The objective of this study was to investigate the impact of messages differing in focus (health vs appearance) and frame (gain vs loss) on intentions for sunscreen use and sunbed use, and the potential moderating role of body consciousness. Questionnaire data from 390 young adults were analysed using factorial ANOVA. Results showed a significant interaction between message frame and body consciousness, such that gain-framed health or appearance messages had the strongest effect on sunscreen use intentions for those high in body consciousness, compared to those low in body consciousness. We conclude that message framing effects on precautionary sun behaviour intentions are moderated by body consciousness.
American Cancer Society. (2009). Cancer facts and figures 2009. Atlanta, GA: American Cancer Society.
2.
Azjen, I. ( 1991). The Theory of Planned Behavior. Organisational Behavior and Human Decision Processes, 50, 179-211.
3.
Baum, A., & Cohen, L. ( 1998). Successful behavioral interventions to prevent cancer: The example of skin cancer. Annual Review of Public Health , 19, 319-333.
4.
Branstrom, R., Kristjansson, S., & Ullen, H. ( 2005). Health-related behaviors: Risk perception, optimistic bias, and readiness to change sun related behavior. European Journal of Public Health, 16, 492-497.
5.
Broadstock, M., Borland, R., & Gason, R. ( 1992). Effects of suntan on judgments of healthiness and attractiveness by adolescents. Journal of Applied Social Psychology, 22, 157-172.
6.
Cameron, L.D. ( 2007). Illness risk representations and motivations to engage in protective behavior: The case of skin cancer risk. Psychology & Health, 23, 91-112.
7.
Detweiler, J.B., Bedell, B.T., Salovey, P., Pronin, E., & Rothman, A.J. ( 1999). Message framing and sunscreen use: Gain-framed messages motivate beach-goers. Health Psychology, 18, 189-196.
Gibbons, F.X., Gerrard, M., Lane, D.J., Mahler, H.I.M., & Kulik, J.A. ( 2005). Using UV photography to reduce use of tanning booths: A test of cognitive mediation. Health Psychology, 24, 358-363.
10.
Glanz, K., Lew, R., Song, V., & Ah Cook, V. ( 1999). Factors associated with skin cancer prevention practices in a multiethnic population. Health Education and Behavior , 26, 344-359.
11.
Harcourt, D., & Frith, H. ( 2008). Women’s experiences of an altered appearance during chemotherapy: An indication of cancer status. Journal of Health Psychology, 13, 597-606.
12.
Harris, D.L., & Carr, A.T. ( 2001). Prevalence of concern about physical appearance in the general population. British Journal of Plastic Surgery, 54, 223-226.
13.
Hillhouse, J.J., Turrisi, R., & Kastner, M. ( 2000). Modelling tanning salon behavioural tendencies using appearances motivation, self-monitoring and the Theory of Planned Behaviour . Health Education Research, 15, 405-414.
14.
Jackson, K., & Aiken, L. ( 2000). A psychosocial model of sun-protection and sunbathing in young women: The impact of health beliefs, attitudes, norms, and self-efficacy for sun-protection. Health Psychology, 19, 469-478.
15.
Jackson, K., & Aiken, L. ( 2006). Evaluation of a multicomponent appearance-based sun-protective intervention for young women: Uncovering the mechanisms of program efficacy . Health Psychology, 25, 34-46.
16.
Jones, B., Oh, C., Corkery, E., Hanley, R., & Egan, C.A. ( 2007). Attitudes and perceptions regarding skin cancer and sun protection behaviour in an Irish population. Journal of the European Academy of Dermatology & Venereology, 21, 1097-1101.
17.
Jones, J.L., & Leary, M.R. ( 1994). Effects of appearance-based admonitions against sun exposure on tanning intentions in young. Health Psychology, 13, 86-90.
18.
Kahneman, D., & Tversky, A. ( 1979). Prospect theory: An analysis of decisions under risk . Econometrica, 47, 313-327.
19.
Karim-Kos, H.E., de Vries, E., Soerjomataram, I., Lemmens, V., Siesling, S., & Coebergh, J.W. (2008). Recent trends of cancer in Europe: A combined approach of incidence, survival and mortality for 17 cancer sites since the 1990s. European Journal of Cancer, 44, 1345-1389.
20.
Latimer, A.E., Salovey, P., & Rothman, A.J. ( 2007). The effectiveness of gain-framed messages for encouraging disease prevention behavior: Is all hope lost? Journal of Health Communication, 12, 645-649.
21.
Lazare, A. ( 1986). Shame and humiliation in the medical encounter. Archives of International Medicine, 147, 1653-1658.
22.
Leary, M.R., & Jones, J.D. ( 1993). The social psychology of tanning and sunscreen use: Self presentational motives as a predictor of health risk. Journal of Applied Social Psychology, 23, 1390-1406.
23.
Leary, M.R., Tchividjian, L.R., & Kraxberger, B.E. (1994). Self-presentation can be hazardous to your health: Impression management and health risk. Health Psychology, 13, 461-470.
24.
Liberman, A., & Chaiken, S. ( 1992). Defensive processing of personally relevant health messages . Personality and Social Psychology Bulletin, 18, 669-679.
25.
Mahler, H.I.M., Kulik, J.A., Gibbons, F.X., & Gerrard, M. ( 2007). Long-term effects of appearance-based interventions on sun protection behaviors. Health Psychology, 26, 350-360.
26.
Mahler, H.I.M., Kulik, J.A., Gibbons, F.X., Gerrard, M., & Harrell, J. ( 2003). Effects of appearance-based interventions on sun protection intentions and self-reported behaviors. Health Psychology , 22, 199-209.
27.
Martin, K.A., Leary, M.R., & Rejeski, W.J. ( 2000). Self-presentational concerns in older adults: Implication for health and well-being. Basic and Applied Social Psychology , 22, 169-179.
28.
McCabe, M.P., & Ricciardelli, L.A. (2003). Body image and strategies to lose weight and increase muscle among boys and girls. Health Psychology, 22, 39-46.
29.
McClendon, B.T., Prentice-Dunn, S., Blake, R., & McMath, B. (2002). The role of appearance concern in responses to intervention to reduce skin cancer risk. Health Education, 102, 76-83.
30.
McMath, B.F., & Prentice-Dunn, S. (2005). Protection motivation theory and skin cancer risk: The role of individual differences in responses to persuasive appeals. Journal of Applied Social Psychology , 35, 621-635.
31.
Mermelstein, R.J., & Riesenberg, L.A. (1992). Changing knowledge and attitudes about skin cancer risk factors in adolescents. Health Psychology, 11, 371-376.
32.
Miller, A.G., Aston, W.A., McHoskey, J.W., & Gimbel, J. ( 1990). What price attractiveness? Stereotype and risk factors in suntanning behavior. Journal of Applied Social Psychology , 20, 1271-1300.
33.
Miller, L.C., Murphy, R., & Buss, A.H. ( 1981). Consciousness of body: Private and public. Journal of Personality and Social Psychology, 41, 397-406.
34.
Morris, P., Bradley, A., Doyal, L., Earley, M., Hagen, P., Milling, M., & Rumsey, N. ( 2007). Face transplantation: A review of the technical, immunological, psychological and clinical issues with recommendations for good practice. Transplantation, 83, 109-128.
35.
O’Keefe, D.J., & Jensen, J.D. ( 2007). The relative persuasiveness of gain-framed and loss-framed messages for encouraging disease prevention behaviors: A meta-analytic review . Journal of Health Communication, 12, 623-644.
36.
Oyserman, D., Fryberg, S.A., & Yoder, N. ( 2007). Identity-based motivation and health. Journal of Personality and Social Psychology, 95, 1011-1027.
37.
Prentice-Dunn, S., Jones, J.L., & Floyd, D.L. ( 1997). Persuasive appeals and the reduction of skin cancer risk: The roles of appearance concern, perceived benefits of a tan, and efficacy information. Journal of Applied Social Psychology, 27, 1041-1047.
38.
Rothman, A.J., Bartels, R.D., Wlaschin, J., & Salovey, P. ( 2006). The strategic use of gain- and loss-framed messages to promote healthy behavior: How theory can inform practice. Journal of Communication, 56, S202-S221.
39.
Rothman, A.J., & Salovey, P. ( 1997). Shaping perceptions to motivate healthy behavior: The role of message framing. Psychological Bulletin, 121, 3-19.
40.
Rumsey, N., & Harcourt, D. ( 2005). The psychology of appearance. Milton Keynes: Open University Press.
41.
Schneider, T.R., Salovey, P., Apanovitch, A., Pizarro, J., McCarthy, D., Zullo, J., & Rothman, A. ( 2001). The effects of message framing and ethnic targeting on mammography use among low-income women. Health Psychology , 20, 256-266.
42.
Stevenage, S.V., & Furness, C. ( 2008). The influence of disfigurement on conversational recall . Journal of Health Psychology, 13, 1113-1118.
43.
Stice, E., Shaw, H.E., & Nemeroff, C. ( 1998). Dual pathway model of bulimia nervosa: Longitudinal support for dietary restraint and affect regulation mechanisms. Journal of Social and Clinical Psychology, 17, 129-149.
44.
Tiggemann, M., Martins, Y., & Chuchett, L. ( 2008). Beyond muscles: Unexplored parts of men’s body image. Journal of Health Psychology, 13, 1163-1172.
45.
Tversky, A., & Kahneman, D. ( 1981). The framing of decisions and the psychology of choice . Science, 211, 453-458.
