Journal article
Risk attitudes and sun protection behaviour: Can behaviour be altered by using a melanoma genomic risk intervention?
Cancer Epidemiology, Vol.61, pp.8-13
2019
Abstract
Background: Exposure to ultraviolet radiation from sunlight is directly associated with melanoma skin cancer, however reducing sun-exposure can be difficult to achieve at a population level. Methods: Using a genomic risk information behaviour change trial for melanoma prevention, we classified participants as risk-seeking, risk-neutral or risk-averse for domain-specific risk taking (DOSPERT). One-way ANOVA determined the association between socio-demographic characteristics and risk-taking score, and multivariable linear regression ascertained impact of an individual's underlying risk propensity on an objective measure of sun-exposure, standard erythemal dose (SED), at 3-months follow-up. Results: Of 119 participants, mean age 53 years; 50% males, 87% had a personal/family history of cancer; 19% were classified risk-seeking, 57% risk-neutral. The mean risk-taking score was significantly higher in younger participants (≤50 years: 13.86 vs. >50 years: 11.11, p = 0.003); and lower in those with a personal/family history of skin cancer versus without (10.55 vs 13.33, p = 0.009). Risk averse individuals had lower weekly mean SEDs at 3-months than risk neutral and risk seeking individuals (2.56, 5.81, 4.81 respectively, p = 0.01). Risk seekers showed fewer sun protective habits (p < 0.001); and higher intentional tanning, (p = 0.01). At 3-months, risk seekers attained 16%-54% lower SEDs in the genomic information group compared with controls, however this was not significantly different across risk groups (interaction p = 0.13). Conclusion: An individual's underlying risk attitude is likely associated with sun-exposure behaviours, and may modify the effect of a genomic risk information behaviour change intervention. Young people and risk seekers may benefit most from being given information on their genetic risk of melanoma.
Details
- Title
- Risk attitudes and sun protection behaviour: Can behaviour be altered by using a melanoma genomic risk intervention?
- Authors
- Rachael L Morton (Author) - University of SydneyRebecca Asher (Author) - University of SydneyEdward Peyton (Author) - University of SydneyAnh Tran (Author) - University of SydneyAmelia K Smit (Author) - University of SydneyPhyllis N Butow (Author) - University of SydneyMichael G Kimlin (Author) - University of the Sunshine CoastSuzanne J Dobbinson (Author) - Cancer Council VictoriaSarah Wordsworth (Author) - University of Oxford, United KingdomLouise Keogh (Author) - University of MelbourneAnne E Cust (Author) - University of Sydney
- Publication details
- Cancer Epidemiology, Vol.61, pp.8-13
- Publisher
- Elsevier Inc.
- Date published
- 2019
- DOI
- 10.1016/j.canep.2019.05.002
- ISSN
- 1877-7821
- Organisation Unit
- University of the Sunshine Coast, Queensland; School of Health and Sport Sciences - Legacy
- Language
- English
- Record Identifier
- 99450896102621
- Output Type
- Journal article
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- Domestic collaboration
- International collaboration
- Web Of Science research areas
- Oncology
- Public, Environmental & Occupational Health
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