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Arch Dermatol. 2009 Feb;145(2):139-44. doi: 10.1001/archdermatol.2008.553.

Lifeguards' sun protection habits and sunburns: association with sun-safe environments and skin cancer prevention program participation.

Author information

  • 1Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, 1518 Clifton Rd, NE, Room 521, Atlanta, GA 30307, USA. dmhall@sph.emory.edu

Abstract

OBJECTIVE:

To examine associations among outdoor pool environments, social norms, pool policies, and participation in a sun safety program with lifeguards' sun protection habits and sunburn.

DESIGN:

Cross-sectional survey.

SETTING:

Outdoor swimming pools across the United States.

PARTICIPANTS:

Lifeguards and aquatic instructors at pools participating in the Pool Cool skin cancer prevention program in 2001 (N = 699) and 2002 (N = 987).

MAIN OUTCOME MEASURES:

Sun protection habits and number of sunburns.

RESULTS:

Social norms supporting sun safety were associated with more sun protection habits (95% confidence intervals [CIs], 0.18-0.28 in 2001 and 0.17-0.26 in 2002), as were pool policies supporting sun safety (95% CI, 0.02-0.07 in 2001 and 0.002-0.04 in 2002). There was a trend toward fewer sunburns as social norms, pool policies, and participation in the Pool Cool program increased, but results differed across the 2 years. In 2001, lower social norms scores and pool policy scores were associated with more reported sunburns. In 2002, teaching Pool Cool sun safety lessons was associated with fewer sunburns.

CONCLUSION:

The pool environment is related to sun safety behaviors of outdoor pool staff, with social norms showing the strongest association.

PMID:
19221258
[PubMed - indexed for MEDLINE]
PMCID:
PMC2928139
Free PMC Article

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