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Are Interventions to Promote Sun-Protective Behaviors in Recreational and Tourist Settings Effective? A Systematic Review with Meta-analysis and Moderator Analysis

Lookup NU author(s): Dr Angela Rodrigues, Professor Falko Sniehotta, Professor Vera Araujo-SoaresORCiD

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Abstract

Background Intermittent sun exposure and sunburn are risk factors for skin cancer that mostly occur in recreational/ tourist settings. This review assesses the efficacy of skin cancer prevention interventions designed to promote sunprotective behaviors in recreational/tourist settings. Methods Systematic review with meta-analyses of controlled trials with outcome measures of sun-protective behaviors and/or sunburn published until January 2011. Results Twenty-three studies were included. We found no evidence for the efficacy of current interventions in reducing tanning or promoting protective clothing and seeking shade. Meta-analyses show a small heterogeneous effect for interventions on sun-protective behavior indices. Larger but heterogeneous effects were observed for self-reported sun exposure and sunburns. Modest methodological quality suggests risk of bias. Effective interventions were more likely to stimulate social norms supporting sun-protective behaviors and provide appearance-based information about photoaging illustrated with ultraviolet photographs. Conclusion There is weak and inconclusive evidence for the efficacy of interventions in promoting sun-protective behaviors.


Publication metadata

Author(s): Rodrigues A, Sniehotta FF, Araujo-Soares V

Publication type: Article

Publication status: Published

Journal: Annals of Behavioral Medicine

Year: 2013

Volume: 45

Issue: 2

Pages: 224-238

Print publication date: 01/11/2012

ISSN (print): 0883-6612

ISSN (electronic): 1532-4796

Publisher: Springer New York LLC

URL: http://dx.doi.org/10.1007%2Fs12160-012-9444-8

DOI: 10.1007%2Fs12160-012-9444-8


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