Perceived Relevance of Educative Information on Public (Skin) Health: A Cross-sectional Questionnaire Survey
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Objectives: Unprotected leisure time exposure to ultraviolet radiation from the sun or artificial tanning beds is the most important environmental risk factor for melanoma, a malignant skin cancer with increasing incidences over the past decades. The aim of the present study was to assess the impact of skin health information provided by several sources and different publishing issues on knowledge, risk perception, and sun protective behavior of sunbathers. Methods: A cross-sectional questionnaire survey was conducted among Austrian residents (n=563) spending leisure time outdoors in August 2010. Results: Print media, television, and family were perceived as the most relevant sources of information on skin health, whereas the source physician was only ranked as fourth important source. Compared to other sources, information provided by doctors positively influenced participants’ knowledge on skin risk and sun protective behavior resulting in higher scores in the knowledge test (p=0.009), higher risk perception (p<0.001), and more sun protection (p<0.001). Regarding gender differences, internet was more often used by males as health information source, whereas females were more familiar with printed information material in general. Conclusions: The results of this survey put emphasis on the demand for information provided by medical professionals in order to attain effective, long-lasting promotion of photoprotective habits.
Abstract
Objectives: Unprotected leisure time exposure to ultraviolet radiation from the sun or artificial tanning beds is the most important environmental risk factor for melanoma, a malignant skin cancer with increasing incidences over the past decades. The aim of the present study was to assess the impact of skin health information provided by several sources and different publishing issues on knowledge, risk perception, and sun protective behavior of sunbathers. Methods: A cross-sectional questionnaire survey was conducted among Austrian residents (n=563) spending leisure time outdoors in August 2010. Results: Print media, television, and family were perceived as the most relevant sources of information on skin health, whereas the source physician was only ranked as fourth important source. Compared to other sources, information provided by doctors positively influenced participants’ knowledge on skin risk and sun protective behavior resulting in higher scores in the knowledge test (p=0.009), higher risk perception (p<0.001), and more sun protection (p<0.001). Regarding gender differences, internet was more often used by males as health information source, whereas females were more familiar with printed information material in general. Conclusions: The results of this survey put emphasis on the demand for information provided by medical professionals in order to attain effective, long-lasting promotion of photoprotective habits.
참고문헌 (30)
- Cui R, "Central role of p53 in the suntan response and pathologic hyperpigmentation", Cell, 128(5), pp.853~864 (2007)
- Purdue MP, "Tucker MA. Recent trends in incidence of cutaneous melanoma among US Caucasian young adults", J Invest Dermatol, 128(12), pp.2905~2908 (2008)
- Køster B, "Prevalence of sunburn and sun-related behaviour in the Danish population: a cross-sectional study", Scand J Public Health, 38(5), pp.548~552 (2010)
- Cafri G, "Appearance reasons for tanning mediate the relationship between media influence and UV exposure and sun protection", Arch Dermatol, 142(8), pp.1067~1069 (2006)
- Falk M, "Prevention of skin cancer in primary healthcare: an evaluation of three different prevention effort levels and the applicability of a phototest", Eur J Gen Pract, 14(2), pp.68~75 (2008)
- Robinson JD, "Healthcare providers’ sun-protection promotion and atrisk clients’ skin-cancer-prevention outcomes", Prev Med, 38(3), pp.251~257 (2004)
- Armstrong AW, "Effects of video-based, online education on behavioral and knowledge outcomes in sunscreen use: a randomized controlled trial", Patient Educ Couns, 83(2), pp.273~277 (2011)
- Housman TS, "Skin cancer is among the most costly of all cancers to treat for the Medicare population", J Am Acad Dermatol, 48(3), pp.425~429 (2003)
- Ekwueme DU, "The health burden and economic costs of cutaneous melanoma mortality by race", ethnicity-United States, 2000 to 2006, 2011, pp.65(5-1), 133~S143
- "Hindcast weather data for August 2010, 2011" (2011)[URL]
- Fitzpatrick TB, "The validity and practicality of sun-reactive skin types I through VI", Arch Dermatol, 124(6), pp.869~871 (1988)
- Cafri G, "Appearance motives to tan and not tan: evidence for validity and reliability of a new scale", Ann Behav Med, 35(2), pp.209~220 (2008)
- El Sayed F, "Photoprotection in teenagers", Photodermatol Photoimmunol Photomed, 22(1), pp.18~21 (2006)
- Fehér K, "Skin cancer risk factors among primary school children: investigations in Western Hungary", Prev Med, 51(3-4), pp.320~324 (2010)
- Ferketich S, "Focus on psychometrics. Internal consistency estimates of reliability", Res Nurs Health, 13(6), pp.437~440 (1990)
- Irwin B, "Skin sun-acne tutorial evaluation among middle- and highschool students in central New Jersey", J Am Acad Dermatol, 56(3), pp.407~412 (2007)
- Rouhani P, "Knowledge, attitudes, and behaviors of elementary school students regarding sun exposure and skin cancer", Pediatr Dermatol, 26(5), pp.529~535 (2009)
- Donavan DT, "Sun-safety behavior among elementary school children: the role of knowledge, social norms, and parental involvement", Psychol Rep, 84(3-1), pp.831~836 (1999)
- Weinstein JM, "Parental knowledge and practice of primary skin cancer prevention: gaps and solutions", Pediatr Dermatol, 18(6), pp.473~477 (2001)
- Suppa M, "Knowledge, perceptions and behaviours about skin cancer and sun protection among secondary school students from Central Italy", J Eur Acad Dermatol Venereol (2012)[DOI]
- Buller DB, "Prevalence of sunburn, sun protection, and indoor tanning behaviors among Americans: review from national surveys and case studies of 3 states", J Am Acad Dermatol, 65(5-1), pp.114~S123 (2011)
- Fears TR, "Sunbeds and sunlamps: who used them and their risk for melanoma", Pigment Cell Melanoma Res, 24(3), pp.574~581 (2011)
- Bichakjian CK, "Melanoma information on the Internet: often incomplete--a public health opportunity?", J Clin Oncol, 20(1), pp.134~141 (2002)
- Jung GW, "Likelihood of dermatology patients to inquire about sun protection measures during a regular clinic visit", J Cutan Med Surg, 15(5), pp.266~274 (2011)
- Jung GW, "Ineffectiveness of sun awareness posters in dermatology clinics", J Eur Acad Dermatol Venereol, 24(6), pp.697~703 (2010)
- Isvy A, "Medical students and sun prevention: knowledge and behaviours in France", J Eur Acad Dermatol Venereol, 27(2), pp.247~e251 (2013)
- Thomas K, "Appearance matters: the frame and focus of health messages influences beliefs about skin cancer", Br J Health Psychol, 16(2), pp.418~429 (2011)
- Murchie P, "Pigmented lesions, cutaneous melanoma, and future challenges for primary care", Eur J Gen Pract, 13(3), pp.151~154 (2007)
- Kim SS, "The effects of physician empathy on patient satisfaction and compliance", Eval Health Prof, 27(3), pp.237~251 (2004)
- Kottke TE, "Counseling: implementing our knowledge in a hurried and complex world", Am J Prev Med, 17(4), pp.295~298 (1999)