TY - JOUR
T1 - Rural-urban differences in meeting of physical activity recommendations by sun exposure and protection behaviors in the United States
AU - Dona, Allison C.
AU - Jewett, Patricia
AU - Henning-Smith, Carrie
AU - Ahmed, Rehana L.
AU - Lazovich, DeAnn
AU - Vogel, Rachel I
N1 - Publisher Copyright:
© 2024 Elsevier Inc.
PY - 2024/4
Y1 - 2024/4
N2 - Objective: To examine associations between sun protection behaviors and physical activity (PA) by rural and urban residence in the United States. Methods: We analyzed data from the National Health and Nutrition Examination Survey (2013–2018), restricting to participants ages 20–59 with sun behavior data. Sunburns, sun exposure, and sun protection measures were dichotomized (yes/no): ≥1 sunburn in the past year, 2+ hour outside during workdays or non-workdays, and never/rarely/sometimes using sunscreen, wearing long sleeves, and staying in the shade. Meeting PA recommendations (yes/no) was defined as ≥150 min of vigorous/moderate or ≥ 75 min vigorous PA per week. Associations between sun behaviors and PA were analyzed using logistic regression models, which accounted for survey-weights and potential confounders, and stratified by rural-urban status. Results: Rural and urban individuals meeting PA recommendations had greater odds of spending 2+ hour outside during workdays (OR: 2.26 [1.88, 2.74] and 3.95 [2.72, 5.73]) and non-workdays (OR: 2.06 [1.78, 2.38] and 3.33 [2.47, 4.46]). Among urban residents, odds of staying in the shade were lower among those who met PA recommendations (OR: 0.78 [0.66, 0.92]). We did not observe differences in sunburns or other sun behaviors by PA status, regardless of rurality. Conclusions: Meeting PA recommendations was associated with greater sun exposure in both rural and urban populations. Additional exercise location (indoors/outside) data is needed to inform PA and skin cancer prevention interventions to reduce unintended increases in sun exposure and reductions in PA, respectively, especially among rural populations.
AB - Objective: To examine associations between sun protection behaviors and physical activity (PA) by rural and urban residence in the United States. Methods: We analyzed data from the National Health and Nutrition Examination Survey (2013–2018), restricting to participants ages 20–59 with sun behavior data. Sunburns, sun exposure, and sun protection measures were dichotomized (yes/no): ≥1 sunburn in the past year, 2+ hour outside during workdays or non-workdays, and never/rarely/sometimes using sunscreen, wearing long sleeves, and staying in the shade. Meeting PA recommendations (yes/no) was defined as ≥150 min of vigorous/moderate or ≥ 75 min vigorous PA per week. Associations between sun behaviors and PA were analyzed using logistic regression models, which accounted for survey-weights and potential confounders, and stratified by rural-urban status. Results: Rural and urban individuals meeting PA recommendations had greater odds of spending 2+ hour outside during workdays (OR: 2.26 [1.88, 2.74] and 3.95 [2.72, 5.73]) and non-workdays (OR: 2.06 [1.78, 2.38] and 3.33 [2.47, 4.46]). Among urban residents, odds of staying in the shade were lower among those who met PA recommendations (OR: 0.78 [0.66, 0.92]). We did not observe differences in sunburns or other sun behaviors by PA status, regardless of rurality. Conclusions: Meeting PA recommendations was associated with greater sun exposure in both rural and urban populations. Additional exercise location (indoors/outside) data is needed to inform PA and skin cancer prevention interventions to reduce unintended increases in sun exposure and reductions in PA, respectively, especially among rural populations.
KW - Melanoma
KW - Physical activity
KW - Rural
KW - Skin cancer
KW - Sun protective behaviors
KW - Sun risk behaviors
KW - Urban
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U2 - 10.1016/j.ypmed.2024.107919
DO - 10.1016/j.ypmed.2024.107919
M3 - Article
C2 - 38408648
AN - SCOPUS:85186526212
SN - 0091-7435
VL - 181
JO - Preventive medicine
JF - Preventive medicine
M1 - 107919
ER -