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Evaluation of educational videos to increase skin cancer risk awareness and sun safe behaviors among adult Hispanics (Revision 1)

机译：评估教育视频以提高成年西班牙裔患者的皮肤癌风险意识和防晒安全行为（修订1）

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Although skin cancer is less common in Hispanics, they are at higher risk for presenting with more advanced stage skin cancer. We performed semi-structured interviews with Hispanic women that found high concern for photo-aging from sun exposure. Based on these results, we developed two short Spanish language films. The first emphasized photo-aging benefits of sun protection, while the second focused on its benefits for skin cancer prevention. Our hypothesis was that the reduction of photo-aging would be a more persuasive argument than skin cancer prevention for the adoption of sunscreen use by Hispanic women.Study participants were recruited from beauty salons located in predominantly Hispanic neighborhoods. Each of the two Spanish language films was approximately 3 minutes long. A pre-intervention questionnaire assessed subjects’ general knowledge and sunscreen habits, and a second questionnaire administered after viewing both films assessed for improvements in risk perception and inquired about which film was more persuasive.Eighty Hispanics participated ranging in age from 19-75. The pre-education survey found that 54 out of 80 believed that fair-skin Hispanics (FS) were at risk for skin cancer, and 44 out of 80 believed that dark skin Hispanics (DS) were at risk. These numbers increased to 72 (FS) and 69 (DS) after the intervention (p-value: <0.0002 FS, <0.0001 DS). Hispanics overwhelmingly selected the video emphasizing the benefits of sun protection for skin cancer prevention as the more persuasive film (74 out of 80).A Spanish language video has the potential to make an impact in healthy sun protective behaviors, and information on how to properly apply sunscreen should be included in educational messages.
机译：尽管皮肤癌在拉美裔中不太常见，但是他们出现晚期皮肤癌的风险较高。我们对西班牙裔女性进行了半结构化访谈，他们非常关注暴露在阳光下的光老化。根据这些结果，我们制作了两部西班牙语短片。第一个重点强调了防晒的光老化作用，而第二个重点在于其对预防皮肤癌的好处。我们的假设是，对于西班牙裔女性采用防晒霜，减少光老化比使用皮肤癌预防更具说服力。研究参与者是从主要位于西班牙裔社区的美容院招募的。这两部西班牙语电影中的每部电影都长约3分钟。干预前的问卷调查了受试者的常识和防晒习惯，观看了两部电影后又进行了第二次问卷调查，评估了他们对风险感知的改善，并询问哪部电影更具说服力。八十名西班牙裔美国人参加了调查，年龄在19-75岁之间。教育前调查发现，在80名受访者中，有54名认为白皙的西班牙裔（FS）有患皮肤癌的风险，而在80名受访者中，有44名认为有深色皮肤的西班牙裔（DS）处于危险之中。干预后，这些数字增加到72（FS）和69（DS）（p值：<0.0002 FS，<0.0001 DS）。西班牙裔人压倒性地选择了强调防晒对预防皮肤癌有益效果的视频作为更具说服力的影片（80分中的74分）。西班牙语视频有可能对健康的防晒行为产生影响，并提供有关如何正确防晒的信息。涂抹防晒霜应包含在教育信息中。

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