{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T18:15:40Z","timestamp":1792001740922,"version":"4.4.0"},"reference-count":50,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,7,3]],"date-time":"2017-07-03T00:00:00Z","timestamp":1499040000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100005972","name":"Deutsche Krebshilfe","doi-asserted-by":"publisher","award":["111207"],"award-info":[{"award-number":["111207"]}],"id":[{"id":"10.13039\/501100005972","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acad Dermatol Venereol"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The incidence rate of melanoma in the Caucasian population is rising worldwide. One of the major environmental risk factors for melanoma is the exposure to ultraviolet (<jats:styled-content style=\"fixed-case\">UV<\/jats:styled-content>) radiation. To prevent skin damage caused by <jats:styled-content style=\"fixed-case\">UV<\/jats:styled-content> exposure, several organizations recommend wearing protective clothing, staying in the shade, avoiding the outdoors during midday and using sunscreen.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To provide representative data on factors associated with sun\u2010protective behaviours and intentional sun exposure during summertime in the German population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A population\u2010based sample of 3000 German residents aged 14\u201345 years (response: 32.1%) was interviewed via telephone from October to December 2015. Survey participants provided data on the use of recommended sun\u2010protective measures on a sunny summer day and their intentional sun exposure during summertime. Data were weighted by age, sex, educational level and federal state to ensure the national representativeness of the sample.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Wearing long\u2010sleeved clothes was the most frequently reported protective measure (53.9%), while wearing headgear was the least common (17.9%). Significantly lower frequencies of almost all recommended sun\u2010protective measures were identified for males, participants between 14 and 25 years, those with an immigrant background and those with low levels of education. Using sun protection was positively associated with female gender (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> = 1.62), higher levels of education (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content><jats:sub>high<\/jats:sub> = 1.27), sunburn during childhood (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> = 1.33) and paying attention to healthy nutrition (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> = 1.64; all <jats:italic>P<\/jats:italic> &lt; 0.05). Sun tanning behaviour was associated with female gender (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> = 1.42), younger age, lower level of education, sunbed use (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> = 5.24) and smoking status (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> = 1.50; all <jats:italic>P<\/jats:italic> &lt; 0.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>As individual sun\u2010protective measures are easy to implement and provide effective protection against high\u2010risk <jats:styled-content style=\"fixed-case\">UV<\/jats:styled-content> exposure, campaigns on skin cancer prevention in Germany should put a stronger focus on young adults, men, less educated individuals and those with immigration background.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jdv.14376","type":"journal-article","created":{"date-parts":[[2017,6,2]],"date-time":"2017-06-02T08:26:49Z","timestamp":1496392009000},"page":"225-235","source":"Crossref","is-referenced-by-count":64,"title":["Prevalence of sun\u2010protective behaviour and intentional sun tanning in German adolescents and adults: results of a nationwide telephone survey"],"prefix":"10.1111","volume":"32","author":[{"given":"T.","family":"G\u00f6rig","sequence":"first","affiliation":[{"name":"Mannheim Institute of Public Health, Social and Preventive Medicine Heidelberg University Mannheim Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Diehl","sequence":"additional","affiliation":[{"name":"Mannheim Institute of Public Health, Social and Preventive Medicine Heidelberg University Mannheim Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Greinert","sequence":"additional","affiliation":[{"name":"Association of Dermatological Prevention Hamburg Germany"},{"name":"Center of Dermatology Elbe Clinics Buxtehude Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.W.","family":"Breitbart","sequence":"additional","affiliation":[{"name":"Association of Dermatological Prevention Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Schneider","sequence":"additional","affiliation":[{"name":"Mannheim Institute of Public Health, Social and Preventive Medicine Heidelberg University Mannheim Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,7,3]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.27616"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clindermatol.2008.09.001"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.2012.10830.x"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1011-1344(01)00198-1"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(09)70213-X"},{"key":"e_1_2_7_7_1","unstructured":"American Cancer Society.How do I protect myself from UV rays?[WWW document]. 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