Sun Protection Motivational Stages and Behavior: Skin Cancer Risk Profiles

Background Outdoor workers are at high risk of harmful ultraviolet radiation exposure and are identified as an at risk group for the development of skin cancer. This systematic evidence based review provides an update to a previous review published in 2007 about interventions for the prevention of skin cancer in outdoor workers. Results This review includes interventions published between 2007-2012 and presents findings about sun protection behaviours and/or objective measures of skin cancer risk. Six papers met inclusion criteria and were included in the review. Large studies with extended follow-up times demonstrated the efficacy of educational and multi-component interventions to increase sun protection, with some higher use of personal protective equipment such as sunscreen. However, there is less evidence for the effectiveness of policy or specific intervention components. Conclusions Further research aimed at improving overall attitudes towards sun protection in outdoor workers is needed to provide an overarching framework.

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Attitudes and Behaviors Regarding Sun-Protection Practices Among Minority Groups in a Lower Socioeconomic Community

10.21203/rs.3.rs-153191/v1 ◽

2021 ◽

Author(s):

Alexander T Nguyen ◽

Jonathan Fergus ◽

Tess N Engel ◽

Adeel Ashfaq ◽

James Luong ◽

...

Keyword(s):

Skin Cancer ◽

Cancer Risk ◽

Minority Groups ◽

Ethnically Diverse ◽

Sampling Bias ◽

Sun Protection ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Skin Cancer Risk ◽

Lower Socioeconomic

Abstract Background: Although skin cancer is less common, minorities present with more advanced stages at diagnosis and have worse outcomes. Literature on this disparity is limited.Objective: To evaluate attitudes influencing sun protective behaviors, skin cancer risk perception, and dermatologist access among an underserved, racially/ethnically diverse community.Methods: A cross-sectional survey of patients at 5 ethnically diverse student-run, free primary care clinics in Sacramento, California.Results: 390 surveys were collected with a response rate: 86.4%. Overall, respondents did not use sunscreen, rarely sunburned, were unsure or perceived themselves at low risk for skin cancer and reported limited access to dermatologists. Compared to Whites, Latinos were likely to believe it was not worth getting sunburned to be tan (OR = 24.43, 95% CI: 9.37 to 63.3, P < 0.0001). Whites were more likely than Asians (OR = 3.69, 95% CI: 1.50 to 9. 11, P = 0.004) and Latinos (OR = 4.83, 95% CI: 1.83 to 12.8, P = 0.001) to perceive access to dermatology care.Limitations: Response bias, sampling bias, generalizabilityConclusions: Ethnic groups differ in knowledge of sun protection and self-perceived skin cancer risk. The Latino community showed discrepancies between sun protection knowledge and practices, serving as an interventional target.

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Skin Cancer Risk Profiles of Physically Active Adults

Health Behavior and Policy Review ◽

10.14485/hbpr.1.4.7 ◽

2014 ◽

Vol 1 (4) ◽

pp. 324-334

Author(s):

Kristin L. Schneider ◽

Sherry Pagoto ◽

Emily Panza ◽

Jacey Keeney ◽

Dori Goldberg

Keyword(s):

Skin Cancer ◽

Cancer Risk ◽

Risk Profiles ◽

Physically Active ◽

Skin Cancer Risk ◽

Active Adults

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Likelihood of Dermatology Patients to Inquire about Sun Protection Measures during a Regular Clinic Visit

Journal of Cutaneous Medicine and Surgery ◽

10.2310/7750.2011.10054 ◽

2011 ◽

Vol 15 (5) ◽

pp. 266-274 ◽

Cited By ~ 4

Author(s):

Gordon W. Jung ◽

Ambikaipakan Senthilselvan ◽

Thomas G. Salopek

Keyword(s):

Skin Cancer ◽

Cancer Risk ◽

Health Information ◽

Information Seeking ◽

Medical Information ◽

Sun Protection ◽

Clinic Visit ◽

Skin Cancer Prevention ◽

Protection Measures ◽

Skin Cancer Risk

Background: Health information-seeking behavior refers to ways individuals acquire health information. Few studies demonstrate its association with skin cancer. Objectives: To determine the likelihood of patients to inquire about sun protection methods from dermatologists and whether such knowledge will affect their preventive behaviors. Methods: Over a 2-month period, 396 dermatology patients completed a survey assessing their sun awareness knowledge and inquiry about sun protection measures. Features associated with increased skin cancer risk were correlated with patients' inquiry about sun protection information and their future intentions to practice safe sun behavior. Results: One in seven patients (13.8%) inquired about sun protection measures. Patients with features known to be associated with increased skin cancer risk infrequently inquired about sun protection methods (4.5–23.8%). Post–physician counseling, patients with previous sun awareness education had a greater intention to use sunscreen routinely (41.4% vs 28.3%, p = .01), avoid the sun (31.2% vs 18.2%, p = .004), and wear sun-protective clothing (32.5% vs 23.2%., p = .05). Conclusion: Patients' desire for medical information from physicians does not translate efficiently into seeking sun awareness information from dermatologists. Dermatologists should play a greater proactive role in skin cancer prevention through initiation of regular personalized discussions on sun awareness issues.

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Interventions to decrease skin cancer risk in outdoor workers: update to a 2007 systematic review

10.32920/14636523 ◽

2021 ◽

Author(s):

Caitlin Horsham ◽

Josephine Auster ◽

Marguerite Sendall ◽

Melissa Stoneham ◽

Philippa Youl ◽

...

Keyword(s):

Skin Cancer ◽

Cancer Risk ◽

Risk Group ◽

Sun Protection ◽

Protective Equipment ◽

Inclusion Criteria ◽

Skin Cancer Risk ◽

Outdoor Workers ◽

Ultraviolet Radiation Exposure

Background Outdoor workers are at high risk of harmful ultraviolet radiation exposure and are identified as an at risk group for the development of skin cancer. This systematic evidence based review provides an update to a previous review published in 2007 about interventions for the prevention of skin cancer in outdoor workers. Results This review includes interventions published between 2007-2012 and presents findings about sun protection behaviours and/or objective measures of skin cancer risk. Six papers met inclusion criteria and were included in the review. Large studies with extended follow-up times demonstrated the efficacy of educational and multi-component interventions to increase sun protection, with some higher use of personal protective equipment such as sunscreen. However, there is less evidence for the effectiveness of policy or specific intervention components. Conclusions Further research aimed at improving overall attitudes towards sun protection in outdoor workers is needed to provide an overarching framework.

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Moderators of the Effects of mySmartSkin, a Web-Based Intervention to Promote Skin Self-examination and Sun Protection Among Individuals Diagnosed With Melanoma

Annals of Behavioral Medicine ◽

10.1093/abm/kaab104 ◽

2022 ◽

Author(s):

Sharon Manne ◽

Carolyn J Heckman ◽

Deborah Kashy ◽

Lee Ritterband ◽

Frances Thorndike ◽

...

Keyword(s):

Risk Factors ◽

Skin Cancer ◽

Cancer Risk ◽

Self Efficacy ◽

Sun Protection ◽

Care Providers ◽

Cancer Risk Factors ◽

Skin Cancer Risk ◽

Self Examination ◽

The Impact

Abstract Background Identifying the characteristics of persons who benefit more from behavioral interventions can help health care providers decide which individuals should be offered particular interventions because this is the subgroup of persons who are more likely to derive greater benefit from the intervention and refine the underlying constructs of the model guiding the intervention. Purpose This study evaluated possible demographic, medical, knowledge and attitudinal, and psychosocial variables that may moderate the impact of an online intervention, called mySmartSkin (MSS), on engagement in skin self-examination (SSE) and sun protection behaviors among melanoma survivors. Methods Participants completed a baseline survey and were then randomized to the MSS condition or usual care. Follow-up surveys were completed by participants at 8-, 24-, and 48-week postrandomization. Results A greater impact of MSS on SSE was illustrated among participants with more phenotypic skin cancer risk factors and participants reporting lower baseline self-efficacy in conducting SSE. A more favorable response of MSS on sun protection behaviors was shown when initial knowledge about abnormal lesions and sun protection barriers were high. Greater use of MSS and more favorable evaluations of it were also associated with higher intervention response. Conclusions Future studies seeking to improve SSE and sun protection among melanoma survivors might benefit from focusing on survivors who report more skin cancer risk factors, lower self-efficacy in conducting SSE, less knowledge about what abnormal skin lesions look like, more perceived barriers to sun protection behaviors, and less worry about recurrence and cancer-related distress.

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