Abstract

Studies have established ultraviolet (UV) exposure with increased melanoma skin cancer risk. The combination of UV exposure, high altitude, and reflection of UV rays on the snow may create a particularly relevant and high-risk population amongst those who participate in snow sports. The current study aims to determine the effectiveness of a UV-photography and personalized counseling-based intervention to improve sun protection awareness on the snow sport enthusiast population. Participants were recruited at the 2013 SnowSports Industries American (SIA) Snow Show in Denver to complete a 14 question pre-survey assessing sun-safety awareness followed by a Faraghan Medical Elise Digital UV Camera photograph of their face and counseling regarding individual results. Participants were contacted one to two months later by telephone to complete a ten question post-survey. Forty-one percent of participants (46/112) completed both pre- and post-surveys. The UV photography based intervention influenced the opinions and behaviors of sun protection in 78% of male and 62% of female participants with sunscreen use identified as the most frequently modified behavior (53%). While valid barriers to UV photography use include a current lack of reimbursement and lack of public knowledge of its utility, our study indicates the potential impact of UV photography-based interventions among high-risk populations who avidly participate in snow sports.

Highlights

  • Over the past decade, the rate of melanoma in the United States has increased approximately 2.6 percent each year, accounting for over 9,000 deaths in 2013 alone [1]

  • 58% of participants reported wearing sunscreen of 30 SPF or greater, half of these did not know if their sunscreen provided both

  • Our study indicates the potential impact of UV photography-based interventions among high-risk populations who avidly participate in snow sports

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Summary

Introduction

The rate of melanoma in the United States has increased approximately 2.6 percent each year, accounting for over 9,000 deaths in 2013 alone [1]. Sun exposure is a well-established risk factor for melanoma, along with fair skin type, positive family melanoma history, and genetic predisposition [2]. Prevention strategies include limiting sun exposure, using protective clothing and sunscreen, and avoidance of artificial ultraviolet (UV) exposure, such as indoor tanning beds [3]. Recent studies have employed UV photography as a personalized, imagebased tool that allows for patient interaction and discussion of potential sun exposure risks and counseling regarding sunprotection promotion [3,4,5,6,7,8]. Gibbons and Mahler et al describe a reduction in college students’ intention to tan, tanning behavior, and measured skin tan (using a colorimeter) when UV photography was employed [5, 8].

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