Search Results (5)

The incidence of skin carcinoma has significantly increased among the Serbian population, with mortality rates among the highest in the world. Basic interventions can reduce the effects of ultraviolet radiation (UVR) exposure, especially in youth, and decrease incidence and morbidity. This study is the first cross-sectional nationwide research on knowledge, attitudes, and sun exposure practices among Serbian high school students. The results revealed that fewer than 5% of students can correctly interpret the sunburn effect of a given UV index, while sun protection strategies are infrequently adopted. Most students (55.97%) expressed favorable attitudes regarding tanning, while more than half (64.48%) reported moderately high and high exposure. Females are more likely than males to expose themselves to UVR, especially intentionally. Females use protection more than males, while even 62.65% of males use protection insufficiently. The most commonly used sun protective measures were sunscreen and shade. The results indicate the necessity for innovative and age-suitable education methods and age- and gender-directed awareness campaigns for skin cancer prevention and the promotion of sun safety. Specifically, campaigns aimed at females should focus on motivating reduced intentional exposure, while those targeting males should emphasize the consistent use of sun protection measures. Full article

Skin cancer, the most common type of cancer worldwide, has been linked to overexposure to ultraviolet radiation (UVR) without protection. As skin cancer is a preventable type of cancer, there is a pressing need to adopt health-promoting behaviors early in life. The Sun Exposure and Protection Index (SEPI) is an instrument for evaluating adults’ sun exposure habits and the propensity to increase sun protection with widely accepted validity and reliability in Swedish, English, and German. The present study aims to validate SEPI with children in Greek. Data was collected from 127 primary school students in Cyprus who completed the instrument twice within two weeks. Internal consistency calculated by Cronbach’s alpha was 0.69 for all 13 items included in SEPI. A statistically significant (p < 0.01) strong and positive correlation coefficient (Pearson’s r = 0.63) was measured between the total scores for parts 1 and 2. Test–retest stability was high and significant (ρ > 0.5, p < 0.01) for all items but one. In conclusion, the Greek version of SEPI demonstrates reasonable internal consistency, as Cronbach’s alpha is at a relatively acceptable level. It can be used for evaluating prevention interventions assessing sun exposure habits, and the propensity to increase sun protection among primary school students. Full article

The aim of this pilot study was to assess whether the installation of ultraviolet radiation (UVR) meters in secondary schools has the potential to improve adolescents’ sun protection-related knowledge, attitudes, and behaviours and reduce their exposure to UVR during school hours. Data were collected from students at two schools via online pre- and post-intervention surveys, measurement of sunscreen usage, polysulfone UVR exposure badges, and photographs of the schoolyards to assess hat and shade use. Several operational issues limited the quantity and quality of data that could be collected, and findings were mixed. While there were no significant changes in either self-reported or observed sun protection behaviours, there were significant improvements in UVR knowledge among students at the intervention school, and reactions to the meter were highly favourable. Students reported consulting the meter regularly and using it to make decisions about their sun protection behaviours. Overall, the study results offer some support for the use of UVR meters in areas frequented by adolescents and provide insights into the process issues that are likely to need to be addressed when attempting to trial sun protection interventions in schools. Full article

We investigated the relationship between peoples’ preferences for being outside during certain months of the year, based upon their dislike of hot or warm temperatures, and of taking precautions against ultraviolet radiation (UVR) exposure. A sample of university undergraduates (N = 1400) living in the Northern Hemisphere completed an online survey in the late summer of 2017 that inventoried their dislike of heat and hot conditions, their sun tanning preferences and habits, and their preferences for being outside during different months of the year, along with whether they would protect themselves from the UVR exposure during those months. Dislike of hot conditions was negatively correlated with respondent preferences for sun tanning and with the number of months during the year that people enjoyed being active outside. A greater proportion of people who disliked hot conditions experienced risks of UVR overexposure during the spring and fall. In contrast, people who expressed more liking of heat frequently enjoyed being outside during the warmer months (April to October), and a significantly greater proportion of them experienced risks for sun overexposure in these months. Such individual differences in heat-related attitudes may explain a proportion the variability in individual risk behaviors for skin cancer that is not currently accounted for by approaches using objective variables such as temperature, thermal comfort indices, or the UV index. Full article

Public health campaigns have improved knowledge on UVR-associated skin cancer risk and increased sun protection awareness. However, tanned skin is still a common beauty ideal. The relationship between knowledge, attitudes and protective behavior is not fully understood yet. A population-based survey was thus performed in the district of Erlangen involving 2,619 parents of 3- to 6-year old children. By means of a self-administered standardized questionnaire parental knowledge about risk factors for skin cancer, their attitudes towards tanning and details of protective measures taken for their children were assessed. The study analyzed specifically the impact of parental tanning attitudes on sun-protective measures for their children while controlling for parental knowledge about skin cancer risk factors. While parental knowledge was significantly (inversely) associated with agreement to the statement “Tanned skin is healthy skin”, this was not the case for “Tanning makes me look better”. Overall, tanning affirmative attitudes were inversely associated with protective measures taken for the children, whereas parental knowledge had a positive impact on sun protection at the beach only. Multivariable analyses provided evidence for an effect of parental attitude on protective behavior independent of parental knowledge. Tanning attitudes and tanned skin as the misguided ideal of beauty need to be addressed in future public health campaigns to enhance the effectiveness of preventive activities in changing sun protective behavior. Full article