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Title: Validity of self-reported solar UVR exposure compared with objectively measured UVR exposure. Author: Glanz K, Gies P, O'Riordan DL, Elliott T, Nehl E, McCarty F, Davis E. Journal: Cancer Epidemiol Biomarkers Prev; 2010 Dec; 19(12):3005-12. PubMed ID: 20940277. Abstract: BACKGROUND: Reliance on verbal self-report of solar exposure in skin cancer prevention and epidemiologic studies may be problematic if self-report data are not valid due to systematic errors in recall, social desirability bias, or other reasons. METHODS: This study examines the validity of self-reports of exposure to ultraviolet radiation (UVR) compared to objectively measured exposure among children and adults in outdoor recreation settings in 4 regions of the United States. Objective UVR exposures of 515 participants were measured using polysulfone film badge UVR dosimeters on 2 days. The same subjects provided self-reported UVR exposure data on surveys and 4-day sun exposure diaries, for comparison to their objectively measured exposure. RESULTS: Dosimeter data showed that lifeguards had the greatest UVR exposure (24.5% of weekday ambient UVR), children the next highest exposures (10.3% ambient weekday UVR), and parents had the lowest (6.6% ambient weekday UVR). Similar patterns were observed in self-report data. Correlations between diary reports and dosimeter findings were fair to good and were highest for lifeguards (r = 0.38-0.57), followed by parents (r = 0.28-0.29) and children (r = 0.18-0.34). Correlations between survey and diary measures were moderate to good for lifeguards (r = 0.20-0.54) and children (r = 0.35-0.53). CONCLUSIONS: This is the largest study of its kind to date, and supports the utility of self-report measures of solar UVR exposure. IMPACT: Overall, self-reports of sun exposure produce valid measures of UVR exposure among parents, children, and lifeguards who work outdoors.[Abstract] [Full Text] [Related] [New Search]