1. SUNBURN TENDENCIES IN GEORGIA Nona Magradze Mariam Rukhadze Mariam Izoria Sopio Aspanidze Masters of University of Georgia Tbilisi, 2013

2. Sunburn Sunburn occurs when skin is burned by ultraviolet (UV) radiation, most often after being in the sun for too long

3. Sunburn Small amounts of UV radiation are essential for the production of vitamin D in humans, but exposure to large doses may have short- and long-term adverse effects on the skin, the eyes and the immune system Source:http://www.who.int/topics/ultraviolet_radiation/en/http://www.who.int/topics/ultraviolet_radiation/en/

4. Sunburn As an acute inflammation caused by excessive exposure to solar ultraviolet radiation, it is a determinant of all major skin cancers. An estimated 1.3 million skin cancer cases were due to excessive sun exposure in USA Most skin cancers are preventable by encouraging consistent use of sun protective behavior. Source: https://www.mja.com.au/journal/2013/198/8/frequency-sunburn- queensland-adults-still-burning-issue; https://www.mja.com.au/journal/2013/198/8/frequency-sunburn- queensland-adults-still-burning-issue http://www.biomedcentral.com/1471-2407/12/1

5. The Sun - Helpful Keep us warm Makes Vitamin D Kills Germs Makes Us Feel Good Source: U.S. Environmental Protection Agency

6. The Sun - Harmful Causes Sunburn Makes Our Skin Wrinkle Causes Skin Cancer Causes Eye Damage Source : U.S. Environmental Protection Agency

7. Background The problem of sunburn has become particularly serious among the Georgian young people, because the desire to be tan often outweighs health concerns.

8. Research Method Convinience Sample Literature review and population – based survey by using questionnaire (including 17 questions) in a small sample Research Problem to assess the current frequency of sunburns, a preventable risk factor for skin cancer and safe tanning remedies usage among Georgian young people

9. Research Procedure Requiring young persons by Questionnaire in Swimming Pool, Cafes, Social Network Study Population - Age Range 14 – 29 Study Sample - 36 young persons (25 Female; 11 Male) Statistics From B. Iashvili Burning Center Demographic Area: Tbilisi

10. Data From the B. Iashvili Burning Center

11. Research Instrument Questionnaire (17 Questions)

12. Our Respondents Skin Color: Majority was Light/Medium

13. Age Range

14. Data Analsysis Education: most respondents (89%) had higher education

15. Data Analsysis 69% of participants have declared that for tanning they used to go to the seaside For healthy tanning the majority of our respondents (86%) don't use appropriate protection

16. Remedies for effective tanning

17. Data Analysis 64% of respondents don't re-apply sunscreen every two hours after swimming, playing or exercising outdoors as indicated by WHO No cases of hospitalization Have no sufficient information about harms of sun (50%) Source: WHO http://www.who.inthttp://www.who.int

18. Data Analysis Common Skin Problem were pigmented spots (47%) Common Symptom – Headache (69%) 39% used to stay under sun rays during the peak hours* (10 a.m. and 4 p.m) *Source: WHO http://www.who.inthttp://www.who.int

19. Data Analysis Popular method of treatment after sunburn was Self-treatment by home remedies (47%) 58% of participants thought, that were safe from the sun's damaging rays on cloudy days

20. Data Analysis Liquid intake was about 2L in most cases TV and Commercials were main sources for tanning recommendations (50%) Popular season for tanning was summer (83%)

21. CONCLUSIONS AND RECOMMENDATIONS

22. CONCLUSIONS Given the significant role that UV exposure plays in the development of skin cancer and the tremendous costs associated with treating the disease, an intervention that is effective in increasing sun protection has the potential for significant impact on skin cancer Incidence and health care costs. Source:http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2 967703/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2 967703/

23. Recommendations for health educators The educational intervention must be delivered by the health educators and covered basic skin cancer knowledge, sun protection information, and signs and symptoms of common skin cancers. Source:http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3158610/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3158610/

24. Recommendations for health educators Recommended actions must be emphasize both response efficacy (e.g. sunscreen will reduce the risk of further sun damage and cancer) and self-efficacy (e.g. this is something you can easily do) Source:http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3158610/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3158610/

25. Our research and literature review suggests : the effects of the intervention may be mediated by combined changes in tanning cognitions, perceived susceptibility to skin damage, and sun protection intentions.

26. Referencies U.S. Environmental Protection Agency http://www.epa.gov/ WHO http://www.who.inthttp://www.who.int Frequency of sunburn in Queensland adults: still a burning issue Adèle C Green, Louise Marquart, Susan L Clemens, Catherine M Harper and Peter K O’Rourke; Med J Aust 2013; 198 (8): 431-434. https://www.mja.com.au/journal/2013/198/8/frequency-sunburn- queensland-adults-still-burning-issue Effects of upward and downward social comparison information on the efficacy of an appearance-based sun protection intervention: a randomized, controlled experiment Heike I. M. Mahler; Frederick X. Gibbons; James A. Kulik; Meg Gerrard Received: January 3, 2010 / Accepted: July 1, 2010 / Published online: July 22, 2010 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2967703/

27. Referencies The Impact of Dermatologist Examination and Biometric Feedback Delivered at the Beach on Skin Cancer Prevention Karen M. EmmonsKaren M. Emmons, PhD,1,2 Alan C. Geller, MPH, RN,2,3 Elaine Puleo, PhD,5 Sanghamitra S. Savadatti, MPH,1Stephanie W. Hu, MD,6 Sue Gorham,4 and Andrew E. Werchniak, MD6, For the Dana Farber Skin Cancer Screening Group J Am Acad Dermatol. 2011 February; 64(2): 282–289.Published online 2010 December 15. Alan C. GellerElaine PuleoSanghamitra S. SavadattiStephanie W. HuSue GorhamAndrew E. Werchniak J Am Acad Dermatol. 2011 February; 64(2): 282–289. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3158610/ A randomised controlled trial of a theory-based intervention to improve sun protective behaviour in adolescents ('you can still be HOT in the shade'): study protocol Anna L Hawkes 1,2*, Kyra Hamilton 3,4, Katherine M White 3,4 and Ross MD Young 4 12 34 34 http://www.biomedcentral.com/1471-2407/12/1

28. Thank You