Asian Pacific Journal of Cancer Prevention

Asian Pacific Journal of Cancer Prevention (아시아태평양암예방학회)
권호 표지
DOI QR코드

DOI QR Code

Effect of Skin Cancer Training Provided to Maritime High School Students on Their Knowledge and Behaviour

  • Sumen, Adem (Manavgat State Hospital - Akdeniz University) ;
  • Oncel, Selma (Akdeniz University, Nursing Faculty, Department of Public Health Nursing)
  • Published : 2015.12.03
Download PDF
⟨ Previous Next ⟩

Abstract

Background: This study was conducted with the purpose of evaluating the effect of skin cancer training provided to maritime high school students on their knowledge and behaviour. Materials and Methods: The study had a quasi-experimental design with pre-test and post-test intervention and control groups. Two maritime high schools located in the city of Antalya were included within the scope of the study between March and June 2013, covering a total of 567 students. Results: While the knowledge mean scores of students regarding skin cancer and sun protection did not vary in the pre-test ($6.2{\pm}1.9$) and post-test ($6.8{\pm}1.9$) control group, the knowledge mean scores of students in the experimental group increased from $6.0{\pm}2.3$ to $10.6{\pm}1.2$ after the provided training. Some 25.4% of students in the experimental group had low knowledge level and 62.2% had medium knowledge level in the pre-test; whereas no students had low knowledge level and 94.3% had high knowledge level in the post-test. It was determined that tenth grade students, those who had previous knowledge on the subject, who considered themselves to be protecting from the sun better, had higher knowledge levels and their knowledge levels increased as the risk level increased. It was found that the provided training was effective and increased positively the knowledge, attitude and behaviour levels of students in the experimental group in terms of skin cancer and sun protection. Conclusions: Along with the provided training which started to form a lifestyle, appropriate attitudes and behaviours concerning skin cancer and sun protection could be brought to students who will work in outdoor spaces and are members of the maritime profession within the risk group.

Keywords

References

  1. Andsoy II, Gul A, Sahin AO, et al (2013). What Turkish nurses know and do about skin cancer and sun protective behaviour. Asian Pac J Cancer Prev, 14, 7663-8. https://doi.org/10.7314/APJCP.2013.14.12.7663
  2. Antalya Municipality. Geography (Internet). (cited 2014 April 15).
  3. Balyaci OE, Kostu N, Temel AB (2012). Training program to raise consciousness among adolescents for protection against skin cancer through performance of skin self examination. Asian Pac J Cancer Prev, 13, 5011-7. https://doi.org/10.7314/APJCP.2012.13.10.5011
  4. Baron-Epel O, Azizi E (2003). The association between counselling, sun protection, and early detection of skin cancer in middle-aged Israelis. Cancer Detection Prev, 27, 338-44. https://doi.org/10.1016/S0361-090X(03)00132-6
  5. Berwick M (2011). The good, the bad, and the ugly of sunscreens. Clin Pharmacol Therap, 89, 31-3. https://doi.org/10.1038/clpt.2010.227
  6. Buendia-Eisman A, Arias-Santiago S, Moreno-Gimenez JC, et al (2012). An internet-based programme to promote adequate uv exposure behaviour in adolescents in Spain. J European Acad Dermatol, 27, 442-53.
  7. Cercato MC, Nagore E, Ramazzotti V, et al (2008). Self and parent-assessed skin cancer risk factors in school-age children. Prev Med, 47, 133-5. https://doi.org/10.1016/j.ypmed.2008.03.004
  8. Cokkinides V, Weinstock M, Glanz K, et al (2006). Trends in sunburns, sun protection practices, and attitudes toward sun exposure protection and tanning among US adolescents, 1998-2004. Pediatrics, 118, 853-64. https://doi.org/10.1542/peds.2005-3109
  9. de Vires H, Willems K, Mesters I, et al (2006). Skin cancer prevention behaviours during summer holidays in 14 and 18-year-old Belgian adolescents. Eur J Cancer Prev, 15, 431-8.
  10. Dobbinson S, Wakefield M, Hill D, et al (2009). Weekend Sun protection and sunburn prevalence and determinants of Australian adolescent and adults: 2003-2004 summer. J Am Academy Dermatol Turkish Edit, 6, 1-13.
  11. Emertcan AT, Ozturkcan S, Dinc G, et al (2005). Sunsscreen use and sun protection practices in student and personnel of Celal Bayar University. Photodermatol Photoimmunol Photomed, 21, 191-7. https://doi.org/10.1111/j.1600-0781.2005.00158.x
  12. Ergul S, Ozeren E (2011). Sun protection behaviour and individual risk factors of Turkish primary school students associated with skin cancer: a questionnaire-based study. Asian Pac J Cancer Prev, 12, 765-70.
  13. Fabris MR, Duraes ES, Martignago BC, et al (2012). Assessment of knowledge of skin cancer prevention and its relation with sun exposure and photo protection amongst gym academy members on the south of Santa Catarina, Brazil. Anais Brasileiros De Dermatologia, 87, 36-43. https://doi.org/10.1590/S0365-05962012000100004
  14. Filiz TM, Cinar N, Topsever P, et al (2006). Tanning youth: knowledge, behaviours and attitudes toward sun protection of high school students in Sakarya, Turkey. J Adolescent Health, 38, 469-71. https://doi.org/10.1016/j.jadohealth.2005.01.016
  15. Geller AC, Rutsch L, Kenausis K, et al (2003). Can an hour or two of sun protection education keep the sunburn away? evaluation of the environmental protection agency's sunwise school program. Environmental Health: A Global Access Science Source, 2, 13-22
  16. Geller AC, Shamban J, O'Riordan DL, et al (2005). Raising sun protection and early detection awareness among Florida high schoolers. Paediatric Dermatol, 22, 112-8. https://doi.org/10.1111/j.1525-1470.2005.22204.x
  17. Gilaberte Y, Alonso JP, Teruel MP, et al (2008). Evaluation of a health promotion intervention for skin cancer prevention in Spain: the SolSano program. Health Promot Int. 23, 209-19. https://doi.org/10.1093/heapro/dan020
  18. Glanz K, Schoenfeld ER, Steffen A (2010). A randomized trial of tailored skin cancer prevention messages for adults: project SCAPE. Am J Public Health, 100, 735-41. https://doi.org/10.2105/AJPH.2008.155705
  19. Gomez-Moyano E, de Ramon E, Martinez-Garcia S, et al (2010). Impact of melanoma diagnosis on sun protection. Actas Dermosifiliograficas, 101, 506-16. https://doi.org/10.1016/j.ad.2009.12.022
  20. Grichnk JM, Rhodes AR, Sober AJ (2008). Benign neoplazias and hyperplasias of melanocytes. editors: Goldsmith LA, Katz SI, Gilchrest BA, et al. Fitzpatrick's Dermatology in General Medicine. McGraw Hill, New York, 1099-122.
  21. Gritz ER, Tripp MK, James AS, et al (2005). An intervention for parents to promote preschool children's sun protection: effects of Sun Protection is Fun!. Prev Med, 41, 357-66. https://doi.org/10.1016/j.ypmed.2005.01.007
  22. Grossman D, Leffell DJ (2008). Squamous cell carcinoma. editors: Freedberg IM, Eisen AZ, Wollf K, et al. Fitzpatrick's Dermatology in General Medicine. New York, 1028-36.
  23. Hawkes AL, Hamilton K, White KM, et al (2012). A randomised controlled trial of a theory-based intervention to improve sun protective behaviour in adolescents ('you can still be HOT in the shade'): study protocol. BMC Cancer, 12, 1-8. https://doi.org/10.1186/1471-2407-12-1
  24. Hunter S, Love-Jackson K, Abdulla R, et al (2010). Sun protection at elementary schools: a cluster randomized trial. J National Cancer Institute, 102, 484-92. https://doi.org/10.1093/jnci/djq010
  25. Ilter N, Oztas MO, Adisen E, et al (2009). Sun protection habits of the population at nevus screening performed at a shopping centre in Ankara and assessment of melanocytic nevus. Turkderm, 43, 155-9.
  26. Jemal A, Siegel R, Ward E, et al (2009). Cancer statistics, 2009. CA Cancer J Clin, 59, 225-49. https://doi.org/10.3322/caac.20006
  27. Kaptanoglu AF, Dalkan C, Hincal E (2012). Sun protection in Turkish Society of Northern Cyprus: knowledge, attitude and behaviours of primary-school-age- children and their families regarding sun protection. Turkderm, 46, 121-9. https://doi.org/10.4274/Turkderm.08831
  28. Kaymak Y, Tekbas OF, Simsek I (2007). Knowledge, attitude, and behaviours of university students regarding sun protection. Turkderm, 41, 81-5.
  29. LaBat K, DeLong M, Gahring SH (2005). A longitudinal study of sun-protective attitudes and behaviours. Family Practice Residency J, 33, 240-54.
  30. Livingston PM, White V, Hayman J, et al (2007). Australian adolescents' sun protection behavior: who are we kidding?. Preventive Medicine. 44, 508-20. https://doi.org/10.1016/j.ypmed.2007.02.015
  31. Maguire-Eisen M, Rothman K, Demierre MF (2005). The ABCs of sun protection for children. Dermatol Nurs, 17, 419-22.
  32. Merey K. (2008). District-based Distribution of five cancer types in women in terms of health geography in Turkey and determination of their relationship with geographical environment, Ankara University, Institute of Social Sciences, Department of Geography, Postgraduate Thesis, Ankara.
  33. Naldi L, Chatenoud L, Bertuccio P, et al (2007). La vecchia c; oncology cooperative group of the italian group for epidemiologic research in dermatology (GISED). Improving sun-protection behavior among children: results of a clusterrandomized trial in Italian elementary schools. The "SoleSi SoleNo-GISED" Project. J Invest Dermatol, 127, 1871-7. https://doi.org/10.1038/sj.jid.5700835
  34. Norman G, Adams M, Calfas K, et al (2007). A randomized trial of a multicomponent intervention for adolescent sun protection behaviours. Archives Pediatric Adolescent Medicine, 161, 146-52. https://doi.org/10.1001/archpedi.161.2.146
  35. Quereux G, Nguyen JM, Volteau C, et al (2009). Prospective trial on a school-based skin cancer prevention Project. Eur J Cancer Prev, 18, 133-44. https://doi.org/10.1097/CEJ.0b013e32831362cc
  36. Patel SS, Nijhawan RI, Stechschulte S, et al (2010). Skin cancer awareness, attitude, and sun protection behaviour among medical students at the University of Miami Miller School of Medicine. Archives Dermatol, 146, 797-00.
  37. Reinau D, Meier C, Gerber N, et al (2012). Sun protective behaviour of primary and secondary school students in northwestern Switzerland. Swiss Medical Weekly, 24, 13520.
  38. Renzi C, Mastroeni S, Mannooranparampil TJ, et al (2008). Skin cancer knowledge and preventive behaviours among patients with a recent history of cutaneous squamous cell carcinoma. Dermatol, 217, 74-80. https://doi.org/10.1159/000127389
  39. Reynolds K, Buller D, Yaroch A, et al (2008). Effects of program exposure and engagement with tailored prevention communication on sun protection by young adolescents. Journal of Health Commun, 13, 619-36. https://doi.org/10.1080/10810730802412149
  40. Roetzheim RG, Love-Jackson KM, Hunter SG, et al (2011). A cluster randomized trial of sun protection at elementary schools. Results from year 2. Am J Prev Med, 41, 615-8. https://doi.org/10.1016/j.amepre.2011.08.005
  41. Rouhani P, Parmet Y, Bessell AG, et al (2009). Knowledge, attitudes, and behaviors of elementary school students regarding sun exposure and skin cancer. Pediatric Dermatol, 26, 529-35. https://doi.org/10.1111/j.1525-1470.2009.00908.x
  42. Sancho-Garnier H, Pereira B, Cesarini P (2012). A cluster randomized trial to evaluate a health education programme "Living with Sun at School". Int J Environ Res Public Health. 9, 2345-61. https://doi.org/10.3390/ijerph9072345
  43. Saraiye M, Glanz K, Briss P, et al (2003). Preventing skin cancer findings of the task force on community preventive services on reducing exposure to ultraviolet light. MMWR Recommendat Reports, 52, 1-12.
  44. Saridi M, Pappa V, Kyriazis I, et al (2009). Knowledge and attitudes to sun exposure among adolescents in Korinthos, Greece. Rural Remote Health, 9, 1162-81.
  45. Saridi M, Bourdaki E, Rekleiti M (2014). Young students' knowledge about sun protection and its relation with sunburn incidence. A systematic review. Health Science J, 8, 4-21.
  46. Spradlin K, Bass M, Hyman W, et al (2010). Skin cancer: knowledge, behaviours, and attitudes of college students. Southern Med J 103, 999-03. https://doi.org/10.1097/SMJ.0b013e3181eda64f
  47. Stankeviciute V, Zaborskis A, Petrauskiene A, et al (2004). Skin cancer prevention: children's health education on protection from sun exposure and assessment of its efficiency. Med, 40, 386-93.
  48. Stanton WR, Janda M, Baade PD, et al (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
  49. Stinco G, Favot F, Quinkenstein E, et al (2005). Children and sun exposure in the northeast of Italy. Pediatric Dermatol, 22, 520-4. https://doi.org/10.1111/j.1525-1470.2005.00131.x
  50. Stock ML, Gerrard M, Gibbons FX, et al (2009). Sun protection intervention for highway workers: long-term efficacy of UV photography and skin cancer information on men's protective cognitions and behaviour. Ann Behavioural Med, 38, 225-36. https://doi.org/10.1007/s12160-009-9151-2
  51. Stover LA, Hinrichs B, Petzold U, et al (2012). Getting in early: primary skin cancer prevention at 55 German kindergartens. British J Dermatol, 2, 63-9.
  52. Suppa M, Cazzaniga S, Fargnoli MC, et al (2012). Knowledge, perceptions and behaviours about skin cancer and sun protection among secondary school students from central Italy: J Eur Acad Dermatol, 27, 571-9.
  53. Sumen A, Oncel S (2014). Studies conducted on students regarding skin cancer and sun protection: literature review. Dokuz Eylul University High School Nursing, Electronic J, 7, 78-91.
  54. The David Cornfield Melanoma Fund. Dear 16 year old me (Internet). (cited 2013 January 18).
  55. Turkish Statistical Institute. Child Statistics, 2013 (Internet). (cited 2014 April 21).
  56. Turkmen A, Berberoglu O, Bekerecioglu M, et al (2010). Skin cancers: a 10-year assessment. Gaziantep Med J, 16, 11-5.
  57. Uslu M, Karaman G, Sendur N (2006). Assessment of knowledge levels of physicians of Adnan Menderes University regarding skin cancers and effects of sun and their sun protection behaviours. Adnan Menderes University J Medical Faculty, 7, 5-10.
  58. Uysal A, Ozsoy AS, Ergul S (2004). Assessment of skin cancer risks of students and their sun protection practices. Ege J Med, 43, 95-9.
  59. Wright C, Reeder AI, Gray A, et al (2008). Child sun protection: sun related attitudes mediate the association between children's knowledge and behaviours. J Paediatrics Child Health, 44, 692-8. https://doi.org/10.1111/j.1440-1754.2008.01408.x
  60. 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. The Effect of Educational Intervention Based on Health Belief Model and Social Support on Promoting Skin Cancer Preventive Behaviors in a Sample of Iranian Farmers pp.1543-0154, 2019, https://doi.org/10.1007/s13187-017-1317-1
  2. The Effect of Educational Intervention Based on PRECEDE Model on Promoting Skin Cancer Preventive Behaviors in High School Students pp.1543-0154, 2018, https://doi.org/10.1007/s13187-018-1376-y