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. 2023 Jun;38(3):1042-1049.
doi: 10.1007/s13187-022-02230-3. Epub 2022 Oct 25.

Sun Safety: Knowledge and Behavior among Egyptian Farmers-a Multicomponent Intervention Study

Dalia A El-Shafei  1   2 , Randa M Said  3
Affiliations

Sun Safety: Knowledge and Behavior among Egyptian Farmers-a Multicomponent Intervention Study

Dalia A El-Shafei et al. J Cancer Educ. 2023 Jun.

Abstract

The purpose of study was to screen for health hazards related to sun exposure and to examine the effectiveness of a sun safety multicomponent intervention designed specifically for the Egyptian farmers. A multicomponent interventional study was conducted among 128 farmers from three villages in Zagazig district, Sharkia Governorate, Egypt, from January to July 2022. It passed through three phases: phase 1: assessment of participants' risk of skin cancer and vision screening; phase 2: filling a semi-structured questionnaire assessing sun exposure hazards and sun safety knowledge, behavior, and barriers; and phase 3: conducting multicomponent intervention composed of education session, providing sun safety supplies and reminders then evaluate the effect of this intervention after one month. Most of participants had moderate risk for skin cancer (69.0%), history of photokeratitis (77.3%), cataract (15.6%), and bad/very bad self-reported overall eyesight (43.0%). After intervention, there was a statistically significant improvement in the participants' awareness regarding sun exposure-related hazards, all knowledge items about sun safety measures (p < 0.01) and some sun safety behaviors (p < 0.05) including wearing protective clothing, minimization of direct sunlight exposure, taking breaks, plentiful water intake, regular self-checking of skin, wearing wide brimmed hats, and job rotation. Furthermore, there was a statistically significant improvement in all sun protection barriers (p < 0.01) except sunscreen and sunglasses related barriers (p ˃ 0.05). The multicomponent intervention composed of education session, providing sun safety supplies and reminders was effective in increasing awareness of farmers with sun exposure hazards and improving their knowledge and behavior towards sun safety measures.

Keywords: Barriers; Behavior; Brief skin cancer risk assessment tool; Farmer; Knowledge; Skin cancer screening; Sun safety; Vision screening.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Graph 1
Graph 1
Risk of skin cancer among studied farmers
Graph 2
Graph 2
Evaluation of sun protection barriers among the studied farmers
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References

    1. Rye S, Janda M, Stoneham M, Crane P, Sendall M, Youl P, Tenkate T, Baldwin L, Perina H, Finch L, Kimlin M. Changes in outdoor workers’ sun-related attitudes, beliefs, and behaviors: a pre-post workplace intervention. J Occup Environ Med. 2014;56(9):e62–e72. doi: 10.1097/JOM.0000000000000244. - DOI - PubMed
    1. Reinau D, Weiss M, Meier CR, Diepgen TL, Surber C. Outdoor workers’ sun-related knowledge, attitudes and protective behaviours: a systematic review of cross-sectional and interventional studies. Br J Dermatol. 2013;168(5):928–940. doi: 10.1111/bjd.12160. - DOI - PubMed
    1. Yurtseven E, Ulus T, Vehid S, Köksal S, Bosat M, Akkoyun K. Assessment of knowledge, behaviour and sun protection practices among health services vocational school students. Int J Environ Res Public Health. 2012;9(7):2378–2385. doi: 10.3390/ijerph9072378. - DOI - PMC - PubMed
    1. Boyas JF, Nahar VK, Brodell RT. Skin protection behaviors among young male Latino day laborers: an exploratory study using a social cognitive approach. Dermatol Res Pract. 2016;2016:1479637. doi: 10.1155/2016/1479637. - DOI - PMC - PubMed
    1. Quandt SA, Schulz MR, Chen H, Arcury TA. Visual acuity and self-reported visual function among migrant farmworkers. Optomet Vis Sci. 2016;93(10):1189–1195. doi: 10.1097/OPX.0000000000000948. - DOI - PMC - PubMed

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