TY  - JOUR
AU  - Bonnell, Levi N
AU  - Obi, Ngozi
AU  - Miller, Kimberly
AU  - Hu, Sophia
AU  - Dellavalle, Robert
AU  - Cockburn, Myles
PY  - 2022
DA  - 2022/1/25
TI  - Intent to Change Sun-Protective Behaviors Among Hispanic People After a UV Photoaging Intervention: Cohort Study
JO  - JMIR Dermatol
SP  - e33339
VL  - 5
IS  - 1
KW  - risk assessment
KW  - sun safety
KW  - intention to change
KW  - sun exposure behavior
KW  - melanoma
KW  - Hispanic
KW  - sun damage
KW  - skin cancer
AB  - Background: Mortality rates from melanoma are higher among Hispanic populations than non-Hispanic White (NHW) populations. Interventions to improve sun safety are needed. The Reveal Imager is a camera that uses standard cross-polarized flash photography to record surface and subsurface skin conditions. Objective: This study aims to determine the intervention’s effectiveness in increasing awareness of sun damage and exposure reduction between Hispanic and NHW populations. Methods: A cohort of 322 participants, aged ≥18 years, were recruited from community events in 2018. Baseline information was collected on demographics, sun exposure, and perception of risk factors. A facial image was then captured using the Reveal Imager. The results were explained and counseling on sun safety was given, followed by filling out an immediate postimage survey. Chi-square tests, analysis of variance, Wilcoxon signed-rank test, McNemar tests, and multivariable logistic regression were used. Results: At follow-up, 125 of 141 (89%) Hispanic participants reported that viewing the UV photoaged image influenced intent-to-change sun protection behaviors, compared to 88 of 121 (73%) NHW participants (odds ratio 2.9, 95% CI 1.5-5.6). Of 141 Hispanic participants, 96 (68%) reported that they intended to increase sunscreen use, compared to only 41 of 121 (34%) NHW participants (P<.001). Conclusions: We demonstrated an application of Reveal Imager for education and risk assessment. The Reveal Imager was especially helpful in motivating intention to change sun exposure among Hispanic populations. 
SN  - 2562-0959
UR  - https://derma.jmir.org/2022/1/e33339
UR  - https://doi.org/10.2196/33339
UR  - http://www.ncbi.nlm.nih.gov/pubmed/27659069
DO  - 10.2196/33339
ID  - info:doi/10.2196/33339
ER  -