Journal of Behavioral Medicine

, Volume 28, Issue 1, pp 77–90 | Cite as

Psychosocial Characteristics Associated with Sun Protection Practices Among Parents of Young Children

Article

Abstract

Despite the importance of sun protection during childhood, many parents fail to adequately protect their children from the sun. The current study assessed sun-related knowledge, stage of change, and psychosocial characteristics of parents of young children. We examined how knowledge and psychosocial characteristics differed by stage of change, and tested a model of the relationship among demographics, knowledge, psychosocial variables, and child sun protection. Surveys were completed by 391 parents of preschool-aged children. Parent knowledge about skin cancer was relatively high and did not vary by stage of change. Parents in earlier stages of change perceived more barriers to child sun protection, had more positive beliefs about children’s sun exposure, perceived their child to be less susceptible to sun damage, and had lower self-efficacy for child sun protection than did parents in later stages of change. In a path model, the strongest predictors of child sun protection were parents’ own sun protection habits, perceived barriers, and self-efficacy. Results highlight the importance of parent psychosocial characteristics in predicting child sun protection.

Keywords

preschool children parents skin cancer daycare centers prevention 

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References

  1. American Cancer Society (2000). Facts and Figures, American Cancer Society, New York.Google Scholar
  2. Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavior change. Psychol. Rev. 84: 191–215.Google Scholar
  3. Bandura, A. (1986). Social Foundations of Thought and Action: A Social Cognitive Theory, Englewood Cliffs, NJ, Prentice-Hall.Google Scholar
  4. Becker, M. H. (1974). The health belief model and personal health behavior. Health Educ. Monogr. 2: 342–508.Google Scholar
  5. Bennetts, K., Borland, R., and Serissen, H. (1991). Sun protection behaviour of children and their parents at the beach. Psychol. Health 5: 279–287.Google Scholar
  6. Buller, D. B., and Borland, R. (1999). Skin cancer prevention for children: A critical review. Health Educ. Behav. 26: 317–343.Google Scholar
  7. Buller, D. B., Callister, M. A., and Reichert, T. (1995). Skin cancer prevention by parents of young children: Health information sources, skin cancer knowledge, and sun-protection practices. Oncol. Nurs. Forum 22: 1559–1566.Google Scholar
  8. Fitzpatrick, T. B. (1988). The validity and practicality of sun reactive skin types I through IV. Arch. Dermatol. 120: 869–871.Google Scholar
  9. Fitzpatrick, T. B., Eisen, A. Z., Wolff, K., Freedberg, I. M., and Austen, K. F. (1993). Dermatology in General Medicine, 3rd ed., McGraw-Hill, New York.Google Scholar
  10. Fowler, F. J. Jr. (2002). Survey Research Methods, 3rd ed., Sage Publications, Thousand Oaks, CA.Google Scholar
  11. Gerbing, D. W., and Anderson, J. C. (1992). Monte carlo evaluations of goodness of fit indices for structural equation modeling. Sociol. Methods Res. 21: 132–160.Google Scholar
  12. Glanz, K., Geller, A. C., Shigaki, D., Maddock, J. E., and Isnec, M. R. (2002). A randomized trial of skin cancer prevention in aquatics settings: The Pool Cool program. Health Psychol. 21: 579–587.Google Scholar
  13. Glanz, K., Lew, R. A., Song, V., and Cook, V. A. (1999). Factors associated with skin cancer prevention practices in a multiethnic population. Health Educ. Behav. 26: 344–359.Google Scholar
  14. Green, A., Siskind, V., and Alexander, J. (1985). Sunburn and malignant melanoma. Br. J. Cancer 51: 3939–3397.Google Scholar
  15. Grin, C. M., Pennoyer, J. W., Lehrich, D. A., and Grant-Kels, J. M. (1994). Sun exposure of young children while at day care. Pediatr. Dermatol. 11: 304–309.Google Scholar
  16. Grob, J. J., Guglielmina, C., Gouvernet, J., Zarour, H., Noe, C., and Bonerandi, J. J. (1993). Study of sunbathing habits in children and adolescents—Application to the prevention of melanoma. Dermatology 186: 94–98.Google Scholar
  17. Herrick, A. B., Stone, W. J., and Mettler, M. M. (1997). Stages of change, decisional balance, and self-efficacy across four health behaviors in a worksite environment. Am. J. Health Promotion 12(1): 49–56.Google Scholar
  18. Hu, L.-T., and Bentler, P. M. (1998). Fit indices in covariance structure modeling: Sensitivity to underparameterized model misspecification. Psychol. Methods 3: 424–453.Google Scholar
  19. Hu, L.-T., and Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Struct. Equation Model. 6: 1–55.Google Scholar
  20. Hu, L.-T., Bentler, P. M., and Kano, Y. (1992). Can test statistics in covariance structure analysis be trusted? Psychol. Bull. 112: 351–362.Google Scholar
  21. Hurwitz, S. (1988). The sun and sunscreen protection: Recommendations for children. J. Dermatol. Surg. Oncol. 14: 657–660.Google Scholar
  22. King, T. K., Marcus, B. H., Pinto, B. M., and Emmons, K. M. (1996). Cognitive-behavioral mediators of changing multiple behaviors: Smoking and a sedentary lifestyle. Prevent. Med. 16: 684–691.Google Scholar
  23. Kirscht, J. P. (1988). The health belief model and predictions of health actions. In Gochman, D. S. (Ed.), Health Behavior: Emerging Research Perspectives, Plenum Press, New York, pp. 27–42.Google Scholar
  24. Lescano, C. M., and Rodrigue, J. R. (1997). Skin cancer prevention behaviors among parents of young children. Child. Health Care 26: 107–114.Google Scholar
  25. Lew, R. A., Sober, A. J., Cook, N., Marvell, R., and Fitzpatrick, T. B. (1983). Sun exposure habits in patients with cutaneous melanoma: A case control study. J. Dermatol. Surg. Oncol. 9: 981–986.Google Scholar
  26. Little, R. A., and Rubin, D. B. (2002). Statistical Analysis with Missing Data, 2nd ed., Wiley, Hoboken, NJ.Google Scholar
  27. MacCallum, R. C. (1995). Procedures, strategies, and related issues. In Hoyle, R. H. (Ed.), Structural Equation Modeling: Concepts, Issues, and Applications, Sage Publications, Thousand Oaks, CA, pp. 16–36.Google Scholar
  28. Maddux, J. E., and Rogers, R. W. (1983). Protection motivation and self-efficacy: A revised theory of fear appeals and attitude change. J. Exp. Social Psychol. 19: 469–479.Google Scholar
  29. Maducdoc, L. R., Wagner, R. F., and Wagner, K. D. (1992). Parents’ use of sunscreen on beach-going children: The burnt child dreads the fire. Arch. Dermatol. 128: 626–629.Google Scholar
  30. Mermelstein, R. J., and Riesenberg, L. A. (1992). Changing knowledge and attitudes about skin cancer risk factors in adolescents. Health Psychol. 11: 371–376.Google Scholar
  31. Nigg, C. R., Burbank, P. M., Paudla, C., Dufresne, R., Rossi, J. S., Velicer, W. F., Laforge, R. G., and Prochaska, J. O. (1999). Stages of change across ten health risk behaviors for older adults. Gerontologist 39(4): 473–482.Google Scholar
  32. Preston, D. S., and Stern, R. S. (1992). Nonmelanoma cancers of the skin. New Engl. J. Med. 327: 1649–1662.Google Scholar
  33. Prochaska, J. O., and DiClemente, C. C. (1983). Stages and processes of self-change of smoking: Toward an integrative model of change. J. Consult. Clin. Psychol. 51: 390–395.Google Scholar
  34. Prochaska, J. O., DiClemente, C. C., and Norcross, J. C. (1992). In search of how people change: Applications to addictive behavior. Am. Psychol. 47: 1102–1115.Google Scholar
  35. Robinson, J. K., Rigel, D. S., and Amonette, R. A. (1998). Sun protection behaviors used by adults for their children—United States, 1997. J. Am. Med. Assoc. 280: 317–318.Google Scholar
  36. Rodrigue, J. R. (1996). Promoting healthier behaviors, attitudes, and beliefs toward sun exposure in parents of young children. J. Consult. Clin. Psychol. 64: 1431–1436.Google Scholar
  37. Rosenstock, I. M. (1974). The health belief model and preventive health behavior. Health Educ. Monogr. 2: 354–386.Google Scholar
  38. Sallis, J. F., and Nader, P. R. (1988). Family determinants of health behaviors. In Gochman, D. S. (Ed.), Health Behavior: Emerging Research Perspectives, Plenum Press, New York, pp. 23–50.Google Scholar
  39. Schunk, D. H., and Carbonari, J. P. (1984). Self-efficacy models. In Matarazzo, J. D., and Weiss, S. M., et al. (Eds.), Behavioral Health: A Handbook of Health Enhancement and Disease Prevention, Wiley, New York, pp. 230–247.Google Scholar
  40. Stern, R. S., Weinstein, M. C., and Baker, S. G. (1986). Risk reduction for nonmelanoma skin cancer with childhood sunscreen use. Arch. Dermatol. 122: 537–545.Google Scholar
  41. Tinsley, B. J. (1992). Multiple influences on the acquisition and socialization of children’s health attitudes and behavior: An integrative review. Child Dev. 63: 1043–1069.Google Scholar
  42. Turrisi, R., Hillhouse, J., Gebert, C., and Grimes, J. (1999). Examination of cognitive variables relevant to sunscreen use. J. Behav. Med. 22: 493–509.Google Scholar
  43. VanOss Marin, B., Gomez, C. A., Tschann, J. M., and Gregorich, S. E. (1997). Condom use in unmarried Latino men: A test of cultural constructs. Health Psychol. 16: 458–467.Google Scholar
  44. Velicer, W. F., Prochaska, J. O., DiClemente, C. C., and Brandenburg, N. (1985). Decisional balance measure for assessing and predicting smoking status. J. Personality Social Psychol. 48: 1279–1289.Google Scholar
  45. Velicer, W. F., Prochaska, J. O., Fava, J. L., Rossi, J. S., Redding, C. A., Laforge, R. G., and Robbins, M. L. (2000). Using the transtheoretical model for population-based approaches to health promotion and disease prevention. Homeostasis Health Disease 40: 174–195.Google Scholar
  46. Weinstock, M. A., Colditz, G. A., Willett, W. C., Stampfer, M. J., Bronstein, B. R., Mihm, M. C., and Speizer, F. E. (1989). Nonfamilial cutaneous melanoma incidence in women associated with sun exposure before 20 years of age. Pediatrics 84: 199–204.Google Scholar
  47. Weinstock, M. A., Rossi, J. S., Redding, C. A., and Maddock, J. E. (2002). Randomized controlled community trial of the efficacy of a multicomponent stage-matched intervention to increase sun protection among beachgoers. Prevent. Med. 35(6): 584–592.Google Scholar
  48. West, S. G., Finch, J. F., and Curran, P. J. (1995). Structural equation models with nonnormal variables: Problems and remedies. In Hoyle, R. H. (Ed.), Structural Equation Modeling: Concepts, Issues, and Applications, Sage Publications, Thousand Oaks, CA, pp. 56–75.Google Scholar
  49. Wulfert, E., and Wan, C. K. (1993). Condom use: A self-efficacy model. Health Psychol. 12: 346–353.Google Scholar

Copyright information

© Springer Science + Business Media, Inc. 2005

Authors and Affiliations

  1. 1.Institute for Health Research and PolicyUniversity of Illinois at ChicagoChicago
  2. 2.Institute for Health Research and PolicyUniversity of Illinois at ChicagoChicago

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