Protocol - Ultraviolet Light Exposure
Description
The interviewer asks the respondent several questions about sunburn, use of tanning booths and sunlamps, and time spent outdoors in the midday sun.
Specific Instructions
Note: "DK" denotes "Don’t Know."
Availability
This protocol is freely available; permission not required for use.
Protocol
The following questions focus on your complexion and your exposure to the sun.
1. If you spent an hour in the midday sun for the first time without sunscreen, which of these reactions best describes what would happen to your skin:
1 [ ] A blistering sunburn,
2 [ ] A sunburn without blisters,
3 [ ] A mild sunburn that becomes a tan,
4 [ ] A tan with no sunburn, or
5 [ ] No change in skin color?
2. Did you ever get a blistering sunburn?
1 [ ] YES
2 [ ] NO (Go to 3)
2a) How old were you the first time you got a blistering sunburn?
|___|___| YEARS OLD
98 [ ] DK
2b) IF DK EXACT AGE, SAY: About how old were you? PROBE FOR CATEGORY.
01 [ ] UNDER 5 YEARS OLD
02 [ ] 5-14 YEARS OLD
03 [ ] 15-24 YEARS OLD
04 [ ] 25-39 YEARS OLD
05 [ ] 40-64 YEARS OLD
06 [ ] 65 YEARS OLD OR OLDER
2c) How old were you the last time you got a blistering sunburn?
|___|___| YEARS OLD
98 [ ] DK
2d) IF DK EXACT AGE, SAY: About how old were you? PROBE FOR CATEGORY.
01 [ ] UNDER 5 YEARS OLD
02 [ ] 5-14 YEARS OLD
03 [ ] 15-24 YEARS OLD
04 [ ] 25-39 YEARS OLD
05 [ ] 40-64 YEARS OLD
06 [ ] 65 YEARS OLD OR OLDER
2e) How many blistering sunburns have you gotten in your life?
|___|___| BLISTERING SUNBURNS
98 [ ] DK
2f) IF DK EXACT NUMBER, SAY: About how many? PROBE FOR CATEGORY.
1 [ ] 1 OR 2
2 [ ] 3 OR 4
3 [ ] 5-9
4 [ ] 10-19
5 [ ] 20 OR MORE
3. Did you ever get a skin rash from sun exposure?
1 [ ] YES
2 [ ] NO (Go to 4)
3a) How old were you the first time you got a skin rash from sun exposure?
|___|___| YEARS OLD
98 [ ] DK
3b) IF DK EXACT AGE, SAY: About how old were you? PROBE FOR CATEGORY.
01 [ ] UNDER 5 YEARS OLD
02 [ ] 5-14 YEARS OLD
03 [ ] 15-24 YEARS OLD
04 [ ] 25-39 YEARS OLD
05 [ ] 40-64 YEARS OLD
06 [ ] 65 YEARS OLD OR OLDER
3c) How old were you the last time you got a skin rash from sun exposure?
|___|___| YEARS OLD
98 [ ] DK
3d) IF DK EXACT AGE, SAY: About how old were you? PROBE FOR CATEGORY.
01 [ ] UNDER 5 YEARS OLD
02 [ ] 5-14 YEARS OLD
03 [ ] 15-24 YEARS OLD
04 [ ] 25-39 YEARS OLD
05 [ ] 40-64 YEARS OLD
06 [ ] 65 YEARS OLD OR OLDER
3e) How many times you have gotten a skin rash from sun exposure in your life?
|___|___| SKIN
98 [ ] DK
3f) IF DK EXACT NUMBER, SAY: About how times? PROBE FOR CATEGORY.
1 [ ] 1 OR 2
2 [ ] 3 OR 4
3 [ ] 5-9
4 [ ] 10-19
5 [ ] 20 OR MORE
4. Have you ever used a sunlamp?
1 [ ] YES
2 [ ] NO (Go to 5)
4a) How old were you the first time you used a sunlamp?
|___|___| YEARS OLD
98 [ ] DK
4b) IF DK EXACT AGE, SAY: About how old were you? PROBE FOR CATEGORY.
01 [ ] UNDER 5 YEARS OLD
02 [ ] 5-14 YEARS OLD
03 [ ] 15-24 YEARS OLD
04 [ ] 25-39 YEARS OLD
05 [ ] 40-64 YEARS OLD
06 [ ] 65 YEARS OLD OR OLDER
4c) How old were you the last time you used a sunlamp?
|___|___| YEARS OLD
98 [ ] DK
4d) IF DK EXACT AGE, SAY: About how old were you? PROBE FOR CATEGORY.
01 [ ] UNDER 5 YEARS OLD
02 [ ] 5-14 YEARS OLD
03 [ ] 15-24 YEARS OLD
04 [ ] 25-39 YEARS OLD
05 [ ] 40-64 YEARS OLD
06 [ ] 65 YEARS OLD OR OLDER
4e) How many times have you used a sunlamp in your life?
|___|___| SUNLAMP
98 [ ] DK
4f) IF DK EXACT NUMBER, SAY: About how times? PROBE FOR CATEGORY.
1 [ ] 1 OR 2
2 [ ] 3 OR 4
3 [ ] 5-9
4 [ ] 10-19
5 [ ] 20 OR MORE
5. Have you ever used a tanning booth or tanning bed?
1 [ ] YES
2 [ ] NO (Go to 6)
5a) How old were you the first time you used a tanning booth or tanning bed?
|___|___| YEARS OLD
98 [ ] DK
5b) IF DK EXACT AGE, SAY: About how old were you? PROBE FOR CATEGORY.
01 [ ] UNDER 5 YEARS OLD
02 [ ] 5-14 YEARS OLD
03 [ ] 15-24 YEARS OLD
04 [ ] 25-39 YEARS OLD
05 [ ] 40-64 YEARS OLD
06 [ ] 65 YEARS OLD OR OLDER
5c) How old were you the last time you used a tanning booth or tanning bed?
|___|___| YEARS OLD
98 [ ] DK
5d) IF DK EXACT AGE, SAY: About how old were you? PROBE FOR CATEGORY.
01 [ ] UNDER 5 YEARS OLD
02 [ ] 5-14 YEARS OLD
03 [ ] 15-24 YEARS OLD
04 [ ] 25-39 YEARS OLD
05 [ ] 40-64 YEARS OLD
06 [ ] 65 YEARS OLD OR OLDER
5e) How many times have you used a tanning booth or tanning bed in your life?
|___|___| TANNING BOOTH/BED USES
98 [ ] DK
5f) IF DK EXACT NUMBER, SAY: About how times? PROBE FOR CATEGORY.
1 [ ] 1 OR 2
2 [ ] 3 OR 4
3 [ ] 5-9
4 [ ] 10-19
5 [ ] 20 OR MORE
Please answer the following questions about your exposure to the sun at different periods of your life. When we refer to "midday sun," it means those hours when the sun is more than halfway up in the sky. For most of the United States, that would be between the hours of 10 AM and 4PM Daylight Savings Time.
| AGE GROUPS | 6. On a typical weekday in the summer, about how many hours did you generally spend in the midday sun [(when you were) (AGE GROUP)]? | 7. On a typical weekend day in the summer, about how many hours did you generally spend in the midday sun [(when you were) (AGE GROUP)]? | 8. (When you were) (AGE GROUP), [for how many months a year did you usually have a tan]? | |||||
| a) In your teens | 1[ ]LESS THAN 1 HOUR 2[ ]1 OR 2 HOURS 3[ ]3 OR 4 HOURS 4[ ]5 OR 6 HOURS | 1[ ]LESS THAN 1 HOUR 2[ ]1 OR 2 HOURS 3[ ]3 OR 4 HOURS 4[ ]5 OR 6 HOURS | 1[ ]NEVER HAD A TAN 2[ ]1-3 MONTHS 3[ ]4-6 MONTHS 4[ ]7-9 MONTHS 5[ ]10-12 MONTHS | |||||
| b) In your twenties | 1[ ]LESS THAN 1 HOUR 2[ ]1 OR 2 HOURS 3[ ]3 OR 4 HOURS 4[ ]5 OR 6 HOURS | 1[ ]LESS THAN 1 HOUR 2[ ]1 OR 2 HOURS 3[ ]3 OR 4 HOURS 4[ ]5 OR 6 HOURS | 1[ ]NEVER HAD A TAN 2[ ]1-3 MONTHS 3[ ]4-6 MONTHS 4[ ]7-9 MONTHS 5[ ]10-12 MONTHS | |||||
| c) In your thirties | 1[ ]LESS THAN 1 HOUR 2[ ]1 OR 2 HOURS 3[ ]3 OR 4 HOURS 4[ ]5 OR 6 HOURS | 1[ ]LESS THAN 1 HOUR 2[ ]1 OR 2 HOURS 3[ ]3 OR 4 HOURS 4[ ]5 OR 6 HOURS | 1[ ]NEVER HAD A TAN 2[ ]1-3 MONTHS 3[ ]4-6 MONTHS 4[ ]7-9 MONTHS 5[ ]10-12 MONTHS | |||||
| d) In the past ten years | 1[ ]LESS THAN 1 HOUR 2[ ]1 OR 2 HOURS 3[ ]3 OR 4 HOURS 4[ ]5 OR 6 HOURS | 1[ ]LESS THAN 1 HOUR 2[ ]1 OR 2 HOURS 3[ ]3 OR 4 HOURS 4[ ]5 OR 6 HOURS | 1[ ]NEVER HAD A TAN 2[ ]1-3 MONTHS 3[ ]4-6 MONTHS 4[ ]7-9 MONTHS 5[ ]10-12 MONTHS | |||||
Personnel and Training Required
The interviewer must be trained to conduct personal interviews with individuals from the general population. The interviewer must be trained and found to be competent (i.e., tested by an expert) at the completion of personal interviews.*
* There are multiple modes to administer this question (e.g., paper-and-pencil and computer-assisted interviews).
Equipment Needs
While the source instrument was developed to be administered by computer, the PhenX Working Group acknowledges that these questions can be administered in a noncomputerized format (i.e., paper-and-pencil instrument). Computer software is necessary to develop computer-assisted instruments. The interviewer will require a laptop computer or handheld computer to administer a computer-assisted questionnaire.
Requirements
| Requirement Category | Required |
|---|---|
| Major equipment | No |
| Specialized training | No |
| Specialized requirements for biospecimen collection | No |
| Average time of greater than 15 minutes in an unaffected individual | No |
Mode of Administration
Interviewer-administered questionnaire
Lifestage
Adult
Participants
Age 18+
Selection Rationale
Vetted against other ultraviolet light exposure questions, this set of questions was considered more complete and included questions about skin damage from the sun, types of exposure, and length of exposure.
Language
Chinese, English, Other languages available at source
Standards
| Standard | Name | ID | Source |
|---|---|---|---|
| Logical Observation Identifiers Names and Codes (LOINC) | Environ exp UV light proto | 62538-4 | LOINC |
| Human Phenotype Ontology | Defective DNA repair after ultraviolet radiation damage | HP:0003079 | HPO |
| caDSR Form | PhenX PX061301 - Ultraviolet Light Exposure | 5870341 | caDSR Form |
Derived Variables
None
Process and Review
The Expert Review Panel #2 (ERP 2) reviewed the measures in the Demographics, Environmental Exposures, and Social Environments domains.
Guidance from ERP 2 includes:
• Revised descriptions of the measure
Back-compatible: no changes to Data Dictionary
Previous version in Toolkit archive (link)
Protocol Name from Source
National Cancer Institute (NCI), Non-Hodgkins Lymphoma Study (NHL), Sun Exposures Module, 2001
Source
National Institutes of Health, National Cancer Institute. (2001). Non-Hodgkins Lymphoma Study (NHL), Sun Exposures Module. 2001 Question numbers: SE-3–SE-10 (source for questions 1–8 in Protocol Text).
General References
Gonzaga, E. R. (2009). Role of UV light in photodamage, skin aging, and skin cancer: Importance of photoprotection. American Journal of Clinical Dermatology, 10, 19-24.
Protocol ID
61301
Variables
Export Variables| Variable Name | Variable ID | Variable Description | dbGaP Mapping | |
|---|---|---|---|---|
| PX061301_Blistering_Sunburn_Ever | ||||
| PX061301020100 | Did you ever get a blistering sunburn? | N/A | ||
| PX061301_First_Skin_Rash_Age_Estimate | ||||
| PX061301030300 | About how old were you? | N/A | ||
| PX061301_First_Skin_Rash_Age_Exact | ||||
| PX061301030200 | How old were you the first time you got a more | N/A | ||
| PX061301_First_Skin_Rash_Age_Exact_Coded | ||||
| PX061301030201 | How old were you the first time you got a more | N/A | ||
| PX061301_First_Sunburn_Age_Estimate | ||||
| PX061301020300 | About how old were you? | N/A | ||
| PX061301_First_Sunburn_Age_Exact | ||||
| PX061301020200 | How old were you the first time you got a more | N/A | ||
| PX061301_First_Sunburn_Age_Exact_Coded | ||||
| PX061301020201 | How old were you the first time you got a more | N/A | ||
| PX061301_First_Sunlamp_Age_Estimate | ||||
| PX061301040300 | About how old were you? | N/A | ||
| PX061301_First_Sunlamp_Age_Exact | ||||
| PX061301040200 | How old were you the first time you used a more | N/A | ||
| PX061301_First_Sunlamp_Age_Exact_Coded | ||||
| PX061301040201 | How old were you the first time you used a more | N/A | ||
| PX061301_First_Tanning_Booth_Age_Estimate | ||||
| PX061301050300 | About how old were you? | N/A | ||
| PX061301_First_Tanning_Booth_Age_Exact | ||||
| PX061301050200 | How old were you the first time you used a more | N/A | ||
| PX061301_First_Tanning_Booth_Age_Exact_Coded | ||||
| PX061301050201 | How old were you the first time you used a more | N/A | ||
| PX061301_Last_Skin_Rash_Age_Estimate | ||||
| PX061301030500 | About how old were you? | N/A | ||
| PX061301_Last_Skin_Rash_Age_Exact | ||||
| PX061301030400 | How old were you the last time you got a more | N/A | ||
| PX061301_Last_Skin_Rash_Age_Exact_Coded | ||||
| PX061301030401 | How old were you the last time you got a more | N/A | ||
| PX061301_Last_Sunburn_Age_Estimate | ||||
| PX061301020500 | About how old were you? | N/A | ||
| PX061301_Last_Sunburn_Age_Exact | ||||
| PX061301020400 | How old were you the last time you got a more | N/A | ||
| PX061301_Last_Sunburn_Age_Exact_Coded | ||||
| PX061301020401 | How old were you the last time you got a more | N/A | ||
| PX061301_Last_Sunlamp_Age_Estimate | ||||
| PX061301040500 | About how old were you? | N/A | ||
| PX061301_Last_Sunlamp_Age_Exact | ||||
| PX061301040400 | How old were you the last time you used a sunlamp? | N/A | ||
| PX061301_Last_Sunlamp_Age_Exact_Coded | ||||
| PX061301040401 | How old were you the last time you used a sunlamp? | N/A | ||
| PX061301_Last_Tanning_Booth_Age_Estimate | ||||
| PX061301050500 | About how old were you? | N/A | ||
| PX061301_Last_Tanning_Booth_Age_Exact | ||||
| PX061301050400 | How old were you the last time you used a more | N/A | ||
| PX061301_Last_Tanning_Booth_Age_Exact_Coded | ||||
| PX061301050401 | How old were you the last time you used a more | N/A | ||
| PX061301_Skin_Rash_Ever | ||||
| PX061301030100 | Did you ever get a skin rash from sun exposure? | N/A | ||
| PX061301_Skin_Rash_Times_Estimate | ||||
| PX061301030700 | About how many? | N/A | ||
| PX061301_Skin_Rash_Times_Exact | ||||
| PX061301030600 | How many times you have gotten a skin rash more | N/A | ||
| PX061301_Skin_Rash_Times_Exact_Coded | ||||
| PX061301030601 | How many times you have gotten a skin rash more | N/A | ||
| PX061301_Skin_Reaction | ||||
| PX061301010000 | If you spent an hour in the mid-day sun for more | N/A | ||
| PX061301_Sunburn_Times_Estimate | ||||
| PX061301020700 | About how many? | N/A | ||
| PX061301_Sunburn_Times_Exact | ||||
| PX061301020600 | How many blistering sunburns have you gotten more | N/A | ||
| PX061301_Sunburn_Times_Exact_Coded | ||||
| PX061301020601 | How many blistering sunburns have you gotten more | N/A | ||
| PX061301_Sunlamp_Times_Estimate | ||||
| PX061301040700 | About how many? | N/A | ||
| PX061301_Sunlamp_Times_Exact | ||||
| PX061301040600 | How many times have you used a sunlamp in more | N/A | ||
| PX061301_Sunlamp_Times_Exact_Coded | ||||
| PX061301040601 | How many times have you used a sunlamp in more | N/A | ||
| PX061301_Tanning_Booth_Ever | ||||
| PX061301050100 | Have you ever used a tanning booth? | N/A | ||
| PX061301_Tanning_Booth_Times_Estimate | ||||
| PX061301050700 | About how many? | N/A | ||
| PX061301_Tanning_Booth_Times_Exact | ||||
| PX061301050600 | How many times have you used a tanning booth more | N/A | ||
| PX061301_Tanning_Booth_Times_Exact_Coded | ||||
| PX061301050601 | How many times have you used a tanning booth more | N/A | ||
| PX061301_Tan_Months_Last_Decade | ||||
| PX061301080400 | In the past ten years, for how many months a more | N/A | ||
| PX061301_Tan_Months_Teens | ||||
| PX061301080100 | When you were In your teens, for how many more | N/A | ||
| PX061301_Tan_Months_Thirties | ||||
| PX061301080300 | When you were In your thirties, for how many more | N/A | ||
| PX061301_Tan_Months_Twenties | ||||
| PX061301080200 | When you were In your twenties, for how many more | N/A | ||
| PX061301_Use_Sunlamp_Ever | ||||
| PX061301040100 | Have you ever used a sunlamp? | N/A | ||
| PX061301_Weekday_Sun_Hours_Last_Decade | ||||
| PX061301060400 | On a typical weekday in the summer, about more | N/A | ||
| PX061301_Weekday_Sun_Hours_Teens | ||||
| PX061301060100 | On a typical weekday in the summer, about more | N/A | ||
| PX061301_Weekday_Sun_Hours_Thirties | ||||
| PX061301060300 | On a typical weekday in the summer, about more | N/A | ||
| PX061301_Weekday_Sun_Hours_Twenties | ||||
| PX061301060200 | On a typical weekday in the summer, about more | N/A | ||
| PX061301_Weekend_Sun_Hours_Last_Decade | ||||
| PX061301070400 | On a typical weekend day in the summer, more | N/A | ||
| PX061301_Weekend_Sun_Hours_Teens | ||||
| PX061301070100 | On a typical weekend day in the summer, more | N/A | ||
| PX061301_Weekend_Sun_Hours_Thirties | ||||
| PX061301070300 | On a typical weekend day in the summer, more | N/A | ||
| PX061301_Weekend_Sun_Hours_Twenties | ||||
| PX061301070200 | On a typical weekend day in the summer, more | N/A | ||