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Community-wide Interventions to Prevent Skin Cancer: Two Community Guide Systematic Reviews


Sandhu, PK and Elder, R and Patel, M and Saraiya, M and Holman, DM and Perna, F and Smith, RA and Buller, D and Sinclair, C and Reeder, A and Makin, J and McNoe, B and Glanz, K, and the Community Preventive Services Task Force, Community-wide Interventions to Prevent Skin Cancer: Two Community Guide Systematic Reviews, American Journal of Preventive Medicine, 51, (4) pp. 531-539. ISSN 0749-3797 (2016) [Refereed Article]

Copyright Statement

Copyright 2016 Elsevier Inc.

DOI: doi:10.1016/j.amepre.2016.03.020


CONTEXT: Skin cancer is a preventable and commonly diagnosed cancer in the U.S. Excessive ultraviolet radiation exposure is a known cause of skin cancer. This article presents updated results of two types of interventions evaluated in a previously published Community Guide systematic review: multicomponent community-wide interventions and mass media interventions when used alone.

EVIDENCE ACQUISITION: Studies assessing multicomponent community-wide and mass media interventions to prevent skin cancer by reducing ultraviolet radiation exposure were evaluated using Community Guide systematic review methods. Relevant studies published between 1966 and 2013 were included and analyzed for this review.

EVIDENCE SYNTHESIS: Seven studies evaluating the effectiveness of multicomponent community-wide interventions showed a median increase in sunscreen use of 10.8 (interquartile interval=7.3, 23.2) percentage points, a small decrease in ultraviolet radiation exposure, a decrease in indoor tanning device use of 4.0 (95% CI=2.5, 5.5) percentage points, and mixed results for other protective behaviors. Four studies evaluating the effectiveness of mass media interventions found that they generally led to improved ultraviolet protection behaviors among children and adults.

CONCLUSIONS: The available evidence showed that multicomponent community-wide interventions are effective in reducing the deleterious effects of ultraviolet radiation exposure by increasing sunscreen use. There was, however, insufficient evidence to determine the effectiveness of mass media interventions alone in reducing ultraviolet radiation exposure and increasing ultraviolet protection behaviors, indicating a continuing need for more research in this field to improve assessment of effectiveness.

Item Details

Item Type:Refereed Article
Research Division:Commerce, Management, Tourism and Services
Research Group:Human resources and industrial relations
Research Field:Occupational and workplace health and safety
Objective Division:Health
Objective Group:Public health (excl. specific population health)
Objective Field:Behaviour and health
UTAS Author:Makin, J (Ms Jen Makin)
ID Code:111567
Year Published:2016
Web of Science® Times Cited:35
Deposited By:Menzies Institute for Medical Research
Deposited On:2016-09-22
Last Modified:2022-08-29

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