RT journal article T1 Ultraviolet sun exposure and sun protection behaviors in outdoor rock climbers A1 Gutiérrez Manzanedo, José Vicente A1 González Montesinos, José Luis A1 Aguilera Arjona, José A1 Rodríguez Martínez, Alba A1 Vaz Pardal, Carmen A1 España Romero, Vanesa A1 Rivas Ruiz, Francisco A1 Blázquez Sánchez, Nuria A1 De Gálvez Aranda, María Victoria A1 De Troya Martín, Magdalena A2 Didáctica de la Educación FísicaPlástica y Musical K1 Rock climbers K1 Skin cancer K1 Sun protection practices K1 Sunburn K1 Ultraviolet radiation exposure AB Background: Overexposure to sunlight and sunburn are the main preventable causes of skin cancer. Outdoor sports are associated with significant levels of sunlight exposure. Aims: We sought to quantify the sun radiation exposure received by outdoor rock climbers and assess their sun exposure habits, sun protection behaviors, attitudes, and knowledge regarding skin cancer. Methods: From April to June 2021, outdoor rock climbers contacted via email completed an online validated self-reported questionnaire on sun related habits, behaviors, attitudes and knowledge. As a pilot trial, ten participants wore a personal dosimeter during two outdoor climbing weekends in May and November 2021. Ambient ultraviolet radiation (UVR) was also recorded. Results: A total of 217 outdoor rock climbers (103 women), mean age 36.8 ± 8.8 years (range 20–70 years) and median climbing practice per week of 8 h (IQR 7.5) were studied. Two in three (65.9%) participants reported at least one sunburn event during the previous rock climbing season. Of the survey respondents, 49.3% reported using sunscreen with SPF ≥ 15, 47% wore sunglasses, and 14.3% indicated they reapplied sunscreen every two hours. The median personal UVR dose measured during the two outdoor climbing weekends analyzed was 5.2 (IQR 1.8) and 8.8 (IQR 1.1) standard erythemal doses, respectively. Conclusions: The high rates of sunburn, the elevated personal UVR measured and the clearly insufficient sun protection practices followed during rock climbing together with unsatisfactory attitudes towards tanning reveal the need to develop explicit sun protection campaigns and educational strategies to reduce the risk of skin cancer among the athletes studied. PB Springer SN 1474-905X YR 2023 FD 2023-10-17 LK http://hdl.handle.net/10498/31380 UL http://hdl.handle.net/10498/31380 LA eng DS Repositorio Institucional de la Universidad de Cádiz RD 09-may-2026