Department of Dermatology, University of Illinois at Chicago, Chicago, IL 60612, USA.
Photodermatol Photoimmunol Photomed. 2012 Oct;28(5):244-9. doi: 10.1111/j.1600-0781.2012.00688.x.
Poorer survival rates from melanoma among Hispanics have been previously reported. There is little information regarding sunscreen acquisition behaviors or availability/access to products that may help reduce the risk of skin cancer in Hispanic communities. This study sought to understand perceptions regarding sun protection and skin cancer risk and whether the availability of over-the-counter sunscreen products differed in three Chicago neighborhoods with different ethnic compositions.
We drew on interviews with 65 adult Spanish speaking Hispanics (23-72 years) recruited from faith-based institutions to better understand sunscreen use perceptions. Commercial establishments open to the general public were physically canvassed to determine whether there were any differences in sunscreen products availability.
Stores carrying sun protection products are nearly twice as common in non Hispanic White neighborhoods versus Hispanic. In addition, when sunscreens are available for sale, Hispanics have fewer sunscreens to choose from.
Emergent themes that were elicited during the interviews revealed that barriers to increased sunscreen use include economic and erroneous perceptions regarding skin cancer incidence and risk. Environmental factors that may reinforce these beliefs include lower availability and variety of sun protection products in Hispanic neighborhoods.
These findings indicate that providing culturally appropriate public health information encouraging the use of sunscreen and improving its availability in Hispanic communities are potential points of intervention in attempts to improve morbidity from skin cancer.
先前有报道称,西班牙裔人群的黑色素瘤生存率较低。关于西班牙裔人群获取防晒霜的行为或获取有助于降低皮肤癌风险的产品的信息很少。本研究旨在了解有关防晒和皮肤癌风险的认知,以及在三个族裔构成不同的芝加哥社区中,是否存在非处方防晒霜产品的供应差异。
我们对 65 名讲西班牙语的成年西班牙裔人(23-72 岁)进行了访谈,这些人是从信仰机构招募来的,以更好地了解防晒霜使用的认知。对向公众开放的商业场所进行实地调查,以确定防晒霜产品的供应是否存在差异。
在非西班牙裔白人社区,销售防晒产品的商店数量几乎是西班牙裔社区的两倍。此外,当防晒霜可供销售时,西班牙裔人可选择的防晒霜种类更少。
访谈中引出的新兴主题表明,增加防晒霜使用的障碍包括对皮肤癌发病率和风险的经济和错误认知。可能强化这些信念的环境因素包括西班牙裔社区中防晒产品的供应不足和种类较少。
这些发现表明,提供文化上适当的公共卫生信息,鼓励在西班牙裔人群中使用防晒霜,并改善其在西班牙裔社区中的供应,是改善皮肤癌发病率的潜在干预点。