{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T09:42:19Z","timestamp":1790242939763,"version":"4.1.0"},"reference-count":39,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2014,4,15]]},"published-print":{"date-parts":[[2014,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To describe Scottish adolescents\u2019 sun-related behaviours and tanning attitudes and assess associations with skin cancer awareness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross-sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>20 state secondary schools in one Scottish local authority (Glasgow City).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>2173 adolescents (females: 50.7%, n=1102) with a mean age of 12.4 (SD=0.55).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcome measures<\/jats:title>\n                    <jats:p>Sun-related behaviour (suntan, sunbathing, sunburn, sunscreen use, sunbed use), tanning attitudes, skin cancer-related symptom and risk factor awareness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Adolescents reported poor sun-related practice: 51% of adolescents reported sunburn the previous summer of whom 38% indicated sunburn on more than one occasion. Skin cancer awareness was low: 45% recognised \u2018change in the appearance of a mole\u2019 as a cancer symptom, and 39% agreed that \u2018getting sunburnt more than once as a child\u2019 increased cancer risk. 42% and 26% of adolescents, respectively, reported that friends and family held protanning attitudes. Compared with males, females were statistically significantly more likely to: report sunbathing (p&lt;0.001), use of lotions or oil to aid tanning (p=0.009) and sunburn (p&lt;0.001); know that changes in the appearance of a mole was a skin cancer symptom (p=0.036) and sunburn more than once as a child was a skin cancer risk factor (p=0.005); perceive their friends to hold protanning attitudes (p&lt;0.001) and indicate that a tan made them feel better about themselves (p&lt;0.001), more attractive to others (p=0.011) and healthier (p&lt;0.001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Scottish adolescents had poor sun protection practice and low skin cancer awareness. Girls adopted riskier sun-related behaviour despite greater awareness of skin cancer-related risk. Urgent action is required to promote positive sun-related behaviour and increase skin cancer awareness among Scottish adolescents. However, further research is needed to inform the development of effective sun-safe interventions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2014-005137","type":"journal-article","created":{"date-parts":[[2014,5,2]],"date-time":"2014-05-02T23:03:15Z","timestamp":1399071795000},"page":"e005137","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":29,"title":["Scottish adolescents\u2019 sun-related behaviours, tanning attitudes and associations with skin cancer awareness: a cross-sectional study"],"prefix":"10.1136","volume":"4","author":[{"given":"Richard G","family":"Kyle","sequence":"first","affiliation":[{"name":"Cancer Care Research Centre, School of Nursing, Midwifery and Health, University of Stirling, Stirling, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iona","family":"MacMillan","sequence":"additional","affiliation":[{"name":"Teenage Cancer Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liz","family":"Forbat","sequence":"additional","affiliation":[{"name":"Cancer Care Research Centre, School of Nursing, Midwifery and Health, University of Stirling, Stirling, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard D","family":"Neal","sequence":"additional","affiliation":[{"name":"North Wales Centre for Primary Care Research, Bangor University, Bangor, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronan E","family":"O'Carroll","sequence":"additional","affiliation":[{"name":"Division of Psychology, School of Natural Sciences, University of Stirling, Stirling, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sally","family":"Haw","sequence":"additional","affiliation":[{"name":"School of Nursing, Midwifery and Health, University of Stirling, Stirling, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gill","family":"Hubbard","sequence":"additional","affiliation":[{"name":"Cancer Care Research Centre, School of Nursing, Midwifery and Health, University of Stirling, Stirling, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2014,5,2]]},"reference":[{"key":"2025121513114403000_4.5.e005137.1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.c877"},{"key":"2025121513114403000_4.5.e005137.2","unstructured":"Quinn M Wood H Cooper N . 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