubMedCrossRef

Prentice-Dunn, S., McMath, B. F., & Cramer, R. J. (2009). Protection motivation theory and stages of change in sun protective behavior. Journal of Health Psychology, 14, 297–305. doi:10.1177/1359105308100214 PubMedCrossRef

Prentice-Dunn, S., & Rogers, R. W. (1986). Protection motivation theory and preventive health: Beyond the health belief model. Health Education Research, 1, 153–161. doi:10.1093/her/1.3.153 CrossRef

Purdue, M. P. (2002). Predictors of sun protection in Canadian adults. Canadian Journal of Public Health, 93, 470–474.PubMed

Queensland Cancer Registry. (2010). Cancer in Queensland Incidence, Mortality, Survival and Prevalence—1982 to 2007. Retrieved from http://www.cancerqld.org.au/icms_docs/60012_Cancer_in_QLD_-incidence_and_mortality.pdf

Queensland Health. (2008). Sun safety and skin cancer statistics. Retrieved from www.health.qld.gov.au/sunsafety/documents/factsheet_skin_stats.pdf

Roberts, M. E., Gibbons, F. X., Gerrard, M., & Alert, M. D. (2011). Optimism and adolescent perception of skin cancer risk. Health Psychology, 30, 1–4. doi:10.1037/a0024380 CrossRef

Rogers, R. W. (1975). A protection motivation theory of fear appeals and attitude change. The Journal of Psychology, 91, 93–114. doi:10.1080/00223980.1975.9915803 CrossRef

Saraiya, M., Hall, H. I., & Uhler, R. J. (2002). Sunburn prevalence among adults in the United States, 1999. American Journal of Preventive Medicine, 23, 91–97. doi:10.1016/S0749-3797(02)00461-0 PubMedCrossRef

Scerri, L., Aquillina, S., Gauci, A. A., & Dalmas, M. (2002). Sun awareness and sun protection practices in Malta. Journal of the European Academy of Dermatology and Venereology, 16, 47–52. doi:10.1046/j.1468-3083.2002.00376.x PubMedCrossRef

Schofield, P. E., Freeman, J. L., Dixon, H. G., Borland, R., & Hill, D. J. (2001). Trends in sun protection behaviour among Australian young adults. Australian and New Zealand Journal of Public Health, 25, 62–65.PubMedCrossRef

Schüz, N., & Eid, M. (2012). Beyond the usual suspects: Target group- and behavior-specific factors add to a theory-based sun protection intervention for teenagers. Journal of Behavioral Medicine. doi:10.1007/s10865-012-9445-x

Sinclair, C. (2006). Risks and benefits of sun exposure: Implications for public health practice based on the Australian experience. Progress in Biophysics and Molecular Biology, 92, 173–178. doi:10.1016/j.pbiomolbio.2006.02.006 PubMedCrossRef

Stanton, W. R., Janda, M., Baade, P., & Anderson, P. (2004). Primary prevention of skin cancer: A review of sun protection in Australia and internationally. Health Promotion International, 19, 369–378. doi:10.1093/heapro/dah310 PubMedCrossRef

Turrisi, R., Hillhouse, J., Gebert, C., & Grimes, J. (1999). Examination of cognitive variables relevant to sunscreen use. Journal of Behavioral Medicine, 22, 493–509. doi:10.1023/A:1018609524523 PubMedCrossRef

van der Velde, W., & van der Plight, J. (1991). AIDS-related behavior: Coping, protection motivation, and previous behavior. Journal of Behavioral Medicine, 14, 429–451. doi:10.1007/BF00845103 PubMedCrossRef

van Osch, L., Reubsaet, A., Lechner, L., Candel, M., Mercken, L., & de Vries, H. (2008a). Predicting parental sunscreen use: Disentangling the role of action planning in the intention–behavior relationship. Psychology and Health, 23, 829–847. doi:10.1080/08870440701596577 CrossRef

van Osch, L., Reubsaet, A., Lechner, L., & de Vries, H. (2008b). The formation of specific action plans can enhance sun protection behavior in motivated parents. Preventive Medicine, 46, 127–132. doi:10.1016/j.ypmed.2008.02.025 CrossRef

Weinstock, M. A., Rossi, J. S., Redding, C. A., Maddock, J. E., & Cottrill, S. D. (2000). Sun protection behaviors and stages of change for the primary prevention of skin cancers among beachgoers in Southeastern New England. Annals of Behavioral Medicine, 22, 286–293.PubMedCrossRef

Whiteman, D. C., Whiteman, C. A., & Green, A. C. (2001). Childhood sun exposure as a risk factor for melanoma: A systematic review of epidemiologic studies. Cancer Causes and Control, 12, 69–82. doi:10.1023/A:1008980919928 PubMedCrossRef

Woolley, T., Buettner, P. G., & Lowe, J. (2004). Predictors of sun protection in northern Australian men with a history of nonmelanoma skin cancer. Preventive Medicine, 39, 300–307. doi:10.1016/j.ypmed.2004.04.015 PubMedCrossRef

Titel: Predicting sun protection behaviors using protection motivation variables
Auteurs: Joanne W. M. Ch’ng
A. Ian Glendon
Publicatiedatum: 01-04-2014
Uitgeverij: Springer US
Gepubliceerd in: Journal of Behavioral Medicine / Uitgave 2/2014
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-012-9482-5

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