Healthcare providers' sun-protection promotion and at-risk clients' skin-cancer-prevention outcomes

Prev Med. 2004 Mar;38(3):251-7. doi: 10.1016/j.ypmed.2003.10.003.

Abstract

Background: This study aims to determine whether healthcare providers' (HCPs') communication dealing with sun-protection (i.e., counseling) is associated with clients' skin-cancer-related prevention practices, detection self-efficacy, and knowledge.

Methods: Secondary analysis of two surveys of 1,469 randomly sampled farmers and soccer participants from southeast and coastal Georgia.

Results: Farmers and soccer participants who report ever having been counseled by a HCP about how to protect their skin from the sun report being more likely to wear sunscreen (P < 0.05), get clinical exams of their skin (P < 0.001), be certain that they can recognize unhealthy changes in their skin (P < 0.001), be certain that they know how to perform a skin exam (P < 0.001), and be knowledgeable about skin cancer prevention (P < 0.05 and P < 0.001, respectively); soccer participants are additionally more likely to wear protective headgear (P < 0.05) and perform monthly self-exams of their skin (P < 0.001). All analyses incorporated three control variables: participants' prior history of skin cancer, age, and non-HCP-derived skin-cancer awareness.

Conclusions: Findings suggest that HCPs' counseling can positively shape skin-cancer-related prevention practices, detection self-efficacy, and knowledge. Additional research is needed on HCPs' actual communication about skin cancer and sun protection and its influence on client outcomes.

Publication types

  • Research Support, U.S. Gov't, P.H.S.
  • Review

MeSH terms

  • Agriculture*
  • Female
  • Georgia
  • Health Knowledge, Attitudes, Practice*
  • Health Promotion / methods*
  • Humans
  • Male
  • Occupational Exposure / adverse effects*
  • Protective Clothing / statistics & numerical data
  • Regression Analysis
  • Risk Factors
  • Skin Neoplasms / etiology
  • Skin Neoplasms / prevention & control*
  • Soccer
  • Sunscreening Agents / administration & dosage*
  • Sunscreening Agents / therapeutic use
  • Surveys and Questionnaires

Substances

  • Sunscreening Agents