{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T02:38:07Z","timestamp":1772764687486,"version":"3.50.1"},"reference-count":20,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,9,19]],"date-time":"2022-09-19T00:00:00Z","timestamp":1663545600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100005190","name":"Melanoma Research Alliance","doi-asserted-by":"publisher","award":["568166"],"award-info":[{"award-number":["568166"]}],"id":[{"id":"10.13039\/100005190","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Rural Health"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>Melanoma incidence is higher in rural than in urban areas in the United States, possibly due to greater incidental sun exposures from rural outdoor\u2010focused lifestyles and occupational patterns. Our aim was to compare activities at the time of a sunburn between rural and urban residents.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Utilizing the nationally representative 2019 cross\u2010sectional Health Information National Trends Survey (HINTS), we report odds ratios (OR) and confidence intervals (CI) from logistic regression models comparing self\u2010reported activities at most recent sunburn among rural versus urban adults.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>About one\u2010third of participants (37.2%) reported a sunburn in the past year, higher in urban (38.0%) than in rural populations (32.5%). At the time of most recent sunburn, swimming (36.6%) and working outside a home (29.4%) were the most commonly reported activities. Working on a job (30.4% vs 10.4%; OR: 3.30, 95% CI: 1.33, 8.20) or outside the house (38.7% vs 28.1%; OR: 1.86, 95% CI: 1.03, 3.33) were more common, while exercising or sunbathing were less common, among rural compared to urban participants.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Incidental sun exposures during outdoor\u2010focused rural occupations and work outside the house may be critical skin cancer prevention targets in rural populations; outdoor exercise and sunbathing may be more important in urban populations; incidental exposures while swimming may be important in both populations.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jrh.12712","type":"journal-article","created":{"date-parts":[[2022,9,20]],"date-time":"2022-09-20T05:45:00Z","timestamp":1663652700000},"page":"402-407","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Incidental sun exposures as a source of sunburn among rural compared to urban residents in the United States"],"prefix":"10.1111","volume":"39","author":[{"given":"Patricia I.","family":"Jewett","sequence":"first","affiliation":[{"name":"Division of Hematology and Oncology, Department of Medicine University of Minnesota  Minneapolis Minnesota USA"},{"name":"Division of Gynecologic Oncology Department of Obstetrics Gynecology and Women's Health University of Minnesota  Minneapolis Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carrie","family":"Henning\u2010Smith","sequence":"additional","affiliation":[{"name":"Division of Health Policy and Management University of Minnesota  Minneapolis Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"DeAnn","family":"Lazovich","sequence":"additional","affiliation":[{"name":"Division of Epidemiology and Community Health University of Minnesota  Minneapolis Minnesota USA"},{"name":"University of Minnesota Masonic Cancer Center  Minneapolis Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rehana L.","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Department of Dermatology University of Minnesota  Minneapolis Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel I.","family":"Vogel","sequence":"additional","affiliation":[{"name":"Division of Gynecologic Oncology Department of Obstetrics Gynecology and Women's Health University of Minnesota  Minneapolis Minnesota USA"},{"name":"University of Minnesota Masonic Cancer Center  Minneapolis Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,9,19]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2016.07.045"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199904293401707"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-4632.2010.04474.x"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2004.10.016"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2018.10.044"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-17-0430"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2021.01.095"},{"key":"e_1_2_8_9_1","volume-title":"Skin and Aging Processes","author":"Gilchrest BA","year":"1984"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.soncn.2013.06.002"},{"key":"e_1_2_8_11_1","doi-asserted-by":"crossref","unstructured":"National Cancer Institute.Health Information National Trends Survey (HINTS). 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Rural\u2010Urban Differences among Older Adults. Accessed November 4 2021.https:\/\/rhrc.umn.edu\/wp\u2010content\/uploads\/2020\/08\/Rural\u2010Urban\u2010Older\u2010Adults_Chartbook_Final_8.25.20.pdf"},{"key":"e_1_2_8_20_1","unstructured":"United States Census Bureau.Rural Residents More Likely to Own Homes Than Urban Residents.2017. 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