Use of recommended sun protection strategies among minor children of melanoma survivors is suboptimal and as a result, these children receive excess ultraviolet radiation exposure that further increases their melanoma risk. Among a sample of 368 melanoma survivor-child dyads, the relationship between family-focused factors and child sun protection and related outcomes was examined, as well as the relations of family factors with individual sun-protective behaviors. The findings indicated that sun protection, tanning, and sunburn were positively associated between survivors and their children. Certain family-focused factors including parental perceived risk for the child to develop melanoma later in life and problem-solving skills were associated with child melanoma risk and protection outcomes. These factors could be important intervention targets to improve sun protection behavior use and skin cancer risk behavior avoidance among children with a familial risk for melanoma. This trial is registered at ClinicalTrials.gov (NCT04201223).
ArmstrongBKCustAE (2017) Sun exposure and skin cancer, and the puzzle of cutaneous melanoma. A perspective on Fears et al. Mathematical models of age and ultraviolet effects on the incidence of skin cancer among whites in the United States. American Journal of Epidemiology105: 420–427.
4.
BalkSJ (2011) Ultraviolet radiation: A hazard to children and adolescents. Pediatrics127(3): e791–e817.
5.
BanduraA (1998) Health promotion from the perspective of social cognitive theory. Psychology & Health13(4): 623–649.
6.
ChoERosnerBAFeskanichD, et al. (2005) Risk factors and individual probabilities of melanoma for whites. Journal of Clinical Oncology23(12): 2669–2675.
7.
CoffinTWuYPMaysD, et al. (2019) Relationship of parent-child sun protection among those at risk for and surviving with melanoma: Implications for family-based cancer prevention. Translational Behavioral Medicine9(3): 480–488.
8.
CokkinidesVEWeinstockMACardinezCJ, et al. (2004) Sun-safe practices in U.S. youth and their parents: Role of caregiver on youth sunscreen use. American Journal of Preventive Medicine26(2): 147–151.
9.
CollinsWAMadsenSD (2019) Parenting during middle childhood. In: BornsteinMH (ed.) Handbook of Parenting: Volume I: Children and Parenting, 3rd edn. Routledge/Taylor & Francis Group, pp.81–110.
10.
FitzpatrickTB (1988) The validity and practicality of sun-reactive skin types I through VI. Archives of Dermatology124(6): 869–871.
11.
GlanzKSteffenADSchoenfeldE, et al. (2013) Randomized trial of tailored skin cancer prevention for children: The Project SCAPE family study. Journal of Health Communication18(11): 1368–1383.
12.
GlanzKYarochALDancelM, et al. (2008) Measures of sun exposure and sun protection practices for behavioral and epidemiologic research. Archives of Dermatology144(2): 217–222.
13.
GlennBALinTChangLC, et al. (2015) Sun protection practices and sun exposure among children with a parental history of melanoma. Cancer Epidemiology, Biomarkers & Prevention24(1): 169–177.
14.
GreenACWallingfordSCMcBrideP (2011) Childhood exposure to ultraviolet radiation and harmful skin effects: Epidemiological evidence. Progress in Biophysics and Molecular Biology107(3): 349–355.
15.
HarrisPATaylorRThielkeR, et al. (2009) Research electronic data capture (REDCap)—A metadata-driven methodology and workflow process for providing translational research informatics support. Journal of Biomedical Informatics42(2): 377–381.
16.
International Agency for Research on Cancer (2001) IARC Handbook on Cancer Prevention. Volume 5: Sunscreens. International Agency for Research on Cancer, World Health Organization.
O’RiordanDLGlanzKGiesP, et al. (2008) A pilot study of the validity of self-reported ultraviolet radiation exposure and sun protection practices among lifeguards, parents and children. Photochemistry and Photobiology84(3): 774–778.
RogersRW (1975) A protection motivation theory of fear appeals and attitude change. The Journal of Psychology91(1): 93–114.
21.
SchlarbaumJPLazovichDDoddE, et al. (2020) Examination of use and barriers for five sun protection strategies in parents and their children. Pediatric Dermatology37(5): 827–832.
22.
SmithKRFraserAReedDL, et al. (2022) The Utah Population Database. A model for linking medical and geneological records for population health research. Historical Life Course Studies3(12): 58–77.
23.
SoenensBVansteenkisteMBeyersW (2019) Parenting adolescents. In: BornsteinMH (ed.) Handbook of Parenting: Volume I: Children and Parenting, 3rd edn. Routledge/Taylor & Francis Group, pp.111–167.
24.
SupapannachartKJLawleyLChenSC, et al. (2022) Correlations of sun-protective behavior and intentional outdoor tanning among parent-teen dyads: A cross-sectional study. Journal of the American Academy of Dermatology86(4): 914–916.
25.
TomaykoEJTovarAFitzgeraldN, et al. (2021) Parent involvement in diet or physical activity interventions to treat or prevent childhood obesity: An umbrella review. Nutrients13(9): 3227.
26.
TrippMKPetersonSKProkhorovAV, et al. (2016) Correlates of sun protection and sunburn in children of melanoma survivors. American Journal of Preventive Medicine51(3): e77–e85.
27.
US Department of Health and Human Services (2014) The Surgeon General’s Call to Action to Prevent Skin Cancer. U.S. Dept of Health and Human Services, Office of the Surgeon General.
28.
van de KolkIVerjans-JanssenSRBGubbelsJS, et al. (2019) Systematic review of interventions in the childcare setting with direct parental involvement: Effectiveness on child weight status and energy balance-related behaviours. International Journal of Behavioral Nutrition and Physical Activity16(1): 110.
29.
WeinsteinND (1999) What does it mean to understand a risk? Evaluating risk comprehension. Journal of the National Cancer Institute. Monographs 1999(25): 15–20.
30.
WuSHanJLadenF, et al. (2014a) Long-term ultraviolet flux, other potential risk factors, and skin cancer risk: A cohort study. Cancer Epidemiology, Biomarkers & Prevention23(6): 1080–1089.
31.
WuYPAspinwallLGParsonsB, et al. (2020) Parent and child perspectives on family interactions related to melanoma risk and prevention after CDKN2A/p16 testing of minor children. Journal of Community Genetics11(3): 321–329.
32.
WuYPNagelhoutEAspinwallLG, et al. (2017) A novel educational intervention targeting melanoma risk and prevention knowledge among children with a familial risk for melanoma. Patient Education and Counseling101(3): 452–459.
33.
WuYPParsonsBGAspinwallLG, et al. (2019) Parent and child perspectives on perceived barriers to child sun protection and their association with sun protection strategies among children of melanoma survivors. Pediatric Dermatology36(3): 317–323.
34.
WuYPParsonsBGMooneyR, et al. (2018) Barriers and facilitators to melanoma prevention and control behaviors among at-risk children. Journal of Community Health43(5): 993–1001.
35.
WuYPRauschJRohanJM, et al. (2014b) Autonomy support and responsibility-sharing predict blood glucose monitoring frequency among youth with diabetes. Health Psychology33(10): 1224–1231.
36.
WuYPStumpTKHayJL, et al. (2023) The Family Lifestyles, Actions and Risk Education (FLARE) study: Protocol for a randomized controlled trial of a sun protection intervention for children of melanoma survivors. Contemporary Clinical Trials131: 107276.
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