DOI QR코드

DOI QR Code

What Turkish Nurses Know and Do about Skin Cancer and Sun Protective Behavior

  • Andsoy, Isil Isik (Department of Nursing, School of Health, Karabuk University) ;
  • Gul, Asiye (Department of Midwifery, Faculty of Health Science, Istanbul University) ;
  • Sahin, Aysegul Oksay (Department of Midwifery, School of Health, Karabuk University) ;
  • Karabacak, Hanife (Department of Nursing, Karabuk State Hospital)
  • Published : 2013.12.31

Abstract

Background: Skin cancer is a global health problem that can be prevented by protective behavior promoted by nurses. In Turkey, only few studies have examined current knowledge of nurses related to skin cancer and to reveal their attitudes towards sun exposure and current protective behavior. Materials and Methods: This descriptive cross-sectional study was performed from March 11 to May 30, 2013 with a study sample of 310 nurses working in two state hospitals located in Karab$\ddot{u}$k and Safranbolu. Results: Mean age of the nurses was $30.3{\pm}6.89$ years and 96.1% of them had graduated with a Bachelor degree. The participants were predominantly female (n=284). Knowledge level about skin cancer was significantly higher for females compared to males. Conclusions: Nurses do not have sufficient knowledge about skin cancer and are not adequately protecting themselves from ultraviolet light, the primary risk factor for skin cancer. While they demonstrated a responsible attitude towards avoiding sunburn and the need for adequate sun protection, they do not fully appreciate the extent to which the sun can cause skin cancer and that they lack full understanding about the need to protect the skin from burning and to avoid long term sun exposure in Turkey.

Keywords

References

  1. Anthony ML (2000). Surgical Treatment of Nonmelanoma Skin Cancer. AORN J, 71, 552-64.
  2. Argyriadou S, Makridis D, Lygidakis H, Apazidis G, Gagalis G (2005). Knowledge and behaviour of tourists towards the sun, as studied in a region of northern Greece. Rural Remote Health, 5, 367.
  3. Armstrong BK, English DR (1996). Cutaneous malignant melanoma. In: Schottenfeld D, Fraumeni JF, eds. Cancer epidemiology and prevention. 2nd ed. New York, NY: Oxford University Press.
  4. Armstrong BK, Kricker A (1996). Epidemiology of sun exposure and skin cancer. Cancer Surv, 26, 133-53.
  5. Centers for Disease Control and Prevention (2002). Guidelines for School Programs to Prevent Skin Cancer. MMWR, 5, 1-19.
  6. Cinar ND, Cinar S, Karakoc A, Ucar F (2009). Knowledge, attitudes and behaviors concerning sun protection/skin cancer among adults in Turkey. Pak J Med Sci, 25, 108-12
  7. Darling M, Ibbotson SH (2002). Sun awareness and behaviour in healthcare professionals and the general public. Clin Exp Dermatol, 27, 442-44. https://doi.org/10.1046/j.1365-2230.2002.01110.x
  8. Davis KJ, Cokkinides VE, Weinstock MA, O'Connell MC, Wingo PA (2002). Summer sunburn and sun exposure among US youths ages 11 to 18: national prevalence and associated factors. Pediatrics, 110, 27-35. https://doi.org/10.1542/peds.110.1.27
  9. Devos SA, Baeyens K, Van Hecke L (2003) Sunscreen use and skin protection behavior on the Belgian beach. Int J Dermato, 42, 352-6. https://doi.org/10.1046/j.1365-4362.2003.01665.x
  10. Diepgen T, Mahler V (2002) The epidemiology of skin cancer. Br J Dermatol, 146, 1-6.
  11. Gallagher R (2005) Sunscreens in melanoma and skin cancer prevention. CMAJ, 175, 244-5.
  12. Garvin T, Eyles J (2001). Public health responses for skin cancer prevention: the policy framing of sun safety in Australia, Canada and England. Soc Sci Med, 53, 1175-89. https://doi.org/10.1016/S0277-9536(00)00418-4
  13. Geller AC, Shamban J, O'Riordan DL, et al (2005). Raising sun protection and early detection awareness among Florida high schoolers. Pediatr Dermatol, 22, 112-8. https://doi.org/10.1111/j.1525-1470.2005.22204.x
  14. Gies PH, Roy CR, Toomey S, McLennan A (1998). Protection against solar UV radiation. Mutation Research, 422, 15-22. https://doi.org/10.1016/S0027-5107(98)00181-X
  15. Hall HI, May DS, Lew RA, Koh HK, Nadel M (1997). Sun protection behaviors of the U.S. white population. Prev Med, 26, 401-7. https://doi.org/10.1006/pmed.1997.0168
  16. Halpern AC, Kopp LJ (2005). Awareness, knowledge and attitudes to non-melanoma skin cancer and actinic keratosis among the general public. Int J Dermatol. 44, 107-11. https://doi.org/10.1111/j.1365-4632.2005.02090.x
  17. Jones B, Oh C, Corkery E, Hanley R, Egan CA (2007). Attitudes and perceptions regarding skin cancer and sun protection behaviour in an Irish population. J Eur Acad Dermatol Venereol, 21, 1097-101. https://doi.org/10.1111/j.1468-3083.2007.02209.x
  18. Kristjansson S, Ullen H, Helgason AR (2004). The importance of assessing the readiness to change sun-protection behaviors: a population-based study. Eur J Cancer, 40, 2773-80. https://doi.org/10.1016/j.ejca.2004.08.027
  19. Lazovich D, Choi K, Vogel RI (2012). Time to get serious about skin cancer prevention. Cancer Epidemiol Biomarkers Prev, 21, 1893-901. https://doi.org/10.1158/1055-9965.EPI-12-0327
  20. Lens M, Dawes M (2004). Global perspectives of contemporary epidemiological trends of cutaneous malignant melanoma. Br J Dermatol, 150, 179-85. https://doi.org/10.1111/j.1365-2133.2004.05708.x
  21. Lindow K, Shelestak D (2011). Beliefs and Practices Regarding Skin Cancer Prevention. Br J Dermatol Nurses' Association, 3, 150-5. https://doi.org/10.1097/JDN.0b013e31821f3f43
  22. Longo D, Fauci A, Kasper D, et al (2011). Skin manifestations of internal disease, Jean L. Bolognia, Irwin M. Braverman (ed. Fauci). Harrison's Principles of Internal Medicine, 18th Edition, .
  23. MacKie RM (2004). Awareness, knowledge and attitudes to basal cell carcinoma and actinic keratoses among the general public within Europe. J Eur Acad Dermatol Venereol, 18, 552-5. https://doi.org/10.1111/j.1468-3083.2004.00993.x
  24. Manne SL, Coups EJ, Jacobsen PB, et al (2011). Sun protection and sunbathing practices among at risk family members of patients with melanoma. BMC Public Health, 11, 122-32 https://doi.org/10.1186/1471-2458-11-122
  25. Marks R (1999). Two decades of the public health approach to skin cancer control in Australia: Why, how and where are we. The epidemiology of skin cancer. now? Aust J Dermatol, 40, 1-5.
  26. McCormick LK, Masse LC, Cummings SS, Burke C (1999). Evaluation of a skin cancer prevention module for nurses: change in knowledge, self-efficacy, and attitudes. Am J Health Promot, 13, 282-9. https://doi.org/10.4278/0890-1171-13.5.282
  27. Miles A, Waller J, Hiom S, Swanston D (2005). SunSmart? Skin cancer knowledge and preventive behaviour in a British population representative sample. Health Educ Res, 20, 579-85. https://doi.org/10.1093/her/cyh010
  28. Morrison G (1996). Sun exposure and skin cancer development: nurses' attitudes. Nurs Stand, 10, 39-42.
  29. Narayaman DL, Saladi RN (2010). Ultraviolet radiation and skin cancer. Int J Dermatol, 49, 978-86. https://doi.org/10.1111/j.1365-4632.2010.04474.x
  30. NHS, National Institute for Health and Clinical Excellence, Skin Cancer prevention: information, resource and environmental changes, NICE public health guidance 32, Issued: January 2011 guidance.nice.org.uk/ph32.
  31. Phillips TJ, Bhawan J, Yaar M, et al (2000). Effect of daily versus intermittent sunscreen application on solar stimulated UV radiation-induced skin response in humans. J Am Acad Dermatol, 43, 610-8. https://doi.org/10.1067/mjd.2000.107244
  32. Ramezanpour A, Niksirat A, Golshahi RS (2013). Knowledge, attitude and behavior (Practice) toward sunscreen use among hospital personnel in comparison with Laypeople in Zanjan, Iran, World Applied Sci J, 22, 683-9.
  33. Saraiya M, Glanz K, Briss P, et al (2004). Interventions to prevent skin cancer by reducing exposure to ultraviolet radiation: a systematic review. Am J Prev Med, 27, 422-66.
  34. Saridi M, Pappa V, Kyriazis I, et al (2009). Knowledge and attitudes to sun exposure among adolescents in Korinthos, Greece. Rural Remote Health, 9, 1162.
  35. Thomas D (2009). Apoptosis, UV- radiation, precancerosis and skin tumors. Acta Med Croatica, 63, 53-8.
  36. Thompson SC, Jolley D, Marks R (1993). Reduction of solar keratoses by regular sunscreen use. N Engl J Med, 329, 1147-51. https://doi.org/10.1056/NEJM199310143291602
  37. Turkey statistical yearbook 2011, Ankara, Turkish Statistical Institute April, 2012, pp. Available online: www.turkstat,gov.tr (Accessed date 10 June 2013)
  38. Warren RS, Janda M, Baade PD, Anderson P (2004) Primary prevention of skin cancer: a review of sun protection in Australia and internationally. Health Promot Int, 19, 369-78. https://doi.org/10.1093/heapro/dah310
  39. World Health Organization 2003, Sun protection a primary teaching resource. http://www.who.int/uv/publications/en/primaryteach.pdf Accessed on 24 June 2013.
  40. Young R, Logan C, Lovato C, Moffat B, Shoveller J (2005). Sun protection as a family health project in families with adolescents. J Health Psychol, 10, 333-44. https://doi.org/10.1177/1359105305051419
  41. Yurtseven E, Ulus T, Vehid S, et al (2012). Assessment of knowledge, behaviour and sun protection practices among health services vocational school students. Int J Environ Res Public Health, 9, 2378-85. https://doi.org/10.3390/ijerph9072378

Cited by

  1. Do Not Let to Be Late: Overview of Reasons for Melanoma Delayed Diagnosis vol.15, pp.9, 2014, https://doi.org/10.7314/APJCP.2014.15.9.3873
  2. Predictors of Sun-Protective Practices among Iranian Female College Students: Application of Protection Motivation Theory vol.16, pp.15, 2015, https://doi.org/10.7314/APJCP.2015.16.15.6477
  3. Effect of Skin Cancer Training Provided to Maritime High School Students on Their Knowledge and Behaviour vol.16, pp.17, 2015, https://doi.org/10.7314/APJCP.2015.16.17.7769
  4. Sun Burn Incidence and Knowledge of Greek Elementary and High School Children about Sun Protection vol.16, pp.4, 2015, https://doi.org/10.7314/APJCP.2015.16.4.1529
  5. What Do Web Users Know about Skin Self-Examination and Melanoma Symptoms? vol.16, pp.7, 2015, https://doi.org/10.7314/APJCP.2015.16.7.3051
  6. Sun Protection Habits and Attitudes Among Healthcare Personnel in a Mediterranean Population vol.31, pp.4, 2016, https://doi.org/10.1007/s13187-015-0913-1
  7. Psychometric Testing of the Turkish Version of the Skin Cancer and Sun Knowledge Scale in Nursing Students pp.1543-0154, 2018, https://doi.org/10.1007/s13187-016-1041-2
  8. Knowledge and Protective Behaviors About Skin Cancer Among Nursing Students in the West Black Sea Region of Turkey pp.1543-0154, 2017, https://doi.org/10.1007/s13187-017-1188-5
  9. Sun Protection Habits and Sunburn in Elite Aquatics Athletes: Surfers, Windsurfers and Olympic Sailors pp.1543-0154, 2019, https://doi.org/10.1007/s13187-018-1466-x