DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20211980

Comparison of the knowledge level of individuals living in rural and urban areas about skin cancer and sun protection

Elif Erdogan, Aynur Uysal Toraman

Abstract


Background: Among the types of cancer, skin cancer stands out due to its increasing incidence rate both in Turkey and around the world. This study was conducted to compare the knowledge level of the people living in rural and urban areas about skin cancer and sun protection.

Methods: The study was conducted with 384 people living in Kirazlı village (rural area) and Türkmen district (urban area) in Kuşadası. Kuşadası town is located in Turkey's western region. Individual’s skin cancer and sun protection knowledge levels were evaluated with Skin Cancer and Sun Knowledge Scale consisting of 25 items.

Results: As a result of this evaluation, the median values were 12.5 for the people living in rural areas and 15 for the people living in urban areas. It was found that there was a statistically meaningful difference between skin cancer and sun knowledge scale points of the people living in rural and urban areas (U=9419.5, p<0.01).

Conclusions: This study concludes that individuals from urban populations were more knowledgeable than the ones from rural populations in the field of skin cancer and the sun protection behavior.


Keywords


Skin cancer, Ultraviolet radiation, Sun protection factor, Rural populations, Urban populations, Public health nursing

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References


IARC. (2014). World Cancer Report 2014. In International Agency for Research on Cancer. Available at: https://publications.iarc.fr/Non-Series-Publications/World-Cancer-Reports/World-Cancer-Report-2014. Accessed on 20 March 2021.

Torre LA, Bray F, Siegel RL. Global Cancer Statistics, 2012. CA: a cancer journal for clinicians. 2015;65:87-108.

Gordon R. Skin cancer: An Overview of Epidemiology and Risk Factors. Seminars in Oncology Nursing. 2013;29:160-9.

Robertson F, Marie L, Fitzgerald L. Skin cancer in the youth population of the United Kingdom. Journal of Cancer Policy. 2017;12:67-71.

The Global Cancer Observatory. Non-melanoma Skin Cancer-Source: Globocan 2018. 2019URL http://gco.iarc.fr/today. Accessed on 20th April 2020.

The Global Cancer Observatory. Melanoma of Skin-Source: Globocan 2018. 2019URL http://gco.iarc.fr/today. Accessed on 20 April 2020.

Ferlay J, Soerjomataram I, Ervik M. Globocan 2012 v1.0, Cancer Incidence and Mortality Worldwide: IARC Cancer Base No. Available at: http://globocan.iarc.fr. Accessed on 20 March 2021.

The Global Cancer Observatory. Turkey-Source: Globocan 2018. 2018URL http://gco.iarc.fr/today/data/factsheets/populations/792-turkey-fact-sheets.pdf. Accessed on 24 April 2020.

Türkiye İstatistik Kurumu. Türkiye Ölüm Nedeni İstatistikleri. 2018. http://www.tuik.gov.tr/PreTablo.do?alt_id=1083. Accessed on 10 May 2019.

Hobbs C, Nahar VK, Ford MA. Skin Cancer Knowledge, Attitudes, and Behaviors in Collegiate Athletes. Journal of Skin Cancer. 2014:1-7.

World Health Organization. World Meteorological Organization. Atlas Of Health And Climate. Geneva, 201. www.who.int/bookorders. Accessed on 10 May 2019.

Zahnd WE, Goldfarb J, Scaife SL, Francis ML. Rural-urban differences in behaviors to prevent skin cancer: An analysis of the Health Information National Trends Survey. Journal of the American Academy of Dermatology. 2010;62:950-6.

Güneş GU, Derimiz SV. Ankara Medical Journal. 2015;15:145-52.

Reichrath J. Sunlight, Vitamin D, Skin Cancer. Advances in Experimental Medicine and Biology. 2008;624:1-313.

Meteoblue. İklim Kuşadası. 2020. https://www.meteoblue.com/tr/hava/historyclimate/climatemodelled/kuşadası_türkiye_305359. Accessed on 19 April 2020.

Erdoğan S, Nahcivan N, Esin N. Hemşirelikte Araştırma Süreç, Uygulama ve Kritik. İstanbul, Nobel Tıp Kitapevi. 2015.

Day AK, Wilson CJ, Hutchinson AD, Roberts RM. The role of skin cancer knowledge in sun-related behaviours: A systematic review. Journal of Health Psychology. 2014;19:1143-62.

Day AK, Wilson C, Roberts RM, Hutchinson AD. The Skin Cancer and Sun Knowledge (SCSK) Scale: Validity, Reliability, and Relationship to Sun-Related Behaviors Among Young Western Adults. Health Education and Behavior. 2014;41:440-8.

Falk M, Anderson CD. Influence of age, gender, educational level and self-estimation of skin type on sun exposure habits and readiness to increase sun protection. Cancer Epidemiology. 2013;37:127-32.

Fischer AH, Wang TS, Yenokyan G. Sunburn and sun-protective behaviors among adults with and without previous nonmelanoma skin cancer (NMSC): A population-based study. Journal of the American Academy of Dermatology. 2016;75:371-9.

Haney MO, Bahar Z, Beser A. Psychometric Testing of the Turkish Version of the Skin Cancer and Sun Knowledge Scale in Nursing Students. Journal of Cancer Education 2016.

Keeney S, McKenna H, Fleming P, McIlfatrick S. Attitudes, knowledge and behaviours with regard to skin cancer: A literature review. European Journal of Oncology Nursing. 2009;13:29-35.

Boztepe A, Özsoy S, Erkin Ö. The knowledge and practices of cleaning workers concerning sun protection. International Journal Of Occupational Health and Public Health Nursing. 2014;1:65-79.

Göl İ, Erkin Ö. Knowledge and practices of primary care providers on skin cancer and skin self-examination. Revista da Escola de Enfermagem da U S P. 2018;52:e03359.

Malak AT, Yildirim P, Yildiz Z, Bektaş M. Effects of training about skin cancer on farmers’ knowledge level and attitudes. Asian Pacific Journal of Cancer Prevention. 2011;12:117-20.

Uysal A, Özsoy SA, Ergül Ş. Öğrencilerin Cilt Kanseri Risklerinin Ve Güneş Işınlarından Korunmaya Yönelik Uygulamalarının Değerlendirilmesi. Ege Tıp Dergisi. 2004;43:95-9.

U.S. Department of Health and Human Services. The Surgeon General’s Call to Action to Prevent Skin Cancer. Washington, 2014URL https://www.surgeongeneral.gov/library/calls/prevent-skin-cancer/call-to-action-prevent-skin-cancer.pdf. Accessed on 24 April 2020.

Dağhan Ş, Erkin Ö, Aksoy D. Skin Cancer Risks and Practices of Farmers in Turkey. Journal of Agriculture and Environmental Sciences. 2014;3:27-42.

Nahar VK, Ford MA, Hallam JS. Skin cancer knowledge, beliefs, self-efficacy, and preventative behaviors among north mississippi landscapers. Dermatology Research and Practice. 2013;1-7.

Gaetano DE, Hodge B, Clark A. Preventing Skin Cancer among a Farming Population. AAOHN Journal. 2009;57:24-31.

Dag S, Hisar F. Açık alanda çalışan işçilerin cilt kanserine yönelik bilgi ve uygulamalarının saptanması. TAF Preventive Medicine Bulletin. 2016;15:532-6.

Carley A, Stratman E. Skin Cancer Beliefs, Knowledge, and Prevention Practices: A Comparison of Farmers and Nonfarmers in a Midwestern Population. Journal of Agromedicine. 2015;20:85-94.

Duncan MJ, Kerry Mummery W, Kift RL. Geographical location and sunburn in Queensland adults. Australian Journal of Rural Health. 2008;16:181-2.

Smit-Kroner C, Brumby S. Farmers sun exposure, skin protection and public health campaigns: An Australian perspective. Preventive Medicine Reports. 2015;2:602-7.

Zink A, Wurstbauer D, Rotter M. Do outdoor workers know their risk of NMSC? Perceptions, beliefs and preventive behaviour among farmers, roofers and gardeners. Journal of the European Academy of Dermatology and Venereology. 2017;31:1649-54.