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Incidental sun exposures as a source of sunburn among rural compared to urban residents in the United States.


ABSTRACT:

Purpose

Melanoma incidence is higher in rural than in urban areas in the United States, possibly due to greater incidental sun exposures from rural outdoor-focused lifestyles and occupational patterns. Our aim was to compare activities at the time of a sunburn between rural and urban residents.

Methods

Utilizing the nationally representative 2019 cross-sectional Health Information National Trends Survey (HINTS), we report odds ratios (OR) and confidence intervals (CI) from logistic regression models comparing self-reported activities at most recent sunburn among rural versus urban adults.

Findings

About one-third of participants (37.2%) reported a sunburn in the past year, higher in urban (38.0%) than in rural populations (32.5%). At the time of most recent sunburn, swimming (36.6%) and working outside a home (29.4%) were the most commonly reported activities. Working on a job (30.4% vs 10.4%; OR: 3.30, 95% CI: 1.33, 8.20) or outside the house (38.7% vs 28.1%; OR: 1.86, 95% CI: 1.03, 3.33) were more common, while exercising or sunbathing were less common, among rural compared to urban participants.

Conclusions

Incidental sun exposures during outdoor-focused rural occupations and work outside the house may be critical skin cancer prevention targets in rural populations; outdoor exercise and sunbathing may be more important in urban populations; incidental exposures while swimming may be important in both populations.

SUBMITTER: Jewett PI 

PROVIDER: S-EPMC10024641 | biostudies-literature | 2023 Mar

REPOSITORIES: biostudies-literature

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Publications

Incidental sun exposures as a source of sunburn among rural compared to urban residents in the United States.

Jewett Patricia I PI   Henning-Smith Carrie C   Lazovich DeAnn D   Ahmed Rehana L RL   Vogel Rachel I RI  

The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association 20220919 2


<h4>Purpose</h4>Melanoma incidence is higher in rural than in urban areas in the United States, possibly due to greater incidental sun exposures from rural outdoor-focused lifestyles and occupational patterns. Our aim was to compare activities at the time of a sunburn between rural and urban residents.<h4>Methods</h4>Utilizing the nationally representative 2019 cross-sectional Health Information National Trends Survey (HINTS), we report odds ratios (OR) and confidence intervals (CI) from logisti  ...[more]

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