{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T16:47:34Z","timestamp":1758818854286},"reference-count":37,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2013,9,11]],"date-time":"2013-09-11T00:00:00Z","timestamp":1378857600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of School Health"],"published-print":{"date-parts":[[2013,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>BACKGROUND<\/jats:title><jats:p>When used appropriately, sunscreen decreases the amount of ultraviolet (<jats:styled-content style=\"fixed-case\">UV<\/jats:styled-content>) radiation exposure to the skin and is recommended to prevent skin cancer. This study examined the association between annual average <jats:styled-content style=\"fixed-case\">UV<\/jats:styled-content> index and sunscreen use among White, non\u2010Hispanic youth.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>The 2007 and 2009 national Youth Risk Behavior Survey (<jats:styled-content style=\"fixed-case\">YRBS<\/jats:styled-content>) data were analyzed. The <jats:styled-content style=\"fixed-case\">YRBS<\/jats:styled-content> is a school\u2010based, cross\u2010sectional study that uses a 3\u2010stage cluster sample design to obtain a nationally representative sample of public and private high school students in the United States. Overall response rates were 68% and 72% (N\u2009=\u200914,041 and 16,410, respectively). Logistic regression analyzes, controlling for grade, examined whether annual average (mean) <jats:styled-content style=\"fixed-case\">UV<\/jats:styled-content> index where students attend school, a proxy measure of potential sunlight exposure, was associated with sunscreen use.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Among White male students, as the mean <jats:styled-content style=\"fixed-case\">UV<\/jats:styled-content> index increased, the adjusted odds of never wearing sunscreen increased (adjusted odds ratio, <jats:styled-content style=\"fixed-case\">AOR<\/jats:styled-content>\u2009=\u20091.15 [95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\u2009=\u20091.04, 1.27], p\u2009&lt;\u2009.01) and the adjusted odds of most of the time or always wearing sunscreen decreased (<jats:styled-content style=\"fixed-case\">AOR<\/jats:styled-content>\u2009=\u20090.85 [0.78, 0.94], p\u2009&lt;\u2009.01). There was no association between sunscreen use and mean <jats:styled-content style=\"fixed-case\">UV<\/jats:styled-content> index among White female students.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSION<\/jats:title><jats:p>These findings suggest a need for renewed public health efforts among school, clinical, and public health professionals to promote sunscreen use as part of a comprehensive approach to prevent skin cancer. School and community approaches that passively protect young people from the sun should be considered as a complement to efforts to increase sunscreen use.<\/jats:p><\/jats:sec>","DOI":"10.1111\/josh.12090","type":"journal-article","created":{"date-parts":[[2013,9,11]],"date-time":"2013-09-11T12:05:59Z","timestamp":1378901159000},"page":"750-756","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Association of <scp>UV<\/scp> Index and Sunscreen Use Among White High School Students in the United States"],"prefix":"10.1111","volume":"83","author":[{"given":"Sherry","family":"Everett Jones","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily","family":"O'Malley Olsen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shannon L.","family":"Michael","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mona","family":"Saraiya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,9,11]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"International Agency for Research on Cancer. 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