Postal Workers’ Occupational and Leisure-time Sun Safety Behaviors (United States)

Objectives United States Postal Service letter carriers are exposed to long bouts of UVR and thus are vulnerable to skin cancer. While previous studies have shown that occupational sun protection is often deficient, few studies have examined outdoor workers’ behavior during leisure time.Methods Subjects (n = 2,660) self-reported widebrim hat and sunscreen use over the past five workdays and past two non-working days using Likert-type scales. Generalized linear mixed models and generalized estimating equations were used to compare hat and sunscreen rates and predictors during occupational and leisure time.Results On average, carriers spent 3.9 h outside during workdays and 3.3 h during non-working days. Sunscreen and widebrim hat use during the workday is low and rates of use are significantly lower during non-working days.Conclusions Sun safety interventions for carriers should encourage sun protection at all times when outdoors.

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

[2]  P. Buettner,et al.  Sun-Related Behaviors of Outdoor Working Men with a History of Non-Melanoma Skin Cancer , 2002, Journal of occupational and environmental medicine.

[3]  B. Munoz,et al.  Ocular and facial skin exposure to ultraviolet radiation in sunlight: a personal exposure model with application to a worker population. , 1991, Health physics.

[4]  E. Delzell,et al.  Mortality among white and nonwhite farmers in North Carolina, 1976-1978. , 1985, American journal of epidemiology.

[5]  K Y Liang,et al.  Longitudinal data analysis for discrete and continuous outcomes. , 1986, Biometrics.

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

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

[8]  R. Parrott,et al.  Georgia's harvesting healthy habits: a formative evaluation. , 1996, The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association.

[9]  T. Fitzpatrick The validity and practicality of sun-reactive skin types I through VI. , 1988, Archives of dermatology.

[10]  P. Baade,et al.  Primary prevention of skin cancer: a review of sun protection in Australia and internationally. , 2004, Health promotion international.

[11]  K. Glanz,et al.  Factors Associated with Skin Cancer Prevention Practices in a Multiethnic Population , 1999, Health education & behavior : the official publication of the Society for Public Health Education.

[12]  Karen Glanz,et al.  Reducing ultraviolet radiation exposure to prevent skin cancer methodology and measurement. , 2005, American journal of preventive medicine.

[13]  Robin Marks M.B.B.S. M.P.H. An overview of skin cancers , 1995 .

[14]  J. Elwood Recent developments in melanoma epidemiology, 1993. , 1993, Melanoma research.

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

[16]  Bruce K. Armstrong,et al.  Sun exposure and non-melanocytic skin cancer , 1994, Cancer Causes & Control.

[17]  Chris Y. Lovato,et al.  Canadian National Survey on Sun Exposure & Protective Behaviours: Outdoor Workers , 2000, Canadian journal of public health = Revue canadienne de sante publique.

[18]  F S Rosenthal,et al.  Quantitative carcinogenesis in man: solar ultraviolet B dose dependence of skin cancer in Maryland watermen. , 1989, Journal of the National Cancer Institute.

[19]  N. Breslow,et al.  Approximate inference in generalized linear mixed models , 1993 .

[20]  J. Wong,et al.  Description of the use of a risk estimation model to assess the increased risk of non‐melanoma skin cancer among outdoor workers in Central Queensland, Australia , 2003, Photodermatology, photoimmunology & photomedicine.

[21]  Bruce K. Armstrong,et al.  Sunlight and cancer , 1997, Cancer Causes & Control.

[22]  C. Garbe,et al.  Predictors of the use of sunscreen in dermatological patients in Central Europe. , 2000, Preventive medicine.

[23]  Steven J Samuels,et al.  Use of protective equipment among California farmers. , 2002, American journal of industrial medicine.

[24]  B. Boreham,et al.  ANNUAL OCCUPATIONAL EXPOSURE TO ULTRAVIOLET RADIATION IN CENTRAL QUEENSLAND , 2001, Health physics.

[25]  S. Zeger,et al.  Longitudinal data analysis using generalized linear models , 1986 .

[26]  M G Kimlin,et al.  Evaluation of differences in ultraviolet exposure during weekend and weekday activities. , 2000, Physics in medicine and biology.

[27]  A. Holleb,et al.  American Cancer Society textbook of clinical oncology , 1991 .

[28]  D. Rigel,et al.  Trends in sun exposure knowledge, attitudes, and behaviors: 1986 to 1996. , 1997, Journal of the American Academy of Dermatology.

[29]  R. Marks,et al.  An overview of skin cancers. Incidence and causation. , 1995, Cancer.

[30]  Robin Marks,et al.  An overview of skin cancers , 1995, Cancer.

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

[32]  Elwood Jm Recent developments in melanoma epidemiology, 1993. , 1993 .