Flinders Centre for Innovation in Cancer, College of Medicine and Public Health, Flinders University of South Australia, GPO Box 2100, Adelaide, South Australia 5001, Australia.
School of Psychology, Social Work and Social Policy, University of South Australia, GPO Box 2471, Adelaide, South Australia 5001, Australia.
Health Promot Int. 2021 Apr 15;36(2):374-383. doi: 10.1093/heapro/daaa048.
Melanoma is the most common cancer among young Australians. Despite school-based programs such as 'Sun Smart' leading to increased knowledge among children of the harmful effects of sun exposure, many young adults continue to desire a darker skin tone because of a general perception among their peers that tanned skin is attractive. This 'tanned-ideal' may be challenged through exposure to material posted on social media. This study aimed to investigate the impact of two online interventions on knowledge of skin cancer and intentions to engage in sun tanning and protective behaviours, as assessed by survey. In addition, the likelihood that the intervention would be 'shared' on social media was explored by interview during an intervention session. Eighteen women aged 18-24 years participated in this pilot, mixed-methods intervention study. Participants completed surveys 2 weeks before and 2 weeks after attending an intervention session in which they viewed a video and completed a face-aging activity, with the order of completion balanced within the sample. Two weeks after the intervention, there was a significant increase in knowledge and intended sun protection behaviours and a significant decrease in intended future tanning hours. There was no effect of intervention order. Interview data indicated that younger participants would share the ageing application with peers because it was fun; older participants reported that they would share the video because it was educational. Factors that encourage sharing on social media include being realistic, instructive or personally meaningful, and short in duration.
黑色素瘤是澳大利亚年轻人中最常见的癌症。尽管“阳光明智”等基于学校的项目使儿童对阳光暴露的有害影响的认识有所提高，但许多年轻人仍然渴望拥有较深的肤色，因为他们的同龄人普遍认为晒黑的皮肤更有吸引力。这种“晒黑理想”可能会因接触到社交媒体上发布的内容而受到挑战。本研究旨在通过调查来评估两种在线干预措施对皮肤癌知识和参与日光浴及防护行为的意向的影响，评估方法为问卷调查。此外，还通过干预期间的访谈探索了干预措施在社交媒体上被“分享”的可能性。18 名年龄在 18-24 岁的女性参加了这项试点、混合方法干预研究。参与者在参加干预课程之前和之后两周内完成了问卷调查，在干预课程中他们观看了一段视频并完成了一项面部老化活动，在样本中平衡了完成顺序。干预两周后，知识和预期的防晒行为显著增加，预期未来的日光浴时间显著减少。干预顺序没有影响。访谈数据表明，年轻参与者会因为有趣而与同龄人分享老化应用程序；年长的参与者则表示会因为有教育意义而分享视频。鼓励在社交媒体上分享的因素包括真实、有教育意义或具有个人意义，以及时间短。
