Sun Protection Behaviors Among Latino Migrant Farmworkers in Eastern North Carolina

Kearney, Gregory D.; Phillips, Charles; Allen, Daniel Landon; Hurtado, Giovanny A.; Hsia, Ling-Lun Bob

doi:10.1097/jom.0000000000000275

Cited by 16 publications

(24 citation statements)

References 24 publications

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“…A range of 21–88% of outdoor workers perceived their skin cancer risk above average . Eighty‐seven per cent of US workers stated skin cancer as a serious disease, and 43% believed they would develop skin cancer during their lifetime …”

Section: Resultsmentioning

confidence: 99%

“…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. 42 Agricultural workers from Switzerland 43 and US state park workers 44 showed high knowledge related to skin health, whereas US Hispanic outdoor workers 45 , Latino day labourers 46 and Irish golf course maintenance workers 47 had insufficient skin cancer knowledge.…”

Section: Sun-related Knowledge and Awarenessmentioning

confidence: 99%

“…9,16,40,44 A range of 21-88% of outdoor workers perceived their skin cancer risk above average. 9,[42][43][44][45] Eighty-seven per cent of US workers stated skin cancer as a serious disease, and 43% believed they would develop skin cancer during their lifetime. 44 Most medical professionals perceived their skin cancer risk as average 55 and thought that morning and late afternoon were good times for outdoor activities in autumn, spring and summer.…”

Section: Attitudes Towards Skin Cancer and Sun Protectionmentioning

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%

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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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Section: Resultsmentioning

confidence: 99%

Section: Sun-related Knowledge and Awarenessmentioning

confidence: 99%

Section: Attitudes Towards Skin Cancer and Sun Protectionmentioning

confidence: 99%

Section: Sun Protection Behaviourmentioning

confidence: 99%

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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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“…Many epidemiological studies on sun exposure and skin cancer rely on self-report to measure sunscreen use (Kearney et al 2014; Mortier et al 2015; Parker et al 2015). Self-reported sunscreen use is also used as one way of evaluating the efficacy of public health campaigns aimed at increasing sun avoidance behaviors and preventing skin cancer (Buller et al 2015; Glanz et al 2015; Youl et al 2015).…”

Section: Introductionmentioning

confidence: 99%

Self-reported sunscreen use and urinary benzophenone-3 concentrations in the United States: NHANES 2003–2006 and 2009–2012

Zamoiski

Cahoon

Freedman

et al. 2015

Environmental Research

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Background Sunscreens protect against skin cancer and other harmful effects of solar ultraviolet radiation (UVR). Epidemiologic and public health surveys often rely on self-reported sunscreen use to estimate sun exposure and avoidance, but questions remain about the validity of self-reports. Benzophenone-3 (BP-3), a common sunscreen ingredient, can be detected in the urine. Prior studies suggest that BP-3 concentrations increase after application of sunscreen. Objectives The goal of this study was to assess the validity of self-reported frequency of sunscreen use in relation to urinary BP-3 concentrations in a representative sample of the general US population, including in sub-groups defined by age, sex and race/ethnicity. Methods To assess the relationship between categorical self-reported sunscreen use and creatinine-corrected urinary BP-3 concentrations, we conducted a linear regression adjusted for age, sex, race/ethnicity, six-month time period, body mass index, education, and sun avoidance behaviors. We tested for effect modification by age, sex, ethnicity and time period of measurement using multiplicative interaction terms and a F test. Results BP-3 was positively associated with self-reported frequency of sunscreen use across all ages, sexes, race/ethnicities, and time periods. Crude and multivariate adjusted models were all statistically significant. R-square was relatively low for all models, ranging from 0.15-0.43. Conclusions Urinary BP-3 is positively associated with self-reported frequency of sunscreen use in the general US population, even in groups with overall low sunscreen use. These results suggest that self-report is a valid, although weak, way of assessing relative frequencies of sunscreen usage in a population-based study.

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Methodological concerns related to response bias in migrant and seasonal farmworkers

Benson

Garrison

Dropkin

et al. 2016

American J Industrial Med

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Sun Protection Behaviors Among Latino Migrant Farmworkers in Eastern North Carolina

Abstract: In general, farmworkers lack sufficient information and knowledge about the risks of skin cancer from the sun. Interventions for reducing excessive ultraviolet radiation exposures are warranted.

Cited by 16 publications

References 24 publications

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

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

Self-reported sunscreen use and urinary benzophenone-3 concentrations in the United States: NHANES 2003–2006 and 2009–2012

Methodological concerns related to response bias in migrant and seasonal farmworkers

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