{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T09:58:11Z","timestamp":1785491891131,"version":"3.56.0"},"reference-count":23,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T00:00:00Z","timestamp":1778803200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,7,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Individuals with a history of skin cancer are at elevated risk for subsequent malignancies, underscoring the importance of sustained photoprotective behaviours. However, little is known about how these behaviours evolve over time following diagnosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To assess the prevalence of sun-protective behaviours among adults with and without a history of skin cancer and to evaluate whether adherence varies based on time since diagnosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a cross-sectional analysis using pooled data from the 2005\u201315 National Health Interview Survey. Weighted estimates were used to compare photoprotective behaviours, including sun avoidance, use of protective clothing, sunscreen application, use of tanning devices and sunburn history, between respondents with and without a history of skin cancer, stratified by years since diagnosis. Multivariate logistic regression was used to assess adjusted odds ratios (aORs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Individuals with a history of skin cancer reported significantly higher use of sunscreen and protective clothing, and lower use of tanning devices than controls. Behaviours varied over time, and those with 1\u20134 years or \u226510 years since diagnosis had a significantly higher odds of using protective clothing compared with controls (adjusted OR 3.17, 95% confidence interval 1.35\u20137.46 for 1\u20134 years; adjusted OR 2.42, 95% confidence interval 1.22\u20134.79 for \u226510 years).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Photoprotective behaviours varied by time since diagnosis, with peak adherence seen 1\u20134 years postdiagnosis. Photoprotection improves after skin cancer diagnosis but may change over time, supporting the need for ongoing patient education.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/skinhd\/vzag024","type":"journal-article","created":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T12:42:16Z","timestamp":1771072936000},"page":"431-437","source":"Crossref","is-referenced-by-count":0,"title":["Sun-protective behaviours in US adults with a history of skin cancer: a cross-sectional National Health Interview Survey study"],"prefix":"10.1093","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0402-7828","authenticated-orcid":false,"given":"Hannah","family":"Verma","sequence":"first","affiliation":[{"name":"Kimberly and Eric J. Waldman Department of Dermatology, Icahn School of Medicine at Mount Sinai , New York, NY ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Hu","sequence":"additional","affiliation":[{"name":"Kimberly and Eric J. Waldman Department of Dermatology, Icahn School of Medicine at Mount Sinai , New York, NY ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-9091-1927","authenticated-orcid":false,"given":"Nithya","family":"Krishnamurthy","sequence":"additional","affiliation":[{"name":"Kimberly and Eric J. Waldman Department of Dermatology, Icahn School of Medicine at Mount Sinai , New York, NY ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4692-6338","authenticated-orcid":false,"given":"Annie","family":"Chang","sequence":"additional","affiliation":[{"name":"Kimberly and Eric J. Waldman Department of Dermatology, Icahn School of Medicine at Mount Sinai , New York, NY ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5175-959X","authenticated-orcid":false,"given":"Raphaella","family":"Lambert","sequence":"additional","affiliation":[{"name":"Kimberly and Eric J. Waldman Department of Dermatology, Icahn School of Medicine at Mount Sinai , New York, NY ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grace","family":"Rabinowitz","sequence":"additional","affiliation":[{"name":"Kimberly and Eric J. Waldman Department of Dermatology, Icahn School of Medicine at Mount Sinai , New York, NY ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas","family":"Gulati","sequence":"additional","affiliation":[{"name":"Kimberly and Eric J. Waldman Department of Dermatology, Icahn School of Medicine at Mount Sinai , New York, NY ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonas","family":"Adalsteinsson","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Iceland , Reykjav\u00edk ,","place":["Iceland"]},{"name":"Department of Dermatology, Landspitali University Hospital of Iceland , Reykjav\u00edk ,","place":["Iceland"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,5,15]]},"reference":[{"key":"2026073105074650700_vzag024-B1","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1016\/j.cpt.2024.08.002","article-title":"Overview of skin cancer types and prevalence rates across continents","volume":"3","author":"Roky","year":"2024","journal-title":"Cancer Pathog 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study","volume":"75","author":"Fischer","year":"2016","journal-title":"J Am Acad Dermatol"},{"key":"2026073105074650700_vzag024-B5","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1158\/1055-9965.EPI-16-0854","article-title":"Sun exposure and protection behaviors among long-term melanoma survivors and population controls","volume":"26","author":"Vogel","year":"2017","journal-title":"Cancer Epidemiol Biomarkers Prev"},{"key":"2026073105074650700_vzag024-B6","doi-asserted-by":"crossref","first-page":"2365","DOI":"10.1016\/j.ejca.2013.03.010","article-title":"Risk of subsequent cutaneous malignancy in patients with prior keratinocyte carcinoma: a systematic review and meta-analysis","volume":"49","author":"Flohil","year":"2013","journal-title":"Eur J Cancer"},{"key":"2026073105074650700_vzag024-B7","doi-asserted-by":"crossref","first-page":"882","DOI":"10.1186\/s12889-021-10951-1","article-title":"Correlates of sun protection behaviors among melanoma 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2006-2015","volume":"165","author":"Parsons","year":"2014","journal-title":"Vital Health Stat 2"},{"key":"2026073105074650700_vzag024-B11","doi-asserted-by":"crossref","first-page":"792","DOI":"10.1007\/s11764-020-00971-y","article-title":"Lifestyle behaviors and sun exposure among individuals diagnosed with skin cancer: a cross-sectional analysis of 2018 BRFSS data","volume":"15","author":"Ottwell","year":"2021","journal-title":"J Cancer Surviv"},{"key":"2026073105074650700_vzag024-B12","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1111\/ajd.13845","article-title":"Sun protection behaviour checklist for targeted counselling in skin cancer patients","volume":"63","author":"Cowen","year":"2022","journal-title":"Australas J Dermatol"},{"key":"2026073105074650700_vzag024-B13","doi-asserted-by":"crossref","first-page":"e12933","DOI":"10.1111\/phpp.12933","article-title":"Skin cancer survivorship and sun protection behaviors in the United 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