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Sun exposure and protection practices among Florida college marching band members and alumni: a cross-sectional study

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Abstract

In the USA, skin cancer is the most common cancer, more than all other cancers combined. Skin cancer may be prevented by using sun protection. This is particularly important in 18–29-year-olds who, compared to older individuals, experience sunburns more frequently. Moreover, in locations close to the equator, such as Florida, people are at an increased risk of developing melanoma. College marching band members spend a significant amount of time in the sun, as much as 25 h weekly practicing and performing at games, yet little is known about this population. We examined and compared sun exposure and protection practices among Florida college marching band members and alumni. In 2020, anonymous cross-sectional web-based surveys were distributed via email and private Facebook groups. A total of 859 members and alumni of five Florida university marching bands participated. Questionnaires assessed demographic characteristics, sun protection behaviors, as well as history of sunburn and skin cancer. Analyses of variance and multiple linear regression analyses were employed to compare sun protection practices between band members and alumni. During sunny day practices, only 16.1% (63/391) of alumni and 27.1% (127/468) of current band members always wore sunscreen. In the multiple linear regression, after adjusting for gender, race/ethnicity, and family history of skin cancer, alumni, who participated in marching band practices within the past 50 years, were significantly less likely to wear sunscreen or hats compared to current band members. Overall, men were less likely to wear sunscreen but were more likely to wear hats and shirts with sleeves that cover their shoulders compared to women. Compared to the general US population in 2017 (0.38%), alumni of Florida college marching bands in 2020 (2.04%) have a self-reported increase in melanoma prevalence of 1.66%. Of note, melanoma diagnoses were only reported by alumni who self-identified as non-Hispanic white; none of the non-Hispanic black, Hispanic, or other alumni reported a melanoma diagnosis. As skin cancer incidence continues to rise, it is critical that leaders in the marching band community continually address unprotected sun exposure, by promoting protective practices, as well as modifying attitudes and behaviors regarding sun exposure and protection.

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The data underlying this article are available within the manuscript. There is no additional data to report.

References

  1. Allom V, Mullan B, Sebastian J (2013) Closing the intention-behaviour gap for sunscreen use and sun protection behaviours. Psychol Health 28(5):477–494

    Article  PubMed  Google Scholar 

  2. American Academy of Dermatology. Sunscreen FAQs (2020) https://www.aad.org/media/stats-sunscreen. Published 2019. Accessed 13 Sep 2020

  3. Auerbach MV, Heckman CJ, Darlow S (2018) To protect or not to protect: examining reasons for sun protection among young women at risk for skin cancer. J Behav Med 41(4):528–536

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Bellis M (2020) A history of sunscreen. ThoughtCo. https://www.thoughtco.com/suncreen-history-1992440. Published 2019. Accessed 13 Sep 2020

  5. Benjamini Y, Hochberg Y (1995) Controlling the false discovery rate: a practical and powerful approach to multiple testing. J Roy Stat Soc: Ser B (Methodol) 57(1):289–300

    Google Scholar 

  6. Chaudhry SB, Armbrecht ES, Gibbons M, Council ML, Knutson A, Lickerman S (2021) Sun protection outreach teaching by students (SPOTS)-evaluating the efficacy of skin cancer prevention education for adolescents. Dermatol Surg 47(7):926–930

    Article  CAS  PubMed  Google Scholar 

  7. Conner M, Norman P (2022) Understanding the intention-behavior gap: the role of intention strength. Front Psychol 13:923464

    Article  PubMed  PubMed Central  Google Scholar 

  8. Cottrell R, McClamroch L, Bernard A (2005) Melanoma knowledge and sun protection attitudes and behaviors among college students by gender and skin type. Am J Health Educ 36:274–278

    Article  Google Scholar 

  9. Cumberledge JP (2017) The time usage of college music majors, non-music majors, and marching band participants. SAGE Open 7(2):2158244017705246

    Article  Google Scholar 

  10. Ellis RM, Mohr MR, Indika SHS, Salkey KS (2012) Sunscreen use in student athletes: a survey study. J Am Acad Dermatol 67(1):159–160

    Article  PubMed  Google Scholar 

  11. Falk M, Anderson CD (2013) Influence of age, gender, educational level and self-estimation of skin type on sun exposure habits and readiness to increase sun protection. Cancer Epidemiol 37(2):127–132

    Article  CAS  PubMed  Google Scholar 

  12. Fitzpatrick TB (1988) The validity and practicality of sun-reactive skin types I through VI. Arch Dermatol 124(6):869–871

    Article  CAS  PubMed  Google Scholar 

  13. Geller AC, Clapp RW, Sober AJ et al (2013) Melanoma epidemic: an analysis of six decades of data from the Connecticut Tumor Registry. J Clin Oncol 31(33):4172–4178

    Article  PubMed  PubMed Central  Google Scholar 

  14. Hamant ES, Adams BB (2005) Sunscreen use among collegiate athletes. J Am Acad Dermatol 53(2):237–241

    Article  PubMed  Google Scholar 

  15. Heckman CJ, Coups EJ (2011) Correlates of sunscreen use among high school students: a cross-sectional survey. BMC Public Health 11:679

    Article  PubMed  PubMed Central  Google Scholar 

  16. Holman DM, Ding H, Guy GP Jr, Watson M, Hartman AM, Perna FM (2018) Prevalence of sun protection use and sunburn and association of demographic and behaviorial characteristics with sunburn among US adults. JAMA Dermatol 154(5):561–568

    Article  PubMed  PubMed Central  Google Scholar 

  17. Jones B, Oh C, Corkery E, Hanley R, Egan CA (2007) Attitudes and perceptions regarding skin cancer and sun protection behaviour in an Irish population. J Eur Acad Dermatol Venereol 21(8):1097–1101

    Article  CAS  PubMed  Google Scholar 

  18. Lee A, Garbutcheon-Singh KB, Dixit S, Brown P, Smith SD (2015) The influence of age and gender in knowledge, behaviors and attitudes towards sun protection: a cross-sectional survey of Australian outpatient clinic attendees. Am J Clin Dermatol 16(1):47–54

    Article  PubMed  Google Scholar 

  19. Merten JW, King JL, Vilaro MJ, Largo-Wight E (2018) Lifestyle factors associated with sunscreen use among young adults. Am J Lifestyle Med 12(4):331–339

    Article  PubMed  Google Scholar 

  20. National Cancer Institute (2021) SEER cancer stat facts: melanoma of the skin. https://seer.cancer.gov/statfacts/html/melan.html. Published 2020. Accessed 15 Feb 2021

  21. Rajagopal G, Talluri R, Chuy VS, Cheng AL, Dall L (2021) Trends in sunscreen use among US middle and high school students, 2007–2019. Cureus 13(7):e16468

    PubMed  PubMed Central  Google Scholar 

  22. Richards TB, Johnson CJ, Tatalovich Z et al (2011) Association between cutaneous melanoma incidence rates among white US residents and county-level estimates of solar ultraviolet exposure. J Am Acad Dermatol 65(5 Suppl 1):S50-57

    PubMed  PubMed Central  Google Scholar 

  23. Savoye I, Olsen CM, Whiteman DC et al (2018) Patterns of ultraviolet radiation exposure and skin cancer risk: the E3N-SunExp study. J Epidemiol 28(1):27–33

    Article  PubMed  PubMed Central  Google Scholar 

  24. Shahnam A, Samarawickrema I, Ali S (2017) Sun-protection practices among undergraduates at an Australian University. Australas J Dermatol 58(2):93–98

    Article  PubMed  Google Scholar 

  25. Shuk E, Burkhalter JE, Baguer CF et al (2012) Factors associated with inconsistent sun protection in first-degree relatives of melanoma survivors. Qual Health Res 22(7):934–945

    Article  PubMed  PubMed Central  Google Scholar 

  26. Spradlin K, Bass M, Hyman W, Keathley R (2010) Skin cancer: knowledge, behaviors, and attitudes of college students. South Med J 103(10):999–1003

    Article  PubMed  Google Scholar 

  27. Thieden E, Philipsen PA, Sandby-Moller J, Wulf HC (2005) Sunscreen use related to UV exposure, age, sex, and occupation based on personal dosimeter readings and sun-exposure behavior diaries. Arch Dermatol 141(8):967–973

    Article  PubMed  Google Scholar 

  28. United States Census Bureau (2021) Census Bureau Projects U.S. and world populations on New Year’s day. https://www.census.gov/newsroom/press-releases/2017/new-years-2018.html. Published 2017. Accessed 15 Feb 2021

  29. U.S. Department of Health and Human Services (2014) The Surgeon general's call to action to prevent skin cancer. Washington, DC: U.S. Dept of Health and Human Services, Office of the Surgeon General

  30. Wickenheiser M, Baker MK, Gaber R, Blatt H, Robinson JK (2013) Sun protection preferences and behaviors among young adult males during maximum ultraviolet radiation exposure activities. Int J Environ Res Public Health 10(8):3203–3216

    Article  PubMed  PubMed Central  Google Scholar 

  31. World Health Organization (2002) Global solar UV index: a practical guide. https://www.who.int/uv/publications/en/UVIGuide.pdf. Published 2002. Accessed 13 Sep 2020

  32. Wu S, Cho E, Li WQ, Weinstock MA, Han J, Qureshi AA (2016) History of severe sunburn and risk of skin cancer among women and men in 2 prospective cohort studies. Am J Epidemiol 183(9):824–833

    Article  PubMed  PubMed Central  Google Scholar 

  33. Wu YP, Parsons BG, Nagelhout E et al (2019) A four-group experiment to improve Western high school students’ sun protection behaviors. Transl Behav Med 9(3):468–479

    Article  PubMed  PubMed Central  Google Scholar 

  34. Wysong A, Gladstone H, Kim D, Lingala B, Copeland J, Tang JY (2012) Sunscreen use in NCAA collegiate athletes: identifying targets for intervention and barriers to use. Prev Med 55(5):493–496

    Article  PubMed  Google Scholar 

  35. Yockey RA, Nabors LA, Oluwoye O, Welker K, Hardee AM (2017) College students’ perceptions of worry and parent beliefs: associations with behaviors to prevent sun exposure. J Skin Cancer 2017:4985702

    Article  PubMed  PubMed Central  Google Scholar 

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Acknowledgements

The authors would like to thank the Florida State University, University of South Florida, University of Central Florida, University of Miami, and Florida Atlantic University band directors for distributing the anonymous survey to their students. The authors would also like to thank the admin of the alumni Facebook groups for assisting them with posting the anonymous survey.

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Authors and Affiliations

  1. Department of Public Health Sciences, Miller School of Medicine, University of Miami, Miami, FL, USA

    W. Austin Wyant, David J. Lee & Yue Pan

  2. Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery, Miller School of Medicine, University of Miami, Miami, FL, USA

    W. Austin Wyant & Robert S. Kirsner

  3. Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA

    June K. Robinson

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  2. David J. Lee
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  5. Yue Pan
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Contributions

Study concept and design: W.A. Wyant; Acquisition, analysis, or interpretation of data: W.A. Wyant and Y. Pan; Drafting of the manuscript: W.A. Wyant; Critical revision of the manuscript for important intellectual content: All authors; Statistical analysis: W.A. Wyant and Y. Pan; Administrative, technical, or material support: All authors; Study supervision: Y. Pan and D.J. Lee.

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Correspondence to W. Austin Wyant.

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The authors declare that they have no conflict of interest.

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Institutional review board approval for this anonymous survey was waived by the University of Miami Miller School of Medicine.

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Wyant, W.A., Lee, D.J., Robinson, J.K. et al. Sun exposure and protection practices among Florida college marching band members and alumni: a cross-sectional study. Arch Dermatol Res 315, 1171–1179 (2023). https://doi.org/10.1007/s00403-022-02486-1

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  • DOI: https://doi.org/10.1007/s00403-022-02486-1

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