Self-reported skin cancer-related behaviours in rural Victoria: results from repeat cross-sectional studies in 2001-2003 and 2016-2018.
rural
screening
skin cancer
sun-protective behaviours
Journal
Australian and New Zealand journal of public health
ISSN: 1753-6405
Titre abrégé: Aust N Z J Public Health
Pays: United States
ID NLM: 9611095
Informations de publication
Date de publication:
Jun 2022
Jun 2022
Historique:
revised:
01
12
2021
received:
01
08
2021
accepted:
01
01
2022
pubmed:
4
3
2022
medline:
10
6
2022
entrez:
3
3
2022
Statut:
ppublish
Résumé
To assess whether self-reported use of sun-protective measures and skin examination have changed between 2001 and 2018 in a rural setting. Repeat cross-sectional survey of randomly selected households in four rural Victorian towns. People aged 16 years and older were eligible to participate. Logistic regression was used to identify demographic factors associated with sun-protective measures and skin examination. Overall, 5,328 participated in 2001-2003 and 2,680 in 2016-2018. Among participants who go out in the sun, the mean number of reported sun-protective measures (2.6±1.3 vs. 2.6±1.6, p=0.867) and the proportion of participants reporting usually/always using sun protection (65.1% vs. 63.9%, p=0.307) were unchanged between the two surveys. However, an increased proportion of participants reported avoiding the sun when outdoors in the more recent survey (from 18.8% to 34.3%, p<0.001). Avoiding the sun was associated with being older, female, of European origin and having post-secondary school education. Skin examination rates increased between the two surveys (32.7% to 40.8%, p<0.001). Skin examinations were associated with older age groups, European origin and post-secondary school education and being male. Given the small changes in sun protection over time, updated skin cancer campaigns are needed to encourage increased sun-protective behaviours and skin examinations among rural residents. Results suggest that updated health promotion campaigns targeted to rural areas are warranted.
Identifiants
pubmed: 35238449
doi: 10.1111/1753-6405.13215
doi:
Substances chimiques
Sunscreening Agents
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
382-386Subventions
Organisme : National Health and Medical Research Council, Australia (NHMRC)
Informations de copyright
© 2022 The Authors.
Références
Cancer Council. SunSmart National Position Statement [Internet]. Sydney (AUST): CancerAust; 2020 [cited 2021 Feb 2]. Available from: https://www.cancer.org.au/about-us/policy-and-advocacy/position-statements/sunsmart
World Health Organization. Estimated Age-standardized Incidence Rates (World) in 2018, Melanoma of Skin, Non-melanoma Skin Cancer, Both Sexes, All Ages. Geneva (CHE): WHO; 2020.
Slevin T, Whiteman D. Why does Australia have so much skin cancer? (Hint: it's not because of an ozone hole) The Conversation. 2018 March;20;2:30pm.
Narayanan DL, Saladi RN, Fox JL. Ultraviolet radiation and skin cancer. Int J Dermatol. 2010;49(9):978-86.
Nahar VK, Ford MA, Hallam JS, Bass MA, Vice MA. Sociodemographic and psychological correlates of sun protection behaviors among outdoor workers: A review. J Skin Cancer. 2013;2013:453174.
Iannacone MR, Green AC. Towards skin cancer prevention and early detection: Evolution of skin cancer awareness campaigns in Australia. Melanoma Manag. 2014;1(1):75-84.
Tabbakh T, Volkov A, Wakefield M, Dobbinson S. Implementation of the SunSmart program and population sun protection behaviour in Melbourne, Australia: Results from cross-sectional summer surveys from 1987 to 2017. PLoS Med. 2019;16(10):e1002932.
Volkov A, Dobbinson S, Wakefield M, Slevin T. Seven-year trends in sun protection and sunburn among Australian adolescents and adults. Aust N Z J Public Health. 2013;37(1):63-9.
Janda M, Cust AE, Neale RE, Aitken JF, Baade PD, Green AC, et al. Early detection of melanoma: A consensus report from the Australian Skin and Skin Cancer Research Centre Melanoma Screening Summit. Aust N Z J Public Health. 2020;44(2):111-15.
Jongenelis M, Pettigrew S, Strickland M, Minto C, Slevin T. The relationship between skin checking and sun protection behaviours: Implications for skin cancer prevention campaigns. Public Health. 2018;155:55-8.
Sanofi. The Burden of Non-Melanoma Skin Cancer (NMSC) in Australia. Macquarie Park (AUST): Sanofi Australia; 2020.
Australian Institute of Health and Welfare. Skin Cancer in Australia. Canberra (AUST): AIHW; 2016.
Kitchener S, Pinidiyapathirage J, Hunter K. A cross-sectional study of skin cancer secondary prevention in rural general practice. Aust J Gen Pract. 2020;49(7):447-50.
Fennell KM, Martin K, Wilson CJ, Trenerry C, Sharplin G, Dollman J. Barriers to seeking help for skin cancer detection in rural Australia. J Clin Med. 2017;6(2):19.
Sideris E, Thomas SJ. Patients’ sun practices, perceptions of skin cancer and their risk of skin cancer in rural Australia. Health Promot J Austr. 2020;31(1):84-92.
Melanoma and Skin Cancer Trials Ltd. Improving Melanoma and Skin Cancer Awareness in Regional and Rural Australia [Internet]. Melbourne (AUST): MASC; 2019 [cited 2021 Jun 25]. Available from: https://www.masc.org.au/research-studies/
Simmons D, McKenzie A, Eaton S, Shaw J, Zimmet P. Prevalence of diabetes in rural Victoria. Diabetes Res Clin Pract. 2005;70(3):287-90.
Glenister KM, Bourke L, Bolitho L, Wright S, Roberts S, Kemp W, et al. Longitudinal study of health, disease and access to care in rural Victoria: the Crossroads-II study: Methods. BMC Public Health. 2018;18(1):670.
Ernst & Young, Australia. Addressing Regional Disadvantage: Goulburn Fact Sheet [Internet]. Melbourne (AUST): Infrastructure Victoria; 2019 [cited 2021 Dec 13]. Available from: https://www.infrastructurevictoria.com.au/wp-content/uploads/2019/11/Addressing-Regional-Disadvantage_Goulburn-Fact-Sheet.pdf
Glenister K, Bourke L, Terry D, Simmons D. Chronic ill health in a regional Victoria setting: A 13year comparison. Aust J Rural Health. 2019;27(6):527-34.
Kasparian NA, McLoone JK, Meiser B. Skin cancer-related prevention and screening behaviors: A review of the literature. J Behav Med. 2009;32(5):406-28.
Manne S, Fasanella N, Connors J, Floyd B, Wang H, Lessin S. Sun protection and skin surveillance practices among relatives of patients with malignant melanoma: prevalence and predictors. Prev Med. 2004;39(1):36-47.
Goodwin BC, Rowe AK, Crawford-Williams F, Baade P, Chambers SK, Ralph N, et al. Geographical disparities in screening and cancer-related health behaviour. Int J Environ Res Public Health. 2020;17(4):1246.
D'Souza C, Kramadhari N, Skalkos E, Dutton T, Bailey J. Sun safety knowledge, practices and attitudes in rural Australian farmers: A cross-sectional study in Western New South Wales. BMC Public Health. 2021;21(1):731.
Linos E, Keiser E, Fu T, Colditz G, Chen S, Tang JY. Hat, shade, long sleeves, or sunscreen? Rethinking US sun protection messages based on their relative effectiveness. Cancer Causes Control. 2011;22(7):1067-71.
Ch'ng JW, Glendon AI. Predicting sun protection behaviors using protection motivation variables. J Behav Med. 2014;37(2):245-56.
Dixon HG, Lagerlund M, Spittal MJ, Hill DJ, Dobbinson SJ, Wakefield MA. Use of sun-protective clothing at outdoor leisure settings from 1992 to 2002: Serial cross-sectional observation survey. Cancer Epidemiol Biomarkers Prev. 2008;17(2):428-34.
Smit-Kroner C, Brumby S. Farmers sun exposure, skin protection and public health campaigns: An Australian perspective. Prev Med Rep. 2015;2:602-7.
Crowley T, Murphy M, editors. Does Social Marketing Have a Role in Skin Cancer Education and Prevention. In: Wymer W, editor. Innovations in Social Marketing and Public Health Communication. Applying Quality of Life Research (Best Practices). Cham (CHE): Springer; 2015. p. 263-277.
Cancer Council Victoria. When You Cover Things, They Last Longer. Same Goes for You [Internet]. Melbourne (AUST): CancerVic; 2021 [cited 2021 Jun 25]. Available from: https://www.sunsmart.com.au/about-sunsmart/media-and-communications/sunsmart-campaigns/same-goes-for-you
Diffey BL. Time and place as modifiers of personal uv exposure. Int J Environ Res Public Health. 2018;15(6):1112.
Pettigrew S, Jongenelis M, Strickland M, Minto C, Slevin T, Jalleh G, et al. Predictors of sun protection behaviours and sunburn among Australian adolescents. BMC Public Health. 2016;16:565.
Barrett F, Usher K, Woods C, Conway J. Sun protective behaviours during maximum exposure to ultraviolet radiation when undertaking outdoor activities: An integrated literature review. J Public Health (Berl). 2019;27:393-405.
Oh SS, Mayer JA, Lewis EC, Slymen DJ, Sallis JF, Elder JP, et al. Validating outdoor workers’ self-report of sun protection. Prev Med. 2004;39(4):798-803.
Fitzpatrick TB. The validity and practicality of sun-reactive skin types I through VI. Arch Dermatol. 1988;124(6):869-71.