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Appearance‐based vs health‐based sun protective messages: A randomized, double‐blind controlled study
Author(s) -
Cheng Judy,
Widjajahakim Rafael,
Rajanala Susruthi,
B. C. Maymone Mayra,
Secemsky Eric,
Vashi Neelam A.
Publication year - 2019
Publication title -
journal of cosmetic dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.626
H-Index - 44
eISSN - 1473-2165
pISSN - 1473-2130
DOI - 10.1111/jocd.12790
Subject(s) - medicine , hyperpigmentation , sun protection , ethnic group , sun exposure , randomized controlled trial , dermatology , skin cancer , psychological intervention , population , demography , cancer , surgery , environmental health , psychiatry , sociology , anthropology
Summary Background Appearance‐based messages have shown promise in improving sun protection habits among Caucasians but have scarcely been investigated in Hispanic populations. Objective To compare the effectiveness of appearance‐based vs health‐based messages in an ethnic patient population, where hyperpigmentation disorders are prevalent and often cosmetically concerning. Methods One hundred thirty‐seven patients were randomized to receive images of (a) skin cancer, (b) hyperpigmentation, or (c) wrinkles. Analysis of variance tests for repeated measures were used to estimate the effects of the different stimuli on participants’ knowledge and intention to sun protect. Results Appearance‐based interventions were more effective in improving intentions to sun protect among both Hispanics and non‐Hispanic Whites ( P < 0.05). They were furthermore more effective among younger patient populations (≤40 years old) and patients who thought that a tanned appearance is attractive ( P < 0.05). Conclusions Appearance‐based photos of sun damage were more effective than health‐based messages among Hispanics, younger patient populations, and those who find tanned appearances to be attractive.