ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2019
Differences in Sun Protection Behaviors Between Rural and Urban Communities in Texas.
Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
15 citing papers in PubMed, 25 citations in OpenAlex.
- Sun protection behavior beliefs among adults living in rural United States: A qualitative study in Minnesota.PloS one · 2025Article
- Article
- Preliminary effects of a rural skin cancer prevention intervention for youths.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2024Article
- Rural-Urban Differences in Sun Exposure and Protection Behaviors in the United States.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2024Article
- Rural-urban differences in meeting of physical activity recommendations by sun exposure and protection behaviors in the United States.Preventive medicine · 2024Article
- Incidental sun exposures as a source of sunburn among rural compared to urban residents in the United States.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2023Article
- Outdoor activities and sunburn among urban and rural families in a Western region of the US: Implications for skin cancer prevention.Preventive medicine reports · 2022Article
- A National Map of NCI-Designated Cancer Center Catchment Areas on the 50th Anniversary of the Cancer Centers Program.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2022Article
- Associations between ultraviolet radiation, tree cover and adolescent sunburns.International journal of health geographics · 2020Article
- Does one's geographic location influence their use of sun protection? A survey of 3,185 U.S. Residents.Preventive medicine reports · 2020Article
- Advancing Rural Cancer Control Research: National Cancer Institute Efforts to Identify Gaps and Opportunities.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2020Article
- Reasons for not receiving the HPV vaccine among eligible adults: Lack of knowledge and of provider recommendations contribute more than safety and insurance concerns.Cancer medicine · 2020Article
- [Primary and secondary prevention of skin cancer in rural areas : A cross-sectional study in the Bavarian Forest].Der Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete · 2020Article
- Prevalence and determinants of cervical cancer screening with a combination of cytology and human papillomavirus testing.Annals of epidemiology · 2019Article
- Challenges of Treating Recurrent Merkel Cell Carcinoma in the Rural US: A Case Report.The Journal of clinical and aesthetic dermatologyArticle
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
purposeThe increasing incidence of skin cancer is a global health issue. In order to identify at-risk populations in Texas, we compared sun protection behaviors and sunburn history across rural and urban counties.
methodsAn online health screening survey collected data from a nonprobability sample of Texas residents in 2018. Data were weighted by sex, age, race, and ethnicity. Multinomial multivariable logistic regression identified key factors associated with sun protection behaviors and sunscreen use. Weighted Pearson's χ
findingsRural residents in Texas were less likely to seek shade (OR = 0.58; P = .004) and less likely to use sunscreen lotion (OR = 0.65; P = .013) compared to their urban counterparts. Sunscreen use was also lower among current versus never smokers (OR = 0.67; P = .034) but higher in those with personal versus no cancer history (OR = 2.14; P = .004). Although rural versus urban residents were more likely to use higher SPF sunscreen (P < .002), they had more blistering sunburns over the course of their life (P < .001) and these injuries were more likely to occur at an earlier age, between 5 and 14 years old (P < .001).
conclusionsIncreased attention to sun protective behaviors among rural communities in Texas is vital to help reduce the high prevalence of sunburn injury and incidence of skin cancer.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.