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Sunburn paradoxes and the New Zealand population

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Abstract

Aim

Over the past decade, paradoxes have emerged in the skin cancer prevention and sunburn reduction literature. These include that individuals with higher sun protection knowledge; lower positive attitudes towards tanning; and who are users of sunscreen have higher odds of sunburn. It is also possible that sunburn paradoxes may be associated with those whose sunburn was unintended. New Zealand and Australia have, by far, the highest age standardised incidence rates of melanoma skin cancer in the world, and this study examines the extent to which sunburn and unintended sunburn is associated with the sunburn paradox variables.

Method

Sun Exposure Survey data New Zealanders aged 15 + years were gathered by the New Zealand Health Promotion Agency in 2016.

Results

Linkages were examined between sunburn, unintended sunburn and the paradox variables: sun protection knowledge, attitudes towards tanning and use of sunscreen. Sunburn was associated with higher respondent sun protection knowledge. No statistically significant associations were found between unintended sunburn and the paradox variables.

Conclusion

This research indicates that in a well-designed study of a sample representative of the New Zealand population, the sun protection knowledge sunburn paradox still exists. Despite a high level of sun protection knowledge, many people still become sunburned. Therefore, it is important to examine this paradox further in order to find ways to reduce sunburn frequency among New Zealanders. Potential ways to reduce sunburn are discussed.

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References

  • Armstrong BK (2004) How sun exposure causes skin cancer: an epidemiological perspective. In: Elwood JM, English DR (eds) D. Hill. Kluwer Academic Publishers, Dordrecht, Prevention of Skin Cancer, pp 9–116

    Google Scholar 

  • Autier P (2009) Sunscreen abuse for intentional sun exposure. Br J Dermatol 161:40–45

    Article  Google Scholar 

  • Borschmann R, Lines K, Cottrell D (2012) Sun protective behaviour, optimism bias, and the transtheoretical model of behaviour change. Aust Psychol 64:181–188

    Article  Google Scholar 

  • Health Promotion Agency (2016) Sun exposure survey methodology report, report prepared by key research Limited. Health Promotion Agency Research and Evaluation Unit. https://www.hpa.org.nz/sites/default/files/Sun%20Exposure%20Survey%20Methodology%20Report%202016%20FINAL.pdf. Accessed 18 April 2018

  • Horsburgh-McLeod G, Reeder A, Gray A, McGee R (2010) Applying item response theory (IRT) to a suntan attitudes scale. Australas epidemiol 17:40–46

    Google Scholar 

  • Hosmer DW, Lemeshow S (2004) Applied logistic regression. ISBN:9780471654025

  • International Agency for Research on Cancer, World Health Organization (2019) Global Cancer Observatory. International Agency for Research on Cancer; World Health Organization. https://gco.iarc.fr/. Accessed 14 February, 2019

  • McLeod GF, Insch A, Henry J (2011) Reducing barriers to sun protection–application of a holistic model for social marketing. AMJ 19:212–222

    Google Scholar 

  • McLeod GF, Reeder AI, Gray AR, McGee R (2016) Predictors of sunburn among a NZ urban population in a cross-sectional survey series (1999 to 2006). ANZJPH 40:290–291

    Google Scholar 

  • McLeod GF, Reeder AI, Gray AR, McGee R (2017) Unintended Sunburn: A Potential Target for Sun Protection Messages. J Skin Cancer Article ID 6902942 doi: https://doi.org/10.1155/2017/6902942

  • Narayanan DL, Saladi RN, Fox JL (2010) Review: ultraviolet radiation and skin cancer. Int J Dermatol 49:978–986

    Article  Google Scholar 

  • Sneyd M-J, Cox B (2013) A comparison of trends in melanoma mortality in New Zealand and Australia: the two countries with the highest melanoma incidence and mortality in the world. BMC Cancer 13. https://doi.org/10.1186/1471-2407-13-372

  • StataCorp (2018) Stata statistical software: release 15. StataCorp LP, College Station

    Google Scholar 

  • Trowland H, Thimasarn-Anwar T, Dallas S, McBride-Henry K, Minster J, Bell R (2016) Sun exposure survey 2016: adult topline time series report. Health Promotion Agency Research and Evaluation Unit. https://www.hpa.org.nz/our-work/research/publications. Accessed 18 April 2018

  • Wulf HC, Im S, Lock-Andersen J (1997) Sunscreens used at the beach do not protect against erythema: a new definition of SPF is proposed. Photodermatol Photoimmunol Photomed 3:129–132

    Article  Google Scholar 

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Acknowledgements

Data for this project was provided by the Health Promotion Agency, New Zealand. The results presented in this paper are the work of the authors.

Funding

This project received support from the University of Otago, New Zealand; and funding from the Cancer Research Trust New Zealand.

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Correspondence to Geraldine F. H. McLeod.

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McLeod, G.F.H., Dhakal, B., Reeder, A.I. et al. Sunburn paradoxes and the New Zealand population. J Public Health (Berl.) 29, 387–392 (2021). https://doi.org/10.1007/s10389-019-01142-9

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  • DOI: https://doi.org/10.1007/s10389-019-01142-9

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