Primary and secondary prevention of skin cancer in mountain guides: attitude and motivation for or against participation

Zink, Alexander; Thomé, F.; Schielein, Maximilian; Spinner, Christoph D.; Biedermann, Tilo; Tizek, Linda

doi:10.1111/jdv.15095

Cited by 12 publications

(16 citation statements)

References 47 publications

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“…Using relevant literature and the manual for conducting qualitative interviews published by Helfferich, a topic guide consisting of open‐ended questions was developed to reflect the primary research objective (Table ). In developing this topic guide, we followed a pragmatic approach and did not prespecify a theory or model.…”

Section: Methodsmentioning

confidence: 99%

‘Try to make good hay in the shade – it won't work!’ A qualitative interview study on the perspectives of Bavarian farmers regarding primary prevention of skin cancer

Zink

Schielein

Wildner³

et al. 2019

Br J Dermatol

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Summary Background Extensive exposure to solar ultraviolet radiation (UVR) is the main risk factor for keratinocyte carcinoma (KC), making outdoor workers, including farmers, a high‐risk population for KC. The use of sun protection is crucial for KC prevention but is not typically implemented by outdoor workers during their daily tasks. Objectives To explore the attitudes of Bavarian farmers regarding sun‐protective measures in their daily work and to understand perceived barriers and unmet needs. Methods Farmers were recruited through the Bavarian Farmers Association in Bavaria, Southern Germany. Qualitative semi structured interviews were conducted with participants between December 2017 and March 2018. Interviews were recorded, transcribed verbatim and analysed using qualitative content analysis. Results Twenty farmers (11 women, nine men; nine aged 18–30 years, 11 aged > 60 years) participated. Knowledge and awareness of UVR exposure and KC, perceived individual barriers to implementing sun‐protective measures, individual experiences and farm life‐specific circumstances emerged as key areas influencing the perspectives of farmers regarding the primary prevention of KC. Female farmers tended to take a more positive stance on sun protection, whereas male farmers showed a lower overall interest. Conclusions Knowledge and awareness of KC and UVR exposure is very limited in Bavarian farmers with serious perceived barriers due to the demands of daily agricultural work. Further qualitative studies are needed to identify intervention options that can increase skin cancer awareness and that can successfully overcome real barriers to implementing sun protection.

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Section: Methodsmentioning

confidence: 99%

‘Try to make good hay in the shade – it won't work!’ A qualitative interview study on the perspectives of Bavarian farmers regarding primary prevention of skin cancer

Zink

Schielein

Wildner³

et al. 2019

Br J Dermatol

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“…Outdoor workers from different occupational settings had a fundamental understanding of sun protection methods and of UVR as a key risk factor for KC. 16,[35][36][37][38][39][40] However, agricultural workers from Italy and Latino migrant farmworkers did not have appropriate awareness. 41,42 Twenty-two per cent of Latino migrant farmworkers in the USA had never heard of skin cancer before.…”

Section: Sun-related Knowledge and Awarenessmentioning

confidence: 99%

“…2). 9,16,[36][37][38][39][40][41][42][43][44][45][46][47][63][64][65][66][67][68][69][70][71][72] About one-third of mountain guides from Germany used sunscreen with a SPF < 30, 37,63 and only a small share of German outdoor workers checked the SPF of sunscreen before applying it. 9 Twenty-eight per cent to 86% of different medical professionals applied sunscreen during sun exposure.…”

Section: Sun Protection Behaviourmentioning

confidence: 99%

Primary prevention of keratinocyte carcinoma among outdoor workers, the general population and medical professionals: a systematic review updated for 2019

Ziehfreund

Schuster

Zink

2019

Acad Dermatol Venereol

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Worldwide 2–3 million cases of keratinocyte carcinoma (KC) are diagnosed annually. Sun‐related knowledge is essential for adequate protection against solar ultraviolet radiation (UVR), the main risk factor for KC. The goal was (i) to provide an updated overview of primary prevention against KC including skin cancer‐related knowledge, attitudes and sun protection behaviour (SPB) of outdoor workers, the general population and medical professionals as well as (ii) to evaluate the effectiveness and acceptability of sun protection programmes. We conducted a systematic review of articles indexed for MEDLINE on PubMed using selected MeSH terms and keywords related to the studied topic as well as an extensive hand search of publications between 1 January 2012 and 31 December 2018. We identified 51 relevant cross‐sectional studies and 22 interventional studies. Sun‐related knowledge and attitude showed substantial differences with some alarming results, including people who had not even heard about skin cancer before. Reported SPB varied enormously between the included studies, with none of the studies providing an overall sufficient SPB in their examined sun protection measures. However, sun protection programmes using new technologies seem to have great potential to increase sun‐related knowledge and SPB. In countries worldwide, particularly in those where KC is not yet a public health issue, UVR protection should be promoted by healthcare institutions and authorities, politicians, cancer foundations and dermatologists to increase awareness as well as SPB and to decrease the worldwide burden of KC.

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“…shown that utilization of such strategies is not highly prevalent (21)(22)(23), particularly among individuals who spend a lot of time outdoors (24)(25)(26)(27).…”

mentioning

confidence: 99%

Interest in Skin Cancer in Urban Populations: A Retrospective Analysis of Google Search Terms in Nine Large German Cities

Tizek¹,

Schielein²,

Rüth³

et al. 2019

Acta Derm Venerol

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This study examined the Google search volume for skincancer-related terms in 9 German cities. Overall, 3.5 million searches related to skin cancer were observed between July 2014 and June 2018. Most of these searches focused on the identification of skin cancer (e.g. ABCD and pictures of skin cancer). In general, the number of search queries per 100,000 inhabitants was lower in larger cities, such as Berlin or Hamburg, in comparison with Stuttgart or Muenster. Analysis of the differences in search behavior between cities could help to identify areas with a high need for targeted prevention campaigns. Skin cancer is a major public health issue, which could be reduced through prevention programmes. How ever, prevention utilization is not very prevalent. It is therefore important to understand individuals' interest in skin cancer. Google AdWords Keyword Planner was used to identify the search volume of terms relating to skin cancer in 9 German cities between July 2014 and June 2018. From a total of 1,203 identified keywords, 1,047 search terms were related to skin cancer, which had a search volume of 3,460,980 queries for the study period. Most terms referred to "identifying skin can cer". For melanoma, the number of Google searches per 100,000 inhabitants correlated with the cancer registry data for melanoma incidence rates (men: r = 0.810, women: r = 0.569). Assessment of this data for the different cities further enabled identification of regional variations, which could help to identify areas with a high need for targeted prevention campaigns.

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Primary and secondary prevention of skin cancer in mountain guides: attitude and motivation for or against participation

Cited by 12 publications

References 47 publications

‘Try to make good hay in the shade – it won't work!’ A qualitative interview study on the perspectives of Bavarian farmers regarding primary prevention of skin cancer

‘Try to make good hay in the shade – it won't work!’ A qualitative interview study on the perspectives of Bavarian farmers regarding primary prevention of skin cancer

Primary prevention of keratinocyte carcinoma among outdoor workers, the general population and medical professionals: a systematic review updated for 2019

Interest in Skin Cancer in Urban Populations: A Retrospective Analysis of Google Search Terms in Nine Large German Cities

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