caa a22 4500 445315083 CHVBK 20180317142643.0 cr unu---uuuuu 170323e20110701xx s 000 0 eng 10.1007/s10552-011-9780-1 doi (NATIONALLICENCE)springer-10.1007/s10552-011-9780-1 Hat, shade, long sleeves, or sunscreen? Rethinking US sun protection messages based on their relative effectiveness [Elektronische Daten] [Eleni Linos, Elizabeth Keiser, Teresa Fu, Graham Colditz, Suephy Chen, Jean Tang] Background: Sun protection messages in the United States emphasize sunscreen use, although its efficacy in skin cancer prevention remains controversial. Methods: We used data from NHANES 2003-2006, restricted to adult whites (n=3,052) to evaluate how Americans protect themselves from the sun. Participants completed questionnaires on the frequency with which they used sunscreen, wore a hat, long sleeves, or stayed in the shade, in addition to the number of sunburns in the past year. Results: Although using sunscreen is the most common sun protective behavior (30%), frequent sunscreen use was not associated with fewer sunburns. However, the odds of multiple sunburns were significantly lower in individuals who frequently avoided the sun by seeking shade (OR=0.70, p<0.001) or wearing long sleeves (OR=0.73, p=0.01). Conclusions: Our findings suggest that shade and protective clothing may be more effective than sunscreen, as typically used by Americans. Springer Science+Business Media B.V., 2011 Sunprotection nationallicence Sunscreen nationallicence Skin cancer nationallicence Sunburn nationallicence Linos Eleni Department of Dermatology, Stanford University School of Medicine, 450 Broadway St, Pavillion C, 94063, Redwood City, CA, USA aut Keiser Elizabeth Department of Dermatology, Stanford University School of Medicine, 450 Broadway St, Pavillion C, 94063, Redwood City, CA, USA aut Fu Teresa Department of Dermatology, Stanford University School of Medicine, 450 Broadway St, Pavillion C, 94063, Redwood City, CA, USA aut Colditz Graham Siteman Cancer Center, Washington University School of Medicine, St Louis, MO, USA aut Chen Suephy Department of Dermatology, Emory University, Atlanta, GA, USA aut Tang Jean Department of Dermatology, Stanford University School of Medicine, 450 Broadway St, Pavillion C, 94063, Redwood City, CA, USA aut Cancer Causes & Control Springer Netherlands 22/7(2011-07-01), 1067-1071 0957-5243 22:7<1067 2011 22 10552 https://doi.org/10.1007/s10552-011-9780-1 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10552-011-9780-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Linos Eleni Department of Dermatology, Stanford University School of Medicine, 450 Broadway St, Pavillion C, 94063, Redwood City, CA, USA aut NATIONALLICENCE 700 1- Keiser Elizabeth Department of Dermatology, Stanford University School of Medicine, 450 Broadway St, Pavillion C, 94063, Redwood City, CA, USA aut NATIONALLICENCE 700 1- Fu Teresa Department of Dermatology, Stanford University School of Medicine, 450 Broadway St, Pavillion C, 94063, Redwood City, CA, USA aut NATIONALLICENCE 700 1- Colditz Graham Siteman Cancer Center, Washington University School of Medicine, St Louis, MO, USA aut NATIONALLICENCE 700 1- Chen Suephy Department of Dermatology, Emory University, Atlanta, GA, USA aut NATIONALLICENCE 700 1- Tang Jean Department of Dermatology, Stanford University School of Medicine, 450 Broadway St, Pavillion C, 94063, Redwood City, CA, USA aut NATIONALLICENCE 773 0- Cancer Causes & Control Springer Netherlands 22/7(2011-07-01), 1067-1071 0957-5243 22:7<1067 2011 22 10552 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer