{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T01:55:26Z","timestamp":1785462926395,"version":"3.56.0"},"reference-count":25,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2018,7,2]],"date-time":"2018-07-02T00:00:00Z","timestamp":1530489600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["UL1TR000454"],"award-info":[{"award-number":["UL1TR000454"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["TL1TR000456"],"award-info":[{"award-number":["TL1TR000456"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Dermatology"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background\/Objectives<\/jats:title><jats:p>Despite rising skin cancer rates in children, multiple studies reveal inadequate youth sun\u2010protective behavior (eg, sunscreen use). Using Healthy Passages data for fifth\u2010graders, we set out to determine sunscreen adherence in these children and investigated factors related to sunscreen performance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Survey data were collected from 5119 fifth\u2010graders and their primary caregivers. Logistic regression was used to assess associations between sunscreen adherence and performance of other preventive health behaviors (eg, flossing, helmet use) and examine predictors of sunscreen adherence. Analyses were repeated in non\u2010Hispanic black, Hispanic, and non\u2010Hispanic white subgroups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Five thousand one hundred nineteen (23.4%) children almost always used sunscreen, 5.9% of non\u2010Hispanic blacks (n\u00a0=\u00a01748), 23.7% of Hispanics (n\u00a0=\u00a01802), and 44.8% of non\u2010Hispanic whites (n\u00a0=\u00a01249). Performing other preventive health behaviors was associated with higher odds of sunscreen adherence (all <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.001), with the greatest association with flossing teeth (odds ratio\u00a0=\u00a02.41, 95% confidence interval\u00a0=\u00a01.86\u20103.13, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.001). Factors for lower odds of sunscreen adherence included being male and non\u2010Hispanic black or Hispanic and having lower socioeconomic status. School\u2010based sun\u2010safety education and involvement in team sports were not significant factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our data confirm low use of sun protection among fifth\u2010graders. Future research should explore how public health success in increasing prevalence of other preventive health behaviors may be applied to enhance sun protection messages. Identifying risk factors for poor adherence enables providers to target patients who need more education. Improving educational policies and content in schools may be an effective way to address sun safety.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pde.13550","type":"journal-article","created":{"date-parts":[[2018,7,2]],"date-time":"2018-07-02T07:08:26Z","timestamp":1530515306000},"page":"588-596","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Racial disparities in fifth\u2010grade sun protection: Evidence from the Healthy Passages study"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5005-5016","authenticated-orcid":false,"given":"Christina M.","family":"Correnti","sequence":"first","affiliation":[{"name":"Department of Dermatology School of Medicine University of Maryland Baltimore ML USA"},{"name":"Department of Dermatology School of Medicine Emory University Atlanta GA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David J.","family":"Klein","sequence":"additional","affiliation":[{"name":"Division of General Pediatrics Boston Children's Hospital Boston MA USA"},{"name":"RAND Corporation Santa Monica CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc N.","family":"Elliott","sequence":"additional","affiliation":[{"name":"RAND Corporation Santa Monica CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emir","family":"Veledar","sequence":"additional","affiliation":[{"name":"Department of Dermatology School of Medicine Emory University Atlanta GA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mona","family":"Saraiya","sequence":"additional","affiliation":[{"name":"Epidemiology and Applied Research Branch Division of Cancer Prevention and Control Centers for Disease Control and Prevention Atlanta GA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alyna T.","family":"Chien","sequence":"additional","affiliation":[{"name":"Department of Dermatology School of Medicine Emory University Atlanta GA USA"},{"name":"Department of Pediatrics School of Medicine Harvard University Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David C.","family":"Schwebel","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Alabama at Birmingham Birmingham AL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sylvie","family":"Mrug","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Alabama at Birmingham Birmingham AL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan R.","family":"Tortolero","sequence":"additional","affiliation":[{"name":"Center for Health Promotion and Prevention Research School of Public Health University of Texas Health Science Center Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paula M.","family":"Cuccaro","sequence":"additional","affiliation":[{"name":"Center for Health Promotion and Prevention Research School of Public Health University of Texas Health Science Center Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark A.","family":"Schuster","sequence":"additional","affiliation":[{"name":"Division of General Pediatrics Boston Children's Hospital Boston MA USA"},{"name":"Department of Pediatrics School of Medicine Harvard University Boston MA USA"},{"name":"School of Medicine Kaiser Permanente Pasadena CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suephy C.","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Dermatology School of Medicine Emory University Atlanta GA USA"},{"name":"Division of Dermatology Atlanta Veterans Affairs Medical Center Atlanta GA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,7,2]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"SEER Cancer Statistics Review, 1975\u20102014","author":"Howlader N"},{"issue":"5","key":"e_1_2_7_3_1","first-page":"S38","article-title":"Melanoma in adolescents and young adults (ages 15\u201039\u00a0years): United States, 1999\u20102006","volume":"65","author":"Weir HK","year":"2011","journal-title":"J\u00a0Am Acad Dermatol"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.0022-202X.2005.23710.x"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1067\/mjd.2000.103984"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2005.08.046"},{"issue":"5","key":"e_1_2_7_7_1","doi-asserted-by":"crossref","first-page":"S114","DOI":"10.1016\/j.jaad.2011.05.033","article-title":"Prevalence of sunburn, sun protection, and indoor tanning behaviors among Americans: review 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Available athttp:\/\/www.asds.net\/uploadedFiles\/SunscreenUse in Schools \u2010 State Affairs WG White Paper(1).pdf Accessed August 27 2016."},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10552-011-9780-1"}],"container-title":["Pediatric Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fpde.13550","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pde.13550","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,18]],"date-time":"2023-09-18T06:10:35Z","timestamp":1695017435000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pde.13550"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,7,2]]},"references-count":25,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2018,9]]}},"alternative-id":["10.1111\/pde.13550"],"URL":"https:\/\/doi.org\/10.1111\/pde.13550","archive":["Portico"],"relation":{},"ISSN":["0736-8046","1525-1470"],"issn-type":[{"value":"0736-8046","type":"print"},{"value":"1525-1470","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,7,2]]},"assertion":[{"value":"2018-07-02","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}