International Journal of Behavioral Medicine

, Volume 10, Issue 4, pp 299–314 | Cite as

Exploring the development of sun-tanning behavior: A grounded theory study of adolescents’ decision-making experiences with becoming a sun tanner

  • Jean A. Shoveller
  • Chris Y. Lovato
  • Richard A. Young
  • Barbara Moffat


A grounded theory study was undertaken to describe how adolescents make decisions about sunbathing during the transition from childhood to adolescence and to propose an explanation for the relationships among factors affecting the adoption of sun tanning. In-depth interviews (n = 40) were conducted separately with adolescents (aged 12 to 16 years) and their parents. Constant comparative analysis of adolescents’ accounts identified two methods that adolescents described as a means of getting a suntan: intentional sun tanning and incidental sun tanning. The process of adolescents’ decision-making about getting a suntan can be understood by examining the following sequence: becoming motivated to get a tan, experimenting with sun tanning, and establishing self as an intentional tanner or incidental tanner. Implications for developing strategies to prevent the adoption of sun-tanning habits among adolescents are presented.

Key words

adolescent health skin cancer prevention 


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  1. Brandberg, Y., Ullen, H., Sjoberg, L., & Holm, L. E. (1998). Sunbathing and sunbed use related to self-image in a randomized sample of Swedish adolescents. European Journal Cancer Prevention, 7, 321–329.CrossRefGoogle Scholar
  2. Broadstock, M., Borland, R., & Gason, R. (1992). Attractiveness by adolescents. Journal of Applied Social Psychology, 22, 157–172.CrossRefGoogle Scholar
  3. Castle, C. M., Skinner, T. C., & Hampson, S. E. (2000). Young women and suntanning: An evaluation of a heath education leaflet. Psychology & Health, 14, 517–527.CrossRefGoogle Scholar
  4. Clandinin, D. J., & Connelly, F. M. (1998). Personal experience methods. In N. K. Denzin & Y. S. Lincoln (Eds.), Collecting and interpreting qualitative materials (pp. 150–178). Thousand Oaks, CA: Sage.Google Scholar
  5. Cockburn, J., Hennrikus, D., Scott, R., & Sanson-Fisher, R. (1989). Adolescent use of sun-protection measures. The Medical Journal of Australia, 151, 136–140.PubMedGoogle Scholar
  6. Gallagher, R. P., McLean, D. I., Yang, C. P., Coldman, A. J., Silver, H. K., & Spinelli, J. J. (1990). Suntan, sunburn, and pigmentation factors and the frequency of acquired melanocytic nevi in children. Similarities to melanoma: the Vancouver Mole Study. Arch Dermatol, 126, 770–776.PubMedCrossRefGoogle Scholar
  7. George, P. M., Kuskowski, M., & Schmidt, C. (1996). Trends in photoprotection in American fashion magazines, 1983–1993. Journal of the American Academy of Dermatology, 34, 424–428.PubMedCrossRefGoogle Scholar
  8. Gibbons, L., & Anderson, L. (1992). Proceedings of the symposium on ultraviolet radiation-related diseases. Chronic Disease in Canada, 13, s1-s42.Google Scholar
  9. Glaser, B., & Strauss, A. (1967). The discovery of grounded theory. Chicago: Aldine.Google Scholar
  10. Hillhouse, J., & Turrisi, R. (2002). Examination of the efficacy of an appearance-focused intervention to reduce UV exposure. Journal of Behavioral Medicine, 25, 395–408.PubMedCrossRefGoogle Scholar
  11. Hillhouse, 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.PubMedCrossRefGoogle Scholar
  12. Jones, J. L., & Leary, M. R. (1994). Effects of appearance-based admonitions against sun exposure and tanning intentions in young adults. Health Psychology, 13, 86–90.PubMedCrossRefGoogle Scholar
  13. Keesling, B., & Friedman, H. S. (1987). Psychosocial factors in sunbathing and sunscreen use. Health Psychology, 6, 477–493.PubMedCrossRefGoogle Scholar
  14. Leary, M. R., Tchividijan, L. R., & Kraxberger, B. E. (1994). Self-presentation can be hazardous to your health: Impression management and health risk. Health Psychology, 13, 461–470.PubMedCrossRefGoogle Scholar
  15. Livingston, P. M., White, V. M., Ugoni, A. M., & Borland, R. (2001). Knowledge, attitudes and self-care practices related to sun protection among secondary students in Australia. Health Education Research, 16, 269–278.PubMedCrossRefGoogle Scholar
  16. Lovato, C. Y., Shoveller, J. A., Peters, L., & Rivers, J. K. (1998a). Canadian National Survey on Sun Exposure & Protective Behaviours: Youth at Leisure. Cancer Prevention & Control, 2, 117–122.Google Scholar
  17. Lovato, C. Y., Shoveller, J. A., Peters, L., & Rivers, J. K. (1998b). Canadian National Survey on Sun Exposure & Protective Behaviours: Parent Reports of Children. Cancer Prevention & Control, 2, 123–128.Google Scholar
  18. Lowe, J. B., Balanda, K. P., & Gillespie, A. M. (1993). Sun-related attitudes and beliefs among Queensland school children: The role of gender and age. Australian Journal of Public Health, 17(3), 202–208.PubMedGoogle Scholar
  19. Lupton, D., & Gaffney, D. (1996). Discourses and practices related to suntanning and solar protection among young Australians. Health Education Research, 11, 147–159.CrossRefGoogle Scholar
  20. Melia, J., & Bulman, A. (1995). Sunburn and tanning in a British population. Journal of Public Health Medicine, 17, 223–229.PubMedGoogle Scholar
  21. Miller, A. G., Ashton, W. A., McHoskey, J. W., & Gimbel, J. (1990). What price attractiveness? Stereotype and risk factors in suntanning behavior. Journal of Applied Social Psychology, 20, 1272–1300.CrossRefGoogle Scholar
  22. National Cancer Institute of Canada. (2001). Canadian Cancer Statistics for 2001. Toronto, Canada: Author.Google Scholar
  23. Newman, W., & Agro, A. D. (1996). A survey of recreational sun exposure of residents of San Diego, California. American Journal of Preventive Medicine, 12, 186–193.PubMedGoogle Scholar
  24. Oliphant, J. A., Forster, J. L., & McBride, C. M. (1994). The use of commercial tanning facilities by suburban Minnesota adolescents. American Journal of Public Health, 84, 476–478.PubMedCrossRefGoogle Scholar
  25. Richards, R., McGee, R., & Knight, R. G. (2001, May). Sun protection practices, knowledge and attitudes to tans among New Zealand adolescents, 1991–1997. New Zealand Medical Journal, 229–231.Google Scholar
  26. Rosso, S., Zanetti, R., Martinez, C., Tormo, M. J., Schraub, S., & Sancho-Garnier, H. (1996). The multicentre south European study “Helios.” II: Different sun exposure patterns in the aetiology of basal cell and squamous cell carcinomas of the skin. British Journal of Cancer, 73, 1447–1454.PubMedGoogle Scholar
  27. Strauss, A., & Corbin, J. (1998). Basics of qualitative research: Techniques and procedures for developing grounded theory (2nd ed.). Thousand Oaks, CA: Sage.Google Scholar
  28. Wichstrom, L. (1994). Predictors of Norwegian adolescents’ sunbathing and use of sunscreen. Health Psychology, 13, 412–420.PubMedCrossRefGoogle Scholar
  29. Young, R. A., Valach, L., Dillabough, J., Dover, C., & Matthes, G. (1994). Career research from an action perspective: The self-confrontation procedure. Career Development Quarterly, 43, 185–196.Google Scholar

Copyright information

© International Society of Behavioral Medicine 2003

Authors and Affiliations

  • Jean A. Shoveller
    • 1
  • Chris Y. Lovato
    • 2
  • Richard A. Young
    • 3
  • Barbara Moffat
    • 4
  1. 1.UBC Department of Health Care and EpidemiologyVancouverCanada
  2. 2.UBC Department of Health Care and Epidemiologythe National Cancer Institute of CanadaCanada
  3. 3.UBC Department of Educational and Counselling Psychology and Special EducationCanada
  4. 4.UBC Department of Health Care & EpidemiologyCanada

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