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Wilkerson AH, Davis RE, Sharma M, Harmon MB, McCowan HK, Mockbee CS, Ford MA, Nahar VK. Use of the multi-theory model (MTM) in explaining initiation and sustenance of indoor tanning cessation among college students. Arch Dermatol Res 2023; 315:191-199. [PMID: 35235004 DOI: 10.1007/s00403-022-02338-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2021] [Revised: 12/22/2021] [Accepted: 02/15/2022] [Indexed: 11/30/2022]
Abstract
Skin cancer, including melanoma, is the most common cancer worldwide and a significant public health concern. A significant risk factor for melanoma is through increased exposure to ultraviolet (UV) radiation through the use of indoor tanning beds. Although rates of indoor tanning bed use have decreased in recent years, young adults, particularly White, college-age women, comprise the majority of indoor tanning bed users in the United States. The purpose of this cross-sectional study was to explore and explain the initiation and sustenance of indoor tanning cessation among college students using the multi-theory model (MTM) of health behavior change. Data were collected from 254 college students who reported current indoor tanning use using a validated 46-item survey to assess demographics and the MTM constructs. Data were analyzed using multiple linear regression to determine the ability of the MTM constructs to predict the initiation and sustenance of indoor tanning cessation. For initiation of indoor tanning cessation, participatory dialogue: advantages (B = 0.038, p = 0.001), behavioral confidence (B = 0.129, p < 0.001) and changes in the physical environment (B = 0.088, p < 0.001) were significantly associated with indoor tanning cessation following covariate adjustment. For sustenance, only emotional transformation (B = 0.140, p < 0.001) demonstrated a significant relationship with indoor tanning cessation, following adjustment. Findings from this study demonstrate the utility of the MTM in explaining indoor tanning cessation and designing intervention strategies and clinical recommendations to encourage indoor tanning cessation among college students.
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Affiliation(s)
- Amanda H Wilkerson
- Department of Health Science, College of Human Environmental Sciences, The University of Alabama, Tuscaloosa, AL, USA
| | - Robert E Davis
- Substance Use and Mental Health Laboratory, Department of Health, Human Performance and Recreation, University of Arkansas, Fayetteville, AR, USA
| | - Manoj Sharma
- Department of Social and Behavioral Health, School of Public Health, University of Nevada, Las Vegas, NV, USA
| | - Mallory B Harmon
- Department of Dermatology, School of Medicine, University of Mississippi Medical Center, 2500 North State Street - L216, Jackson, MS, 39216, USA
| | - Hannah K McCowan
- Department of Dermatology, School of Medicine, University of Mississippi Medical Center, 2500 North State Street - L216, Jackson, MS, 39216, USA
| | - Chelsea S Mockbee
- Department of Dermatology, School of Medicine, University of Mississippi Medical Center, 2500 North State Street - L216, Jackson, MS, 39216, USA
| | - M Allison Ford
- Department of Health, Exercise Science, and Recreation Management, School of Applied Sciences, University of Mississippi, University, Jackson, MS, USA
| | - Vinayak K Nahar
- Department of Dermatology, School of Medicine, University of Mississippi Medical Center, 2500 North State Street - L216, Jackson, MS, 39216, USA. .,Department of Preventive Medicine, School of Medicine/John D. Bower School of Population Health, University of Mississippi Medical Center, Jackson, MS, USA.
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