What Encourages Sun Protection among Outdoor Workers from Four Industries?

Janda, Monika; Stoneham, Melissa; Youl, Philippa; Crane, Phil; Sendall, Marguerite C.; Tenkate, Thomas; Kimlin, Michael G.

doi:10.1539/joh.13-0179-oa

Cited by 34 publications

(36 citation statements)

References 32 publications

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“…The characteristics of workers and workplaces associated with greater sun protection behaviour included having received education on the use of PPE, being concerned about being in the sun and working in a smaller work place. Again, this study showed that having received workplace education was perceived as workplace support, which in turn helped workers to engage in more frequent use of sun protection …”

Section: Discussionmentioning

confidence: 78%

Skin cancer risk in outdoor workers: a European multicenter case–control study

Trakatelli

Barkitzi

Apap

et al. 2016

Acad Dermatol Venereol

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Section: Discussionmentioning

confidence: 78%

Skin cancer risk in outdoor workers: a European multicenter case–control study

Trakatelli

Barkitzi

Apap

et al. 2016

Acad Dermatol Venereol

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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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“…Leisure and work sun protection behavior scores were calculated by scoring each answer to the questions in Table 1 (wearing sunscreen, a sleeved shirt, a hat, sunglasses, and seeking shade) on a five-point ordinal scale ranging from 0 (never using the behavior) to 4 (always using the behavior) [12], [13]. A composite score of all five behaviors was created by averaging these scores, separately for workdays (work protection behavior score) and leisure days (leisure protection behavior score), leading to scores in the range of 0 to 4.…”

Section: Methodsmentioning

confidence: 99%

Outdoor Workers' Use of Sun Protection at Work and Leisure

Peters

Koehoorn

Demers

et al. 2016

Safety and Health at Work

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BackgroundOutdoor workers are at risk of high ultraviolet radiation exposure, and may have difficulty using sun protection. The objectives were to determine the prevalence of sun protection behaviors in a sample of outdoor construction workers, and to assess which factors predict better sun protection practices.MethodsParticipants were recruited via construction unions. Workers answered a questionnaire on demographics, skin cancer risk, sun protection behaviors, and job. Sun protection behavior scores (from questions on sunscreen use, sleeved shirt, hat, shade seeking, sunglasses) were calculated by converting Likert-scale answers to scores from 0 to 4, and taking the mean (separately for work and leisure). Determinants of sun protection behavior scores were examined for work and leisure using generalized linear models.ResultsSeventy-seven workers had complete questionnaire data (participation 98%). Sun protection behaviors used most often were hats (79% often/always) and sleeved shirts (82% often/always); least prevalent were shade-seeking (8% often/always) and sunscreen (29% often/always). For both work and leisure scores, the strongest predictor was skin type, with fairer-skinned individuals having higher sun protection behavior scores. Workers had higher scores at work than on weekends. Workplaces that required hats and sleeved shirts for safety purposes had higher protection behavior scores.ConclusionThis high-participation rate cohort helps characterize sun protection behaviors among outdoor workers. Workers practiced better sun protection at work than on weekends, suggesting that workplace policies supportive of sun protection could be useful for skin cancer prevention in the construction industry.

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What Encourages Sun Protection among Outdoor Workers from Four Industries?

Cited by 34 publications

References 32 publications

Skin cancer risk in outdoor workers: a European multicenter case–control study

Skin cancer risk in outdoor workers: a European multicenter case–control study

‘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

Outdoor Workers' Use of Sun Protection at Work and Leisure

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