Abstract
This study examined the impact of an ultraviolet (UV) photography intervention and masculinity on college men’s sun protection cognitions, including: perceived vulnerability to skin damage, attitudes toward sun protection, willingness to engage in sun protection behaviors, and intentions to receive a skin cancer exam. After completing a baseline survey, participants (N = 152) viewed a black-and-white photo of their face. Half also viewed a photo showing their UV damage. Participants then completed a second survey assessing sun protection cognitions. Regressions revealed that masculinity predicted lower sun protection cognitions, and men in the UV photograph condition reported higher sun protection cognitions. Masculinity by condition interactions showed that the positive effect of UV photography was stronger among masculine men. Negative associations between masculinity and sun protection cognitions were significant only among men who did not receive the intervention. Findings suggest that UV photography is a promising sun protection intervention among masculine men.
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Notes
Another purpose of this study was to examine the causal impact of masculinity on sun protection cognitions. Prior to the UV photograph manipulation, participants were randomly assigned to be either primed or not primed with masculine words. We hypothesized that men in the masculine priming condition would report less protective cognitions and that this condition would moderate the effects of viewing one’s UV photograph. However, analyses showed no main effects of the priming condition and no interaction with the UV photograph condition on any of the sun protection cognitions. The priming condition also did not pass the manipulation check and therefore was not included in the present analyses. When priming condition was included as a control variable in the final regressions, the results did not change.
Independent samples t-tests revealed that White and non-White participants did not differ in levels of self-reported masculinity.
Twelve participants were missing data for four or fewer items on the masculinity scale. A value was imputed for each of these missing data points based on the individual participants’ mean scores on the relevant masculinity subscale. The results did not differ when these participants were excluded from the final analyses.
References
ABC News. (2005, June 27). Skin mapping shows early signs of sun damage. Retrieved from http://abcnews.go.com/WNT/Health/story?id=886396.
Abroms, L., Jorgensen, C. M., Southwell, B. G., Geller, A. C., & Emmons, K. M. (2003). Gender differences in young adults’ beliefs about sunscreen use. Health Education & Behavior, 30, 29–43.
Azizi, E., Flint, P., Sadetzki, S., Solomon, A., Lerman, Y., Harari, G., et al. (2000). A graded work site intervention program to improve sun protection and skin cancer awareness in outdoor workers in Israel. Cancer Causes and Control, 11, 513–521.
Barkley, G. S. (2008). Factors influencing health behaviors in the National Health and Nutritional Examination Survey, III (NHANES III). Social Work in Health Care, 46, 57–79.
Bränström, R., Ullén, H., & Brandberg, Y. (2004). Attitudes, subjective norms and perception of behavioural control as predictors of sun-related behavior in Swedish adults. Preventive Medicine, 39, 992–999.
Buller, D. B., Borland, R., & Burgoon, M. (1998). Impact of behavioral intention on effectiveness of message features: Evidence from the Family Sun Safety Project. Health Communication Research, 24, 433–453.
Buller, D. B., Burgoon, M., Hall, J. R., Levine, N., Taylor, A. M., Beach, B., et al. (2000). Long-term effects of language intensity in preventive messages on planned family solar protection. Health Communication, 12, 261–275.
Cash, T. F., & Jacobi, L. (1992). Looks aren’t everything (to everybody): The strength of ideals of physical appearance. Journal of Social Behavior and Personality, 7, 621–630.
Cokkinides, V., Weinstock, M., Glanz, K., Albano, J., Ward, E., & Thun, M. (2006). Trends in sunburns, sun protection practices, and attitudes toward sun exposure protection and tanning among US adolescents, 1998–2004. Pediatrics, 118, 853–864.
Conway, M., & Dubé, L. (2002). Humor in persuasion on threatening topics: Effectiveness is a function of audience sex role orientation. Personality and Social Psychology Bulletin, 28, 863–873.
Coups, E. J., Manne, S. L., & Heckman, C. J. (2008). Multiple skin cancer risk behaviors in the U.S. population. American Journal of Preventive Medicine, 34, 87–93.
Courtenay, W. H. (2000). Constructions of masculinity and their influence on men’s well-being: A theory of gender and health. Social Science and Medicine, 50, 1385–1401.
Courtenay, W. H., McCreary, D. R., & Merighi, J. R. (2002). Gender and ethnic differences in health beliefs and behaviors. Journal of Health Psychology, 7, 219–231.
Fabrizi, G., Pagliarello, C., & Massi, G. (2008). A simple and inexpensive method for performing ultraviolet photography in your dermatology practice. Dermatologic Surgery, 34, 1093–1095.
Fitzpatrick, T. B. (1988). The validity and practicality of sun-reactive skin types I through VI. Archives of Dermatology, 124, 869–871.
Fulton, J. E., Jr. (1997). Utilizing the ultraviolet (UV Detect) camera to enhance the appearance of photodamage and other skin conditions. Dermatologic Surgery, 23, 163–169.
Gallagher, R. P., Hill, G. B., Bajdik, C. D., Fincham, S., Coldman, A. J., McLean, D. I., et al. (1995). Sunlight exposure, pigmentary factors, and risk of nonmelanocytic skin cancer. Archives of Dermatology, 131, 157–163.
Geller, A. C., Johnson, T. M., Miller, D. R., Brooks, K. R., Layton, C. J., & Swetter, S. M. (2009). Factors associated with physician discovery of early melanoma in middle-aged and older men. Archives of Dermatology, 145, 409–414.
Gerrard, M., Gibbons, F. X., Houlihan, A. E., Stock, M. L., & Pomery, E. A. (2008). A dual-process approach to health risk decision making: The prototype willingness model. Developmental Review, 28, 29–61.
Gibbons, F. X., Gerrard, M., & Lane, D. J. (2003). A social reaction model of adolescent health risk. In J. Suls & K. A. Wallston (Eds.), Social psychological foundations of health and illness. Blackwell series in health psychology and behavioral medicine (pp. 107–136). Malden, MA: Blackwell Publishers.
Gibbons, F. X., Gerrard, M., Lane, D. J., Mahler, H. I. M., & Kulik, J. A. (2005). Using UV photography to reduce use of tanning booths: A test of cognitive mediation. Health Psychology, 24, 358–363.
Girgis, A., Sanson-Fisher, R. W., & Watson, A. (1994). A workplace intervention for increasing outdoor workers’ use of solar protection. American Journal of Public Health, 84, 77–81.
Glanz, K., Yaroch, A. L., Dancel, M., Saraiya, M., Crane, L. A., Buller, D. B., et al. (2008). Measures of sun exposure and sun protection practices for behavioral and epidemiologic research. Archives of Dermatology, 144, 217–222.
Good, G. E., Schopp, L. H., Thomson, D., Hathaway, S. L., Mazurek, M. O., & Sanford-Martens, T. C. (2008). Men with serious injuries: Relations among masculinity, age, and alcohol use. Rehabilitation Psychology, 53, 39–45.
Gough, B. (2006). Try to be healthy, but don’t forgo your masculinity: Deconstructing men’s health discourse in the media. Social Science and Medicine, 63, 2476–2488.
Haas, A. F. (2007). Teens and tans: Implementing behavior change. Archives of Dermatology, 143, 1058–1061.
Hillhouse, J. J., Stair, A. W., & Adler, C. M. (1996). Predictors of sunbathing and sunscreen use in college undergraduates. Journal of Behavioral Medicine, 19, 543–561.
Hillhouse, J. J., Turrisi, R., & Kastner, M. (2000). Modeling tanning salon behavioral tendencies using appearance motivation, self-monitoring and the theory of planned behavior. Health Education Research, 15, 405–414.
Hoegh, H. J., Davis, B. D., & Manthe, A. F. (1999). Sun avoidance practices among non-Hispanic White Californians. Health Education & Behavior, 26, 360–368.
Kasparian, N. A., McLoone, J. K., & Meiser, B. (2009). Skin cancer-related prevention and screening behaviors: A review of the literature. Journal of Behavioral Medicine, 32, 406–428.
Leary, M. R., & Jones, J. L. (1993). The social psychology of tanning and sunscreen use: Self-presentational motives as a predictor of health risk. Journal of Applied Social Psychology, 23, 1390–1406.
Levant, R. F., Wimer, D. J., & Williams, C. M. (2011). An evaluation of the health behavior inventory-20 (HBI-20) and its relationships to masculinity and attitudes toward seeking psychological help among college men. Psychology of Men & Masculinity, 12, 26–41.
Linos, E., Swetter, S. M., Cockburn, M. G., Colditz, G. A., & Clarke, C. A. (2009). Increasing burden of melanoma in the United States. Journal of Investigative Dermatology, 129, 1666–1674.
Liu, W. M., & Iwamoto, D. K. (2007). Conformity to masculine norms, Asian values, coping strategies, peer group influences and substance use among Asian American men. Psychology of Men & Masculinity, 8, 25–39.
Mahalik, J. R., Lagan, H. D., & Morrison, J. A. (2006). Health behaviors and masculinity in Kenyan and U.S. male college students. Psychology of Men & Masculinity, 7, 191–202.
Mahalik, J. R., Levi-Minzi, M., & Walker, G. (2007). Masculinity and health behaviors in Australian men. Psychology of Men & Masculinity, 8, 240–249.
Mahalik, J. R., Locke, B. D., Ludlow, L. H., Diemer, M. A., Scott, R. P. G., Gottfried, M., et al. (2003). Development of the Conformity to Masculine Norms Inventory. Psychology of Men & Masculinity, 4, 3–25.
Mahler, H. I. M., Kulik, J. A., Butler, H. A., Gerrard, M., & Gibbons, F. X. (2008). Social norms information enhances the efficacy of an appearance-based sun protection intervention. Social Science and Medicine, 67, 321–329.
Mahler, H. I. M., Kulik, J. A., Gerrard, M., & Gibbons, F. X. (2007). Long-term effects of appearance-based interventions on sun protection behaviors. Health Psychology, 26, 350–360.
Mahler, H. I. M., Kulik, J. A., Gerrard, M., & Gibbons, F. X. (2010). Effects of upward and downward social comparison information on the efficacy of an appearance-based sun protection intervention: A randomized, controlled experiment. Journal of Behavioral Medicine, 33, 496–507.
Mahler, H. I. M., Kulik, J. A., Gibbons, F. X., Gerrard, M., & Harrell, J. (2003). Effects of appearance-based interventions on sun protection intentions and self-reported behaviors. Health Psychology, 22, 199–209.
Mahler, H. I. M., Kulik, J. A., Harrell, J., Correa, A., Gibbons, F. X., & Gerrard, M. (2005). Effects of UV photographs, photoaging information, and use of sunless tanning lotion on sun protection behaviors. Archives of Dermatology, 141, 373–380.
Mermelstein, R. J., & Riesenberg, L. A. (1992). Changing knowledge and attitudes about skin cancer risk factors in adolescents. Health Psychology, 11, 371–376.
Millar, M. G., & Houska, J. A. (2007). Masculinity and intentions to perform health behaviors: The effectiveness of fear control arguments. Journal of Behavioral Medicine, 30, 403–409.
National Cancer Institute, NIH, DHHS. (2010). Cancer trends progress report—2009/2010 update. Bethesda, MD. Retrieved from http://progressreport.cancer.gov.
Pagoto, S., McChargue, D., & Fuqua, R. W. (2003). Effects of a multicomponent intervention on motivation and sun protection behaviors among Midwestern beachgoers. Health Psychology, 22, 429–433.
Rigel, D. S. (2008). Cutaneous ultraviolet exposure and its relationship to the development of skin cancer. Journal of the American Academy of Dermatology, 58, S129–S132.
Rodriguez, G. L., Ma, F., Federman, D. G., Rouhani, P., Chimento, S., Multach, M., et al. (2007). Predictors of skin cancer screening practice and attitudes in primary care. Journal of the American Academy of Dermatology, 57, 775–781.
Rogers, H. W., Weinstock, M. A., Harris, A. R., Hinckley, M. R., Feldman, S. R., Fleischer, A. B., et al. (2010). Incidence estimate of nonmelanoma skin cancer in the United States, 2006. Archives of Dermatology, 146, 283–287.
Saraiya, M., Hall, H. I., Thompson, T., Hartman, A., Glanz, K., Rimer, B., et al. (2004). Skin cancer screening among U.S. adults from 1992, 1998, and 2000 National Health Interview Surveys. Preventive Medicine, 39, 308–314.
Skin Cancer Foundation. (2011). Skin cancer facts. Retrieved from http://www.skincancer.org/.
Smith, J. A., Braunack-Mayer, A., & Wittert, G. (2006). What do we know about men’s help-seeking and health service use? Medical Journal of Australia, 184, 81–83.
Stock, M. L., Gerrard, M., Gibbons, F. X., Dykstra, J. L., Weng, C.-Y., Mahler, H. I. M., et al. (2009). Sun protection intervention for highway workers: Long-term efficacy of UV photography and skin cancer information on men’s protective cognitions and behavior. Annals of Behavioral Medicine, 38, 225–236.
Swetter, S. M., Johnson, T. M., Miller, D. R., Layton, C. J., Brooks, K. R., & Geller, A. C. (2009). Melanoma in middle-aged and older men: A multi-institutional survey study of factors related to tumor thickness. Archives of Dermatology, 145, 397–404.
Tsoureli-Nikita, E., Watson, R. E. B., & Griffiths, C. E. M. (2006). Photoageing: The darker side of the sun. Photochemical & Photobiological Sciences, 5, 160–164.
Veierød, M. B., Weiderpass, E., Thörn, M., Hansson, J., Lund, E., Armstrong, B., et al. (2003). A prospective study of pigmentation, sun exposure, and risk of cutaneous malignant melanoma in women. Journal of the National Cancer Institute, 95, 1530–1538.
Weinstock, M. A., Martin, R. A., Risica, P. M., Berwick, M., Lasater, T., Rakowski, W., et al. (1999). Thorough skin examination for the early detection of melanoma. American Journal of Preventive Medicine, 17, 169–175.
Weinstock, M. A., Rossi, J. S., Redding, C. A., & Maddock, J. E. (2002). Randomized controlled community trial of the efficacy of a multicomponent stage-matched intervention to increase sun protection among beachgoers. Preventive Medicine, 35, 584–592.
Wheless, L., Ruczinski, I., Alani, R. M., Clipp, S., Hoffman-Bolton, J., Jorgensen, T. J., et al. (2009). The association between skin characteristics and skin cancer prevention behaviors. Cancer Epidemiology, Biomarkers and Prevention, 18, 2613–2619.
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Walsh, L.A., Stock, M.L. UV photography, masculinity, and college men’s sun protection cognitions. J Behav Med 35, 431–442 (2012). https://doi.org/10.1007/s10865-011-9372-2
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DOI: https://doi.org/10.1007/s10865-011-9372-2