Skin cancer preventative behaviors in state park workers: a pilot study

ObjectivesConsidering the potential for occupational sun exposure among state park workers, the purpose of this pilot study was to identify skin cancer knowledge, health beliefs, self-efficacy, and sun protection behaviors (SPBs) among state park employees.MethodsThe current study used a cross-sectional survey research design with state park workers in a Southern state. Of the 94 possible employees who could have participated in the study, 87 completed the survey.ResultsAssessment of the participants’ skin cancer knowledge demonstrated an average correct response rate of 68.8 %. While the vast majority (87.4 %) believed that skin cancer is a serious disease, a minority (42.5 %) believed they would develop skin cancer sometime during their lifetime, and even fewer (35.6 %) believed their risk was higher than average. Collectively, workers reported low levels of SPBs. The most commonly reported barriers to sun protection were “inconvenient,” “too hot to wear,” and “forget to protect.” Half of the participants (50.6 %) were highly confident in their ability to wear long pants while in the sun. About the same proportion of participants was highly confident they could wear a wide-brimmed hat (21.8 %) and sunscreen (20.7 %).ConclusionsBased on available evidence, a need exists to develop individual and worksite programs and interventions to increase skin cancer prevention behaviors among this occupational group. This data could serve as a baseline to monitor and evaluate the efficacy of these interventions.

[1]  Ryoichi Inaba,et al.  Comparison of subjective symptoms and hot prevention measures in summer between traffic control workers and construction workers in Japan. , 2007, Industrial health.

[2]  David B Buller,et al.  Reducing ultraviolet radiation exposure among outdoor workers: State of the evidence and recommendations , 2007, Environmental health : a global access science source.

[3]  S. Beissert,et al.  Sun exposure: perceptions and behaviours in outdoor workers , 2014, The British journal of dermatology.

[4]  Joni A. Mayer,et al.  Postal Workers’ Occupational and Leisure-time Sun Safety Behaviors (United States) , 2006, Cancer Causes & Control.

[5]  M. Dalmas,et al.  Sun awareness and sun protection practices in Malta , 2002, Journal of the European Academy of Dermatology and Venereology : JEADV.

[6]  B. Morrongiello,et al.  Motivational Interviewing as an intervention to increase adolescent self-efficacy and promote weight loss: Methodology and design , 2011, BMC public health.

[7]  H. Drexler,et al.  Evaluation of skin-protective means against acute and chronic effects of ultraviolet radiation from sunlight. , 2007, Current problems in dermatology.

[8]  Jeffrey S. Hallam,et al.  Skin Cancer Knowledge, Beliefs, Self-Efficacy, and Preventative Behaviors among North Mississippi Landscapers , 2013, Dermatology research and practice.

[9]  R. Parrott,et al.  Using coaches as role models of sun protection for youth: Georgia's “got youth covered” project , 1999 .

[10]  C. Lovato,et al.  Canadian national survey on sun exposure , 2000 .

[11]  B M Stepanski,et al.  Solar protection behaviors among outdoor workers. , 1998, Journal of occupational and environmental medicine.

[12]  Ryoichi Inaba,et al.  Comparison of subjective symptoms and cold prevention measures in winter between traffic control workers and construction workers in Japan. , 2009, Industrial health.

[13]  J. Elder,et al.  Ethnoracial differences among outdoor workers in key sun-safety behaviors. , 2005, American journal of preventive medicine.

[14]  S. Özsoy The knowledge and practices of cleaning workers concerning sun protection , 2014 .

[15]  Dale H. Schunk,et al.  Self-efficacy, motivation, and performance , 1995 .

[16]  Ralf Schwarzer,et al.  Improving fruit and vegetable consumption: a self-efficacy intervention compared with a combined self-efficacy and planning intervention. , 2006, Health education research.

[17]  A. Reeder,et al.  Are workers or their workplaces the key to occupational sun protection? , 2008, Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals.

[18]  Earl R. Babbie,et al.  Research methods for social work , 2010 .

[19]  P. Himmel Health Behavior and Health Education: Theory, Research, and Practice , 1992, Annals of Internal Medicine.

[20]  David M Williams,et al.  Social Cognitive Mediators of Change in a Group Randomized Nutrition and Physical Activity Intervention , 2010, Journal of health psychology.

[21]  D. French,et al.  What is the best way to change self-efficacy to promote lifestyle and recreational physical activity? A systematic review with meta-analysis. , 2010, British journal of health psychology.

[22]  P. Andersen,et al.  Environmental cues to UV radiation and personal sun protection in outdoor winter recreation. , 2010, Archives of dermatology.

[23]  B Marlenga,et al.  The health beliefs and skin cancer prevention practices of Wisconsin dairy farmers. , 1995, Oncology nursing forum.

[24]  J. Houdmont,et al.  Sun safety measures among construction workers in Britain. , 2011, Occupational medicine.

[25]  M. Weiss,et al.  Outdoor workers’ sun‐related knowledge, attitudes and protective behaviours: a systematic review of cross‐sectional and interventional studies , 2013, The British journal of dermatology.

[26]  Mark R. Anderson,et al.  Sponsorship and sun protection practices in lifesavers , 1999 .

[27]  J. Monahan,et al.  Communicating to Farmers About Skin Cancer The Behavior Adaptation Model , 1998 .

[28]  Joni A. Mayer,et al.  Sun-Protective Behaviors of California Farmworkers , 2005, Journal of occupational and environmental medicine.

[29]  M. Lebwohl,et al.  Ultraviolet radiation in alpine skiing: magnitude of exposure and importance of regular protection. , 2003, Archives of dermatology.

[30]  A. Bandura Self-Efficacy: The Exercise of Control , 1997, Journal of Cognitive Psychotherapy.

[31]  L. Marrett,et al.  Work-time sun behaviours among Canadian outdoor workers: results from the 2006 National Sun Survey. , 2010, Canadian journal of public health = Revue canadienne de sante publique.

[32]  D. Kang,et al.  Predictors of health behaviours in college students. , 2004, Journal of advanced nursing.

[33]  M. Weinstock,et al.  Validating outdoor workers' self-report of sun protection. , 2004, Preventive medicine.

[34]  Michael D Scott,et al.  Randomized Trial Testing a Worksite Sun Protection Program in an Outdoor Recreation Industry , 2005, Health education & behavior : the official publication of the Society for Public Health Education.

[35]  U. Osterwalder,et al.  Photoprotection: a Review of the Current and Future Technologies , 2010, Dermatologic therapy.

[36]  K. Glanz,et al.  Validity of self-reported sunscreen use by parents, children, and lifeguards. , 2009, American journal of preventive medicine.

[37]  K. Glanz,et al.  Measured occupational solar UVR exposures of lifeguards in pool settings. , 2009, American journal of industrial medicine.

[38]  G. Swanson,et al.  Use of skin-cancer prevention strategies among farmers and their spouses. , 1995, American journal of preventive medicine.

[39]  P. Buettner,et al.  Workplace sun protection policies and employees' sun-related skin damage. , 2008, American journal of health behavior.

[40]  D. Kang,et al.  Factors Related to Cigarette Smoking Initiation and Use among College Students , 2005, Tobacco induced diseases.