Effects of Training about Skin Cancer on Farmers' Knowledge Level and Attitudes

Malak, Arzu Tuna;Yildirim, Pinar;Yildiz, Zuleyha;Bektas, Murat

  • Published : 20110100

Abstract

Background: Skin cancer is one of the most common types of cancer. As farmers stay under sun for a long time and handle many different chemicals, they are at risk. This study was carried out to examine the effects of training for protection on their knowledge level and attitudes. Method: The subjects were 194 farmers living in a village in Marmara region which most benefits from the sun in Turkey. No sampling was performed. Data were collected before and after six months of training through a personal description form and skin cancer attitudeknowledge form and analyzed using percentage calculations, McNeamer test and t-test in dependent groups. Results: Knowledge level of farmers on skin cancer and the protection from skin cancer was significantly increased after the training (p<0.01) regarding use of sun cream, umbrellas, swimming and traditional behavior (p<.01) but not use of hats, sunglasses and long-sleeved shirts (p>0.01). A significant decrease was also determined in tampering with moles, acnes and scars (p<.01). Conclusion: The training given to farmers for protection against skin cancer was found effective for improving knowledge levels and attitudes. Planned and regular education should decrease the skin cancer rate among farmers.

Keywords

References

  1. Armstrong B (2004). How sun exposure causes skin cancer: An epidemiologic perspective. In Prevention of Skin Cancer Edited by: Hill D, Elwood JM, English DR. Dordrecht, the Netherlands: Kluwer Academic Publishers; 89-116.
  2. Azizi E, Flint P, Sadetzki S, et al (2000). A graded work site intervention program to improve sun protection and skin cancer awareness in outdoor workers in Israel. Cancer Causes Control, 11, 513-21. https://doi.org/10.1023/A:1008970224998
  3. Bandura A (1989). Social cognitive theory. In R. Vasta (Ed.), Annals of child development. Vol.6. Six theories of child development (pp. 1-60). Greenwich, CT: JAI Press.
  4. Bilir N (2007). Mesleksel Hastaliklar. Turkiye'de Kanser Kontrolu. Ulusal Kanser Danisma Kurulu, Ankara . Ulasim Tarihi 29.10.2010. http://www.ukdk.org/pdf/kitap/20.pdf.
  5. Cinar ND, Cinar S, Karakoc A, et al (2009). Knowledge, attitudes and behaviours concerning sun protection/ skin cancer among adults in Turkey. Pak Med J Sci, 25, 108-12.
  6. Diffey BL (2003). A quantitative estimate of melanoma mortality from ultraviolet absunbed use in the UK. Br J Dermatol, 149, 578-81. https://doi.org/10.1046/j.1365-2133.2003.05420.x
  7. Dinehart SM and Alstadt K (2002). Use of alternative therapies by patients undergoing surgery for nonmelanoma skin cancer. Dermatol Surg, 28, 443-6.
  8. Dobbinson S, Doyle C, Wakefield M (2005). Farmers' and outdoor workers' beliefs about skin cancer and protection from summer sun: a brief report. CBRC Research Paper Series No. 18. Victoria.
  9. Elwood JM and Jopson J (1997). Melanoma and sun exposure: an overview of published studies. Int J Cancer, 73, 198-203. https://doi.org/10.1002/(SICI)1097-0215(19971009)73:2<198::AID-IJC6>3.0.CO;2-R
  10. Geller AC, Glanz K, Shigaki D, et al (2001).Impact of skin cancer prevention on outdoor aquatics staff: the pool cool program in Hawaii and Massachusetts. Prev Med, 33, 155-61. https://doi.org/10.1006/pmed.2001.0870
  11. Girgis A, Sanson-Fisher RW, Watson A (1994). A workplace intervention for increasing outdoor workers' use of solar protection. Am J Public Hlth, 84, 77-81. https://doi.org/10.2105/AJPH.84.1.77
  12. Glanz K, Chang L, Song V, et al (1998). Skin cancer prevention for children, parents, and caregivers: a field test of Hawaii's SunSmart program. J Am Acad Dermatol, 38, 413-7. https://doi.org/10.1016/S0190-9622(98)70498-0
  13. Glanz K, Maddock JE, Lew RA, et al (2001). A randomized trial of the Hawaii SunSmart program's impact on outdoor recreation staff. J Am Acad Dermatol, 44, 973-8. https://doi.org/10.1067/mjd.2001.113466
  14. Glanz K, Buller DB, Saraiya M (2007). Reducing ultraviolet radiation exposure among outdoor workers: State of the evidence and recommendations. Environmental Hlth, 6, 22.
  15. Hanrahan PF, Hersey P, Watson AB, et al (1995). The effect of an educational brochure on knowledge and early detection of melanoma. Aust J Public Hlth, 19, 270-4.
  16. Holman CD, Gibson IM, Stephenson M, et al (1983). Ultraviolet irradiation of human body sites in relation to occupation and outdoor activity: field studies using personal UVR dosimeters. Clin Exp Dermatol, 8, 269-77. https://doi.org/10.1111/j.1365-2230.1983.tb01779.x
  17. Jackson A, Wilkinson C, Hood K, et al (2000). Does experience predict knowledge and behavior with respect to cutaneous melanoma, moles, and sun exposure? Possible outcome measures. Behav Med, 26, 74-9. https://doi.org/10.1080/08964280009595754
  18. Kav S, Hanoglu Z, Algier L (2008). Turkiyede kanserli hastalarda tamamlayici ve alternatif tedavi yontemlerinin kullanimi: Literatur taramasi. Uluslararasi Hematoloji-Onkoloji Dergisi, 18, 32-8.
  19. Lombard D, Neubauer TE, Canfield D, et al (1991). Behavioral community intervention to reduce the risk of skin cancer. J Appl Behav Anal, 24, 677-86. https://doi.org/10.1901/jaba.1991.24-677
  20. Parrott R, Steiner C, Goldenhar L (1996). Georgia's harvesting health habits: a formative evaluation. J Rural Hlth, 12, 291-300. https://doi.org/10.1111/j.1748-0361.1996.tb00818.x
  21. Rosenman KD, Gardiner J, Swanson GM, et al (1995). Use of skin-cancer prevention strategies among farmers and their spouses. Am J Prev Med, 11, 342-7.
  22. Saglik Bakanligi (2009). Ulusal Kanser Programi 2009-2015. Kanserle Savas Daire Baskanligi, Saglik Bakanligi, Yayin no: 760, Ankara.
  23. Severi G and English DR (2004). Descriptive epidemiology of skin cancer. In Prevention of Skin Cancer Edited by: Hill D, Elwood JM, English DR. Dordrecht, the Netherlands: Kluwer Academic Publishers, 73-87.
  24. Silk KJ and Parrott RL (2006). All or Nothing . . . or Just a Hat? Farmers' Sun Protection Behaviors. Health Promot Pract, 7, 180-5. https://doi.org/10.1177/1524839905275401
  25. Sahin M (2009). Aile hekimliginde kanserden korumaya yonelik uygulama ve yaklasimlar. Aile Hekimligi Dergisi, 1, 59-65.
  26. Turgay AS, Sari D, Can M, et al (2005). Determination of sunburn and skincancer risk of outpatient in a dermatology polyclinic. Asian Pac J Cancer Prev, 6, 143-6.
  27. Weinstock MA, Rossi JS, Redding CA, et al (2002). Randomized trial of a multi-component stage-matched intervention to increase sun protection in at-risk beach bathers. Prev Med, 35, 584-92. https://doi.org/10.1006/pmed.2002.1114