Sun exposure: perceptions and behaviours in outdoor workers

Bauer, Andrea; Rönsch, Henriette; Hault, K.; Püschel, Andrea; Knuschke, Peter; Beissert, Stefan

doi:10.1111/bjd.13149

Cited by 15 publications

(13 citation statements)

References 5 publications

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“…Overall, young male farmers showed the lowest interest in sun protection. Similarly to previous findings in other outdoor professions, 45,46 the decision not to engage in primary prevention can at least partly be attributed to a lack of knowledge about KC and UVR. For example, an Australian qualitative study assessing parents' knowledge, attitudes and beliefs regarding sun protection in their children found that detailed knowledge of the risks of sun exposure outweighed all other influencing factors, 31 whereas renal transplant recipients 'did not perceive the threat of skin cancer as an important health problem', even though they were aware of their increased risk of KC.…”

Section: Discussionsupporting

confidence: 71%

‘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: Discussionsupporting

confidence: 71%

‘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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“…It was noted that people are usually less likely to engage in sun safety practices on cooler days, as they do not correctly link UVR with lower temperature and cloud cover [24]. Recent international studies [44][45][46] published have also presented inadequate sun protection practices among outdoor workers, suggesting that this inadequacy is prevalent in multiple nations. Recommendations emerged from our study can have international implications in reducing skin cancer risk in this vulnerable populations.…”

Section: Resultsmentioning

confidence: 99%

Skin cancer preventative behaviors in state park workers: a pilot study

Nahar

Ford

Boyas

et al. 2014

Environ Health Prev Med

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“…16 Finally, dermatologic societies may increasingly implement and promote skin cancer screening campaigns during sportive events or at working places as such campaigns facilitate the access for high risk groups to visits in relatively short time and increase public interest. Notably, a study investigating sun-exposure perceptions and habits among outdoor workers showed that the rate of wearing protective cloths or hats was highest in the building/construction sector (89%), which was probably due to legal safety regulations rather than sun-protection concerns of workers.…”

Section: Discussionmentioning

confidence: 99%

“…Notably, a study investigating sun-exposure perceptions and habits among outdoor workers showed that the rate of wearing protective cloths or hats was highest in the building/construction sector (89%), which was probably due to legal safety regulations rather than sun-protection concerns of workers. 16 Finally, dermatologic societies may increasingly implement and promote skin cancer screening campaigns during sportive events or at working places as such campaigns facilitate the access for high risk groups to visits in relatively short time and increase public interest.…”

Section: Discussionmentioning

confidence: 99%

Sun‐protection and sun‐exposure habits among sailors: results of the 2018 world's largest sailing race Barcolana’ skin cancer prevention campaign

Zalaudek

Conforti

Corneli

et al. 2019

Acad Dermatol Venereol

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Background Epidemiologic data suggest an increased risk of melanoma (MM) and non‐melanoma skin cancer (NMSC) in persons with intense recreational sun‐exposure such as marathon runners or surfers. Up to data little is known about the sun‐exposure habits, sun‐protection behaviours and risk factors for MM and NMSC among sailors. Objective The objective of this prospective, cross‐sectional study was to investigate the sun‐exposure and sun‐protective habits and risk factors for skin cancer among sailors attending the 50° edition of Barcolana, the largest sailing race in of the world, which took place in October 2018 in Trieste, Italy as an integrative component of a public sun‐prevention campaign. Methods The study consisted of 2 parts: (i) a self‐administered questionnaire focusing on sun‐exposure and protective habits and (ii) a free skin examination carried out by volunteer dermatologists. Participation was optional and anonymous, and open to visitors and sailors attending the event. Results Overall, 431 (52.4%) sailors and 391 (47.6%) visitors responded to the questionnaire, while a total of 437 individuals including 189 (43.3%) sailors and 248 (56.6%) visitors participated in the skin examination group. The majority of sailors reported a past history of severe sunburns (20.2%), applied sunscreen never (14.4%) to sometimes (45.7%) or only once daily (59%) on the face (55%) and shoulders (26%). Moreover, 14% of sailors had a personal history of non‐melanoma skin cancer (NMSC). During the dermatological examination, suspicious lesions for skin cancer (including MM and NMSC) were identified in 37% of the sailors. Conclusion Our findings support the need to develop and promote primary and secondary prevention strategies to improve the sun‐exposure and sun‐protective habits among sailors.

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Sun exposure: perceptions and behaviours in outdoor workers

Cited by 15 publications

References 5 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

Skin cancer preventative behaviors in state park workers: a pilot study

Sun‐protection and sun‐exposure habits among sailors: results of the 2018 world's largest sailing race Barcolana’ skin cancer prevention campaign

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