Determining the Relationship Between Skin Cancer and Sun Knowledge and Behavior in Adults Living in an Region with Four Seasons of Sun

Purpose: This study aims to determine the relationship between skin cancer and sun knowledge and sun protection behavior of adults living in Dikmen region. Methods: The type of research was cross-sectional. From the population served by the primary health care center (N=1078) located in Dikmen region, the sample of n=284 individuals who applied to the health center while the study was being conducted and volunteered to participate in the study were taken. The data were collected with the 'Socio-Demographic data form', 'Fitzpatrick Skin Type Scale', 'Skin Cancer and Sun Information Scale' and 'Sun Protection Behavior Scale'. Frequency, percentage, mean, Independent t Test, One-way Anova and Pearson Correlation Test were used for data analysis. Results: Participants had the mean age of 49.04±17.65 and 53.2% of them were female. When the skin types of participants were examined according to the Fitzparick classification, it was found that 32.7% of them had average skin color and there were no individuals with very dark/black skin. The 'Skin cancer and sun knowledge scale' of the participants were determined as 12.88±2.51 (min:7.0; max:21.0). The total mean score of the participants in the 'Sun protection behavior scale' was 23.67±6.84 (min:8.0; max:40.0). A positive, weak, statistically valuable relationship was realized between the participants' overall mean score of the 'Skin Cancer and Sun Information Scale' and the total mean score of the 'Sun Protection Behavior Scale' (p

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  • 1. Gül Ü. Sun, Heat and Our Skin. Ankara Med J. 2015; 15(3):145-152.
  • 2. Cadet J, Douki T. Formation of UV-induced DNA damage contributing to skin cancer development. Photochemical & Photobiological Sciences 2018;17: 1816-1841.
  • 3. Leiter U, Eigentler T, Garbe C. Epidemiology of skin cancer. Sunlight, vitamin D and skin cancer 2014;8(10):120-140.
  • 4. TRNC Meteorogy. Available at:http://kktcmeteor.org/meteorolojikbilgi/kibris-iklimi erişim tarihi 05.07.2021 Accessed:18.09.2021
  • 5. American Cancer Society. Available at: https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/annual-cancer-facts-and-figures/2020/estimated-number-of-new-cancer-cases-and-deaths-by-sex-2020.pdf Accessed:18.09.2021
  • 6. Türkiye Kanser İstatistikleri 2020, Mustafa Özdoğan, Available at:https://www.drozdogan.com/turkiye-kanser-istatistikleri-2020/ Accessed:18.09.2021
  • 7. TRNC Statistical Agency. Available at: http://www.stat.gov.ct.tr/IST-YIL-2019.aspx Accessed:18.09.2021
  • 8. Sümen A, Öncel S. Knowledge levels of kinder garten teacherabout skin cancer, sun protection behaviors, and affecting factors. Journal of Cancer Education 2020;1-7.
  • 9. Fitzpatrick T B. The validity and practicality of sun-reactive skin types I through VI. Archives of Dermatology 1988;124:869-871.
  • 10. Haney M O, Bahar Z, Beser A, Arkan G, Cengiz B. Psychometric testing of the Turkish version of the skin cancer and sun knowledge scale in nursing students. Journal of Cancer Education 2018;33(1):21–28.
  • 11. Aygun O, Ergun A. Validity and Reliability of Sun Protection Behavior sacale among Turkish Adolescent Populatin. Asian Nursing Research 2015;9:235-242.
  • 12. Özpoyraz M, Yücel A. Ultraviolet and photoaging. Turkish Clinics Journal of Cosmetology 2004;5:145-148.
  • 13. WHO, (2003). Radiation: Sun Protection. Available at: https://www.who.int/news-room/q-a-detail/radiation-sun-protection Accessed:18.09.2021
  • 14. Apalla Z, Nashan D, Weller RB, Castellasague X. Skin cancer: epidemiology, diseaseburden, pathophysiology, diagnosis, and therapeutic approaches. Dermatology and Therapy 2017(1);7:5-19.
  • 15. Altunkurek SZ, Kaya E. Parents' knowledge and understanding of skin cancer and skin self-examination and behaviors to protect their children from the sun. European Journal of Oncology Nursing. 2021 Feb 1;50:101884.
  • 16. Altunkürek ŞZ, Kaya E. The Effect of Sun Protection Self-Efficacy on Sun Protection Behavior of 8th Grade Students in a Middle School in Ankara. University of Health Sciences Journal of Nursing 2020;2(3):137-144.
  • 17. Balcı E, Durmuş H, Arslantaş EE, :Gun I. Knowledge, attitudes and behaviors of adults applying to primary health care ınstitutions on the harmful effects of the sun and ways of protection. Turkish Journal of Dermatology 2018;12:96-99.
  • 18. Yan S, Xu F, Yang C, et al: Demographic differences in sun protection beliefs and behavior: a community-based study in Shanghai, China. Int J Environ Res Public Health 2015;12:3232-45.
  • 19. Terzi S, Başak P Y, Erturan I. Investigation of knowledge, attitudes and behaviors related to the harmful effects of the sun and ways of protection in patients who applied to the polyclinic. Turkish Archives of Dermatology &Venerology / Turkderm 2017;51.
  • 20. Sotoudeh A, Mahmoodabad S S M, Fallahzadeh H et al. A qualitative study of perceived cost of response in skin cancer prevention behaviours: thecase of ıraniansailors’ perceptions. Annals of Medical and Health Sciences Research 2019;9:649-654
  • 21. Hubbard G, Kyle R G, Neal R D et al. Promoting sun screen useand skin self-examination to improve early detection and prevent skin cancer: quasi-experimental trial of an adolescentpsycho-educational intervention. BMC PublicHealth 2018;18:666.
  • 22. Skin Cancer Foundation, Available at:https://www.skincancer.org/skincancer-information/skin-cancer-facts/ Accessed:18.09.2021
  • 23. Abedini R,Nasimi M, Pour P et al. Skin cancer awareness and sun protection behavior before and following treatment among skin cancer-treated patients. Journal of CancerEducation 2019;34:285-290.