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AJPH First Look, published online ahead of print Jan 15, 2009
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April 2009, Vol 99, No. 4 | American Journal of Public Health 734-741
© 2009 American Public Health Association
DOI: 10.2105/AJPH.2007.122796

RESEARCH AND PRACTICE

Acculturation and Sun-Safe Behaviors Among US Latinos: Findings From the 2005 Health Information National Trends Survey

Valentina A. Andreeva, PhD, Jennifer B. Unger, PhD, Amy L. Yaroch, PhD, Myles G. Cockburn, PhD, Lourdes Baezconde-Garbanati, PhD and Kim D. Reynolds, PhD

Valentina A. Andreeva, Jennifer B. Unger, Myles G. Cockburn, Lourdes Baezconde-Garbanati, and Kim D. Reynolds are with the Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles. Amy L. Yaroch is with the Health Promotion Research Branch, Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD.

Correspondence: Requests for reprints should be sent to Valentina A. Andreeva, PhD, Institute for Prevention Research, Keck School of Medicine, University of Southern California, 1000 S Fremont Ave, Unit 8, Suite 4108, Alhambra, CA 91803 (e-mail: andreeva{at}usc.edu).

Objectives. We examined the relationship between acculturation and sun safety among US Latinos.

Methods. We used linear regression models to analyze data from 496 Latino respondents to the 2005 Health Information National Trends Survey. Using sunscreen, seeking shade, and wearing protective clothing were the primary outcomes and were assessed by frequency scales. Acculturation was assessed with a composite index.

Results. In bivariate models, acculturation was negatively associated with use of shade and protective clothing and positively associated with sunscreen use (all, P < .004). In adjusted models, acculturation was negatively associated with seeking shade and wearing protective clothing across gender and region of residence (all, P < .05).

Conclusions. Our results demonstrated both adverse and beneficial effects of acculturation on Latinos’ risk behaviors relating to skin cancer. Education about sun safety is needed for all Latinos and should be tailored to different levels of acculturation. Initiatives for Latinos who are not yet acculturated could focus on reinforcing existing sun-safe behaviors and presenting new ones, such as use of sunscreen; initiatives for highly acculturated Latinos might require more resources because the objective is behavior modification.






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