Behavior modification obtained by sun protection education coupled with removal of a skin cancer

Robinson, J. K.

doi:10.1001/archderm.126.4.477

Cited by 34 publications

(32 citation statements)

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“…Our finding that melanoma patients had less sun exposure than controls is in accordance with other investigations among patients with melanoma [15] or nonmelanocytic skin cancer [18], which showed a reduction in outdoor activity. Patients used clothing (especially hats) to protect themselves from sunlight more often than controls.…”

Section: Discussionsupporting

confidence: 93%

Sun-related behavior after a diagnosis of cutaneous malignant melanoma

Lee¹,

Brazier²,

Shoveller³

et al. 2007

Melanoma Research

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Cutaneous malignant melanoma is a significant public health problem in Western countries, and the probability that patients with one melanoma will develop a second one is high. This study is an attempt to assess and understand sun-related behavior in patients subsequent to a melanoma diagnosis. We recruited 35 melanoma patients diagnosed in 2001 or 2002, who resided in the Greater Vancouver Regional District of British Columbia, Canada, and 35 controls frequency matched by broad age-group, sex, ethnicity, and area of residence to patients. All participants were interviewed over the telephone in the autumn of 2003 to ascertain their outdoor activities for the previous summer months (June-August) of 2003, along with their clothing preferences, sunscreen use, sunburn frequency, and knowledge and attitudes regarding sun exposure and tanning. Patients were less involved in outdoor recreational activities than controls (mean monthly hours 23.0 vs. 31.0, P=0.023). In addition, patients protected themselves from sun exposure using clothing and sunscreen more often than controls. However, the data also revealed that patients still engaged in outdoor activities to a substantial degree, often without sun protection. Furthermore, 27% still had a positive or neutral attitude toward tanning, even after melanoma diagnosis. The continuing presence of unprotected episodes of summer sun exposure in patients with melanoma, coupled with sunburn prevalence similar to normal controls, suggests that better education and behavior modification programs are needed for patients with melanoma. The results may indicate the need for more emphasis on post-treatment counseling by physicians.

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Section: Discussionsupporting

confidence: 93%

Sun-related behavior after a diagnosis of cutaneous malignant melanoma

Lee¹,

Brazier²,

Shoveller³

et al. 2007

Melanoma Research

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“…The findings on knowledge and protective behaviour are similar to studies from France, Canada and Australia which have demonstrated that those previously diagnosed with skin cancer enact high levels of sun-protective behaviour [7][8][9]. It is encouraging to note that those diagnosed with melanoma in Northeast Scotland also appear to know more about melanoma and report higher levels of protective behaviour compared with those unaffected.…”

Section: Context With Other Literaturesupporting

confidence: 79%

“…It seems likely that the experience of being diagnosed with melanoma will powerfully motivate people to increase their knowledge and practise protective measures, and that the immediate postdiagnostic and follow-up period afford health professionals a good opportunity to educate patients effectively. There is some evidence from other geographical areas that people who have been diagnosed with melanoma know more about the condition and are more likely to institute measures to protect themselves in the future [7][8][9]. To date, however, this has not been explored in the Scottish population.…”

Section: Introductionmentioning

confidence: 99%

Comparing Personal Risk, Melanoma Knowledge and Protective Behaviour in People With and Without Melanoma: A Postal Survey to Explore Educational Needs in Northeast Scotland

Murchie

Iweuke

2010

J Canc Educ

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In Northeast Scotland, 132 people with melanoma and 139 people never affected by melanoma completed a questionnaire measuring risk, level of concern, protective behaviour and knowledge. In adjusted analysis, people with melanoma had significantly higher personal risk, level of concern, protective behaviour and melanoma knowledge scores than those never affected. These data suggest that people diagnosed with melanoma in Northeast Scotland are being educated about how to avoid a second primary. The results of the adjusted analysis also suggest that in Northeast Scotland, melanoma education should be targeted at older people, men and those of lower educational status. It is also likely that this questionnaire could be used in the healthy population of Northeast Scotland to detect those most likely to benefit from targeted education to help prevent melanoma, and to measure the effects of and quality of melanoma public education campaigns.

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“…In people with a previous history of skin cancer and melanoma survivors, studies in Western countries have consistently shown that attitudes toward sun-protection methods do change significantly before versus after skin cancer diagnosis 20,34,38–43. Surprisingly, it was not the lack of sun-protection knowledge prior to diagnosis that determined attitude, because over 70% of melanoma survivors in six different dermatologic practices in the northeastern US stated that they were well-informed about sun-protection methods before diagnosis 38.…”

Section: How Sun-protective Beliefs Impact On Behaviormentioning

confidence: 99%

Sun-protective behaviors in populations at high risk for skin cancer

Diao

Lee

2013

PRBM

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Over 3 million new cases of skin cancer are diagnosed in the US annually. Melanoma, a subtype of skin cancer that can be fatal if the disease is not detected and treated at an early stage, is the most common cancer for those aged 25–29 years and the second most common cancer in adolescents and young adults aged 15–29 years. The primary carcinogen for the genesis of skin cancers is ultraviolet light from solar radiation and tanning beds. In spite of massive health campaigns to raise public awareness on ultraviolet radiation, sun-protective practices still fall behind. A plausible explanation is the lack of behavioral change in the populations at risk; in this review article, we examine sun-protective behavior in the four high-risk skin cancer groups: skin cancer survivors, individuals with a family history of melanoma, individuals with physical characteristics associated with skin cancer risk, and organ transplantation patients. Findings in the literature demonstrate that increased knowledge and awareness does not consequently translate into behavioral changes in practice. Behavior can differ as a result of different attitudes and beliefs, depending on the population at risk. Thus, intervention should be tailored to the population targeted. A multidisciplinary health team providing consultation and education is required to influence these much needed changes.

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Behavior modification obtained by sun protection education coupled with removal of a skin cancer

Cited by 34 publications

References 0 publications

Sun-related behavior after a diagnosis of cutaneous malignant melanoma

Sun-related behavior after a diagnosis of cutaneous malignant melanoma

Comparing Personal Risk, Melanoma Knowledge and Protective Behaviour in People With and Without Melanoma: A Postal Survey to Explore Educational Needs in Northeast Scotland

Sun-protective behaviors in populations at high risk for skin cancer

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