DOI: http://dx.doi.org/10.18203/issn.2455-4529.IntJResDermatol20181397

Awareness, knowledge and behavior of medical personnel regarding skin cancer, sun-related hazards and sunscreen utilization at King Abdulaziz University Hospital, Jeddah

Nujood A. Alzahrani, Traji T. Fathi, Hatan H. Mortada, Dania A. Bukhari, Nshwa M. Ashor, Nouf T. Mleeh, Mohammed H. Abduljabbar, Jehad O. Hariri

Abstract


Background: Worldwide, skin cancer is a major public health concern. It is a common malignancy in Saudi Arabia. The three most prevalent types of skin cancer are basal cell carcinoma, squamous cell carcinoma and melanoma. Exposure to ultraviolet (UV) radiation is the most common modifiable risk factor to lower the risk of the leading types of skin cancer. Practicing protective measures can aid in decreasing the risk of developing skin malignancies.

Methods: Data collection took place at King Abdul-Aziz University Hospital, Jeddah, Saudi Arabia. This cross-sectional study was conducted via a structured self-administered questionnaire among medical personnel.

Results: The majority (81.9%) of the sample participants were Saudi citizens. Moreover, medical students of 4th year, 5th year and 6th year represented half of the sample. Mean±SD values for the knowledge, behavior, and awareness scores were 6.85±3.31, 8.57±5.00, and 17.75±7.05 respectively. There was no statistically significant difference in mean awareness score for the various categories of demographic variables. One-way-ANOVA revealed statistically significant difference among the different job titles in terms of awareness score with a p value <0.001.

Conclusions: The results of this study have shown that the knowledge regarding skin cancer and behavior towards sun exposure is inadequate. Therefore, increasing the knowledge in the form of awareness campaigns is highly recommended.

 


Keywords


Skin cancer, Knowledge, Behavior, Sunscreen, Medical personnel

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References


World Health Organization. Skin cancers. Available at: http://www.who.int/uv/faq/skincancer/en/ index1.html. Accessed on 12 March 2018.

Ghdx.healthdata.org. Saudi Cancer Registry GHDx. Available at: http://ghdx.healthdata.org/ organizations/saudi-cancer-registry. Accessed on 12 March 2018.

Rogers HW, Weinstock MA, Harris AR, Hinckley MR, Feldman SR, Fleischer AB, et al. Incidence estimate of nonmelanoma skin cancer in the United States, 2006. Archives of dermatology. 2010;146(3):283-7.

Stern RS. Prevalence of a history of skin cancer in 2007: results of an incidence-based model. Archives of dermatology. 2010;146(3):279-82.

Corona R. Epidemiology of nonmelanoma skin cancer: a review. Annali-Istituto Superiore Di Sanita. 1996;32:37-42.

Magnus K. The Nordic profile of skin cancer incidence. A comparative epidemiological study of the three main types of skin cancer. International journal of cancer. 1991;47(1):12-9.

Olson AL, Gaffney CA, Starr P, Dietrich AJ. The impact of an appearance-based educational intervention on adolescent intention to use sunscreen. Health Edu Res. 2007;23(5):763-9.

Armstrong, Bruce K. How sun exposure causes skin cancer: an epidemiological perspective." Prevention of skin cancer. Springer, Dordrecht; 2004: 89-116.

Coups EJ, Manne SL, Heckman CJ. Multiple skin cancer risk behaviors in the US population. American J Prevent Med. 2008;34(2):87-93.

Nahar V, Ford M, Hallam J, Bass M, Vice M. Sociodemographic and Psychological Correlates of Sun Protection Behaviors among Outdoor Workers: A Review. J Skin Cancer. 2013;2013:1-10.

Al-Eid H. Cancer Incidence Report, Saudi Arabia 2010. Kingdom of Saudi Arabia: Ministry of Health, Saudi cancer registry; 2014;14:103.

Alamri F, Saeedi MY, Alharbi M, Ali AM, Ibrahim AK. Skin Cancer and Its Correlates: A Study of Knowledge and Preventive Behavior in Riyadh. Cancer Clin Oncol. 2015;5(1):11.

Baybay H, Atassi M, Elfakir S, Gallouj S, Meziane M, Mernissi FZ. Skin cancer knowledge and attitudes in the region of Fez, Morocco: a cross-sectional study. BMC dermatology. 2017;17(1):2.

Isvy A, Beauchet A, Saiag P, Mahe E. Medical students and sun prevention: knowledge and behaviours in France. J Eur Acad Dermatol Venereol. 2013;27(2):e247-51.

Yilmaz M, Yavuz B, Subasi M, Kartal A, Celebioglu A, Kacar H, et al. Skin cancer knowledge and sun protection behavior among nursing students. Japan Journal of Nursing Science. 2015;12(1):69-78.

Centers for Disease Control Prevention. Survey of knowledge of and awareness about melanoma. United States: MMWR Morb Mortal Wkly Rep. 1996;45(17):346-9.

Suppa M, Cazzaniga S, Fargnoli MC, Naldi L, Peris K. Knowledge, perceptions and behaviours about skin cancer and sun protection among secondary school students from Central Italy. Journal of the Eur Acad Dermatol Venereol. 2013;27(5):571-9

Thomas M, Rioual E, Adamski H, Roguedas AM, Misery L, Michel M, et al. Physicians involved in the care of patients with high risk of skin cancer should be trained regarding sun protection measures: evidence from a cross sectional study. J Eur Acad Dermatol Venereol. 2011;25(1):19-23.

Miles A, Waller J, Hiom S, Swanston D. SunSmart. Skin cancer knowledge and preventive behaviour in a British population representative sample. Health Educ Res. 2005;20(5):579-85.

Avagyan, G. Skin Cancer Knowledge, Attitudes, and Practices Among Residents of Yerevan, Armenia. (master), American University of Armenia College of Health Sciences, 2009. Available at: http://auachsr.com/PDF/MPH/2009/Avagyan,%20Gayane.pdf. Accessed on 3 August 2017.

Kristjánsson S, Ullén H, Helgason ÁR. The importance of assessing the readiness to change sun-protection behaviours: a population-based study. European Journal of Cancer. 2004;40(18):2773-80.

Cinar ND, Cinar S, Karakoc A, Ucar F. Knowledge, attitudes and behaviors concerning sun protection/skin cancer among adults in Turkey. Pak J Med Sci. 2009;25(1):108-12.

Hobbs C, Nahar VK, Ford MA, Bass MA, Brodell RT. Skin cancer knowledge, attitudes, and behaviors in collegiate athletes. J Skin Cancer. 2014;2014.

Duarte AF, Correia B, Picoto A, Costa Pereira A, Nagore E, Correia O. Behaviour towards sun exposure, skin self‐examination and skin cancer knowledge of educators, health professionals and the general population–cross‐sectional study. J Eur Acad Dermatol Venereol. 2017;31(2):132-5.

Anand P, Kunnumakara AB, Sundaram C, Harikumar KB, Tharakan ST, Lai OS, et al. Cancer is a preventable disease that requires major lifestyle changes. Pharm Res. 2008;25(9):2097-116.