{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T14:32:21Z","timestamp":1778941941181,"version":"3.51.4"},"reference-count":23,"publisher":"Walter de Gruyter GmbH","issue":"3","license":[{"start":{"date-parts":[[2017,3,1]],"date-time":"2017-03-01T00:00:00Z","timestamp":1488326400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,3,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>\n                  <jats:bold>Context<\/jats:bold>: The incidence of skin cancer, the most common type of cancer in the United States, is increasing. Sunburn is a major modifiable risk factor for skin cancer, and its prevalence among the US population is high.<\/jats:p>\n               <jats:p>\n                  <jats:bold>Objectives<\/jats:bold>: To identify predictors of having had a red or painful sunburn in the past 12 months among people living in Florida.<\/jats:p>\n               <jats:p>\n                  <jats:bold>Methods<\/jats:bold>: Florida residents were recruited from public places and online. They were asked to complete an anonymous cross-sectional survey that assessed demographic information, dermatologic history, as well as knowledge, attitude, and behavior factors associated with sunburn.<\/jats:p>\n               <jats:p>\n                  <jats:bold>Results<\/jats:bold>: A total of 437 participants whose data were complete for all variables were included in the multivariate analysis. In multivariate logistic regression, younger age (18-29 years) was the most significant predictor of sunburn (OR, 15.26; 95% CI, 5.97-38.98; <jats:italic>P<\/jats:italic>&lt;.001). Other significant predictors included identifying as nonwhite (OR, 0.51; 95% CI, 0.29-0.90; <jats:italic>P<\/jats:italic>&lt;.02), having had a full-body skin examination by a physician (OR, 1.8; 95% CI, 1.03-3.14; <jats:italic>P<\/jats:italic>&lt;.04), reporting higher levels of skin sensitivity to the sun (OR, 4.63; 95% CI, 2.07-10.34; <jats:italic>P<\/jats:italic>&lt;.001), having a less favorable attitude toward sun protection (OR, 0.88; 95% CI, 0.81-0.94; <jats:italic>P<\/jats:italic>&lt;.001), having high perceived vulnerability to skin cancer (OR, 1.21; 95% CI, 1.05-1.41; <jats:italic>P<\/jats:italic>&lt;.009), and spending less than 1 hour outside between 10 am and 4 pm on weekends (OR, 0.46; 95% CI, 0.22-0.96; <jats:italic>P<\/jats:italic>&lt;.04). The model was statistically significant at <jats:italic>P<\/jats:italic>&lt;.001 and correctly classified 78% of participants.<\/jats:p>\n               <jats:p>\n                  <jats:bold>Conclusions<\/jats:bold>: Sunburn prevention programs that osteopathic physicians can readily implement in clinical practice are urgently needed, particularly for young adult patients. This study identified 7 predictors of sunburn in Florida residents. With additional research findings, promoting attitude change toward sun protection may be a viable strategy.<\/jats:p>","DOI":"10.7556\/jaoa.2017.029","type":"journal-article","created":{"date-parts":[[2017,2,27]],"date-time":"2017-02-27T23:32:30Z","timestamp":1488238350000},"page":"150-157","source":"Crossref","is-referenced-by-count":3,"title":["Predictors of Sunburn Risk Among Florida Residents"],"prefix":"10.1515","volume":"117","author":[{"given":"Sergey","family":"Arutyunyan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah V.","family":"Alfonso","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nilda","family":"Hernandez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tracy","family":"Favreau","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. Isabel","family":"Fern\u00e1ndez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2017,3,1]]},"reference":[{"issue":"2","key":"2022022617150911727_j_jaoa.2017.029_ref_001","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1016\/j.amepre.2014.08.036","article-title":"Prevalence and costs of skin cancer treatment in the U.S., 2002-2006 and 2007-2011.","volume":"48","author":"Guy","year":"2015","journal-title":"Am J Prev Med"},{"key":"2022022617150911727_j_jaoa.2017.029_ref_002","volume-title":"Cancer Facts & Figures","year":"2014"},{"issue":"12","key":"2022022617150911727_j_jaoa.2017.029_ref_003","doi-asserted-by":"crossref","first-page":"2905","DOI":"10.1038\/jid.2008.159","article-title":"Recent trends in incidence of cutaneous melanoma among US Caucasian young adults.","volume":"128","author":"Purdue","year":"2008","journal-title":"J Invest Dermatol"},{"key":"2022022617150911727_j_jaoa.2017.029_ref_004","unstructured":"UVA index.\n          United States Environmental Protection Agency website.\n          https:\/\/www.epa.gov\/sunsafety\/uv-index-1. 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The influence of painful sunburns and lifetime sun exposure on the risk of actinic keratoses, seborrheic warts, melanocytic nevi, atypical nevi, and skin cancer.","volume":"120","author":"Kennedy","year":"2003","journal-title":"J Invest Dermatol"},{"key":"2022022617150911727_j_jaoa.2017.029_ref_011","doi-asserted-by":"crossref","first-page":"S66","DOI":"10.1038\/bjc.2011.486","article-title":"13. Cancers attributable to solar (ultraviolet) radiation exposure in the UK in 2010.","volume":"105","author":"Parkin","year":"2011","journal-title":"Br J Cancer"},{"key":"2022022617150911727_j_jaoa.2017.029_ref_012","unstructured":"Ranking of cities based on % annual possible sunshine in descending order from most to least average possible sunshine. National Oceanic and Atmospheric Administration website.\n          http:\/\/www1.ncdc.noaa.gov\/pub\/data\/ccd-data\/pctposrank.txt. 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Accessed January 18, 2017."},{"key":"2022022617150911727_j_jaoa.2017.029_ref_023","volume-title":"Cancer Epidemiology in Older Adolescents and Young Adults 15 to 29 Years of Age, Including SEER Incidence and Survival: 1975-2000","author":"Bleyer","year":"2006"}],"container-title":["Journal of Osteopathic Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.degruyter.com\/document\/doi\/10.7556\/jaoa.2017.029\/xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.degruyter.com\/document\/doi\/10.7556\/jaoa.2017.029\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,2,26]],"date-time":"2022-02-26T17:15:58Z","timestamp":1645895758000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.degruyter.com\/document\/doi\/10.7556\/jaoa.2017.029\/html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,3,1]]},"references-count":23,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2017,3,1]]},"published-print":{"date-parts":[[2017,3,1]]}},"alternative-id":["10.7556\/jaoa.2017.029"],"URL":"https:\/\/doi.org\/10.7556\/jaoa.2017.029","relation":{},"ISSN":["2702-3648"],"issn-type":[{"value":"2702-3648","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,3,1]]}}}