Preliminary evidence for mediation of the association between acculturation and sun-safe behaviors

Valentina A. Andreeva, Myles G. Cockburn, Amy L Yaroch, Jennifer B. Unger, Robert Rueda, Kim D. Reynolds

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Objectives: To identify and test mediators of the relationship between acculturation and sun-safe behaviors among Latinos in the United States. We hypothesized that the effect of acculturation on use of sunscreen, shade, and sun-protective clothing would be mediated by perceived health status, educational level, access to health care, and contact with social networks regarding health matters. Design: The 2005 Health Information National Trends Survey, implemented by the National Cancer Institute. Setting: Nationwide survey. Participants: A probability-based sample of the US civilian, noninstitutionalized adult population, comprising 496 Latino respondents. Main Outcome Measures: Use of sunscreen, shade, and sun-protective clothing when outdoors on sunny days, assessed by self-report on frequency scales. Results: The positive association between acculturation and sunscreen use and the negative association between acculturation and use of sun-protective clothing were mediated by educational level (P<.05 for both). Perceived health status and contact with social networks regarding health matters were supported as mediators for sunscreen use only (P<.05). Health care access was not supported as a mediator for any of the outcomes. Conclusions: Structural equation models revealed distinct direct and indirect paths between acculturation and each sun-safe practice. Our findings emphasize behavior-specific mediated associations and could inform sun safety programming for Latinos with low and high levels of acculturation. The models support educational level, contact with social networks regarding health matters, and perceived health status as mediators primarily for sunscreen use. Future research should test different mediators for use of shade or sun-protective clothing.

Original languageEnglish (US)
Pages (from-to)814-819
Number of pages6
JournalArchives of Dermatology
Volume147
Issue number7
DOIs
StatePublished - Jan 1 2011

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Acculturation
Solar System
Sunscreening Agents
Protective Clothing
Hispanic Americans
Social Support
Health Status
Health
Educational Models
Sampling Studies
Health Services Accessibility
National Cancer Institute (U.S.)
Structural Models
Self Report
Outcome Assessment (Health Care)
Delivery of Health Care
Safety
Population

ASJC Scopus subject areas

  • Dermatology

Cite this

Andreeva, V. A., Cockburn, M. G., Yaroch, A. L., Unger, J. B., Rueda, R., & Reynolds, K. D. (2011). Preliminary evidence for mediation of the association between acculturation and sun-safe behaviors. Archives of Dermatology, 147(7), 814-819. https://doi.org/10.1001/archdermatol.2011.145

Preliminary evidence for mediation of the association between acculturation and sun-safe behaviors. / Andreeva, Valentina A.; Cockburn, Myles G.; Yaroch, Amy L; Unger, Jennifer B.; Rueda, Robert; Reynolds, Kim D.

In: Archives of Dermatology, Vol. 147, No. 7, 01.01.2011, p. 814-819.

Research output: Contribution to journalArticle

Andreeva, VA, Cockburn, MG, Yaroch, AL, Unger, JB, Rueda, R & Reynolds, KD 2011, 'Preliminary evidence for mediation of the association between acculturation and sun-safe behaviors', Archives of Dermatology, vol. 147, no. 7, pp. 814-819. https://doi.org/10.1001/archdermatol.2011.145
Andreeva, Valentina A. ; Cockburn, Myles G. ; Yaroch, Amy L ; Unger, Jennifer B. ; Rueda, Robert ; Reynolds, Kim D. / Preliminary evidence for mediation of the association between acculturation and sun-safe behaviors. In: Archives of Dermatology. 2011 ; Vol. 147, No. 7. pp. 814-819.
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