The Importance of Sunlight Exposure and Protection: A Cross-Sectional Study in Türkiye
Year 2025,
Volume: 14 Issue: 3, 531 - 538, 31.10.2025
Hüseyin Avni Eroğlu
,
Cemre Aydeğer
,
Şeyma Eroğlu
,
Damla Aykora
,
Berna Sert
Abstract
Objective: Ultraviolet (UV) radiation from sunlight provides numerous health benefits; however, excessive exposure can trigger inflammation, premature aging, and increase the risk of skin cancers. This study aimed to evaluate the sun protection behaviors of the general population. Materials and Methods: A total of 377 volunteers aged 18 years and older participated in the study. Data were collected via an online Google Form including demographic information, duration of sun exposure, sun protection methods, and the use of sunscreens with Sun Protection Factor (SPF). Sun protection behaviors were assessed using the Sun Protection Behavior Scale (SPBS). Results: The most commonly adopted sun protection methods were sunscreen application (74%) and wearing sunglasses (65.2%). Women used sunscreen significantly more frequently than men (p<0.0001) and predominantly preferred high-SPF products, mainly SPF 50 (all p<0.0001). Being a healthcare professional or student did not significantly influence sun protection behaviors (p>0.05). Conclusion: The findings indicate that women are more cautious regarding sun exposure, whereas healthcare profession affiliation does not affect protective behaviors. The study highlights the need to improve sun protection practices among men and raise awareness regarding the risks of excessive sun exposure. Public health professionals are encouraged to plan further educational interventions and awareness programs addressing the relationship between sun exposure and skin cancer development.
Ethical Statement
The authors declare no potential conflicts of interest with respect to the research, authorship and/or publication of this article.
Supporting Institution
This study did not receive any funding from a company.
References
-
Asil, E. U., Dagli, A., & Aygun, O. (2024). Sun protection knowledge and behaviors of agricultural workers in Turkey: a cross-sectional study. BMC Public Health, 24(1), 1–10. https://doi.org/10.1186/S12889-024-20121-8
-
Aygun, O., & Ergun, A. (2015). Validity and reliability of sun protection behavior scale among turkish adolescent population. Asian Nursing Research, 9(3), 235–242. https://doi.org/10.1016/J.ANR.2015.04.006
-
Bahashwan, E. (2024). Awareness and knowledge of sun exposure and use of sunscreen among adults in Aseer region, Saudi Arabia. Saudi Pharmaceutical Journal, 32(5), 102019. https://doi.org/10.1016/J.JSPS.2024.102019
-
Birinci, Ş., Demirkol, M. E., & Bağcı, H. H. (2020). Türkiye Kanser İstatistikleri 2020.
-
Bowers, J. M., Hamilton, J. G., Lobel, M., Kanetsky, P. A., & Hay, J. L. (2021). Sun exposure, tanning behaviors, and sunburn: examining activities associated with harmful ultraviolet radiation exposures in college students. Journal of Primary Prevention, 42(5), 425–440. https://doi.org/10.1007/S10935-021-00638-Z/TABLES/1
-
Brar, G., Dhaliwal, A., Brar, A. S., Sreedevi, M., Ahmadi, Y., Irfan, M., Golbari, R., Zumárraga, D., Yateem, D., Lysak, Y., & Abarca-Pineda, Y. A. (2025). A comprehensive review of the role of uv radiation in photoaging processes between different types of skin. Cureus. https://doi.org/10.7759/cureus.81109
-
Chang, Z., Chen, Y., Zhao, Y., Fu, J., Liu, Y., Tang, S., Han, Y., & Fan, Z. (2022). Association of sunshine duration with acute myocardial infarction hospital admissions in Beijing, China: A time-series analysis within-summer. Science of The Total Environment, 828, 154528. https://doi.org/10.1016/J.SCITOTENV.2022.154528
-
Cherrie, J. W., & Cherrie, M. P. C. (2022). Workplace exposure to UV radiation and strategies to minimize cancer risk. British Medical Bulletin, 144(1), 45–56. https://doi.org/10.1093/BMB/LDAC019
-
D’Orazio, J., Jarrett, S., Amaro-Ortiz, A., & Scott, T. (2013). UV radiation and the skin. International Journal of Molecular Sciences, 14(6), 12222–12248.
https://doi.org/10.3390/IJMS140612222
-
Garbe, C., Forsea, A. M., Amaral, T., Arenberger, P., Autier, P., Berwick, M., Boonen, B., Bylaite, M., del Marmol, V., Dreno, B., Fargnoli, M. C., Geller, A. C., Green, A. C., Greinert, R., Hauschild, A., Harwood, C. A., Hoorens, I., Kandolf, L., Kaufmann, R., ... Brochez, L. (2024). Skin cancers are the most frequent cancers in fair-skinned populations, but we can prevent them. European Journal of Cancer, 204, 114074. https://doi.org/10.1016/j.ejca.2024.114074
-
Grandi, C., & D’ovidio, M. C. (2020). Balance between health risks and benefits for outdoor workers exposed to solar radiation: an overview on the role of near infrared radiation alone and in combination with other solar spectral bands. International Journal of Environmental Research and Public Health, 17(4), 1357. https://doi.org/10.3390/IJERPH17041357
-
Gromkowska-Kępka, K. J., Puścion-Jakubik, A., Markiewicz-Żukowska, R., & Socha, K. (2021). The impact of ultraviolet radiation on skin photoaging — review of in vitro studies. Journal of Cosmetic Dermatology, 20(11), 3427–3431. https://doi.org/10.1111/JOCD.14033
-
International Agency for Research on Cancer (IARC). Cancer Today. (2025). Access Date: 05.05.2025 https://gco.iarc.fr/today/en/dataviz/pie?mode=population&group_populations=0
-
Kaundinya, T., Kundu, R.V. & Feinglass, J. (2023). The epidemiology of skin cancer by UV index: cross-sectional analysis from the 2019 behavioral risk factor surveillance survey. Archives of Dermatological Research, 315, 613–615. https://doi.org/10.1007/s00403-021-02313-z
-
Khan, A., Nazir, A., Rehman, A., Naveed, M., Ashraf, M., Iqbal, K., Basit, A., & Maqsood, H. S. (2020). A review of UV radiation protection on humans by textiles and clothing. International Journal of Clothing Science and Technology, 32(6), 869–890. https://doi.org/10.1108/IJCST-10-2019-0153
-
Luca, R. M., & Ponsonby, A. L. (2002). Ultraviolet radiation and health: Friend and foe. Medical Journal of Australia, 177(11–12), 594–598. https://doi.org/10.5694/J.1326-5377.2002.TB04979
-
McMichael, J. R., Veledar, E., & Chen, S. C. (2013). UV radiation protection by handheld umbrellas. JAMA Dermatology, 149(6), 757–758. https://doi.org/10.1001/JAMADERMATOL.2013.2519
-
Nicholson, A., Abbott, R., Wright, C. Y., Kamali, P., & Sinclair, C. (2025). Skin cancer prevention and sunscreens. BMJ, 390. https://doi.org/10.1136/bmj-2025-08512
-
Silva, E. S. D., Tavares, R., Paulitsch, F. D. S., & Zhang, L. (2018). Use of sunscreen and risk of melanoma and non-melanoma skin cancer: a systematic review and meta-analysis. European Journal of Dermatology, 28(2), 186–201. https://doi.org/10.1684/ejd.2018.3251
-
Singer, S., Karrer, S., & Berneburg, M. (2019). Modern sun protection. Current Opinion in Pharmacology, 46, 24–28. https://doi.org/10.1016/J.COPH.2018.12.006
-
Tang, X., Yang, T., Yu, D., Xiong, H., & Zhang, S. (2024). Current insights and future perspectives of ultraviolet radiation (UV) exposure: Friends and foes to the skin and beyond the skin. Environment International, 185, 108535. https://doi.org/10.1016/J.ENVINT.2024.108535
Güneş Işığına Maruz Kalmanın ve Korunmanın Önemi: Türkiye'de Kesitsel Bir Çalışma
Year 2025,
Volume: 14 Issue: 3, 531 - 538, 31.10.2025
Hüseyin Avni Eroğlu
,
Cemre Aydeğer
,
Şeyma Eroğlu
,
Damla Aykora
,
Berna Sert
Abstract
Amaç: Güneşten kaynaklanan ultraviyole (UV) ışınları insan sağlığına birçok fayda sağlasa da aşırı maruziyet inflamasyon, erken yaşlanma ve deri kanserleri riskini artırmaktadır. Bu çalışmanın amacı, toplumun güneşten korunma davranışlarını değerlendirmektir. Gereç ve Yöntem: Çalışmaya 18 yaş ve üzeri 377 gönüllü katılmıştır. Veriler, demografik bilgiler, güneşe maruz kalma süresi, korunma yöntemleri ve Güneş Koruma Faktörlü (SPF) güneş kremi kullanımı hakkında çevrimiçi bir Google Form ile toplanmıştır. Güneşten korunma davranışları Güneşten Korunma Davranış Ölçeği (GKDÖ) ile ölçülmüştür. Bulgular: Katılımcıların en çok tercih ettiği korunma yöntemleri güneş kremi (%74) ve güneş gözlüğü (%65.2) kullanımıdır. Kadınlar, erkeklere kıyasla daha fazla güneş kremi kullanmakta ve çoğunlukla 50 SPF ürünleri tercih etmektedir (p<0.0001). Sağlık çalışanı veya sağlık öğrencisi olmanın güneşten korunma davranışları üzerinde anlamlı bir etkisi bulunmamıştır (p>0.05). Sonuç: Çalışma, kadınların güneşe karşı daha dikkatli olduğunu ve sağlık çalışanı olmanın korunma davranışlarını etkilemediğini göstermektedir. Erkek bireylerin güneşten korunma ve maruziyetle ilgili davranışlarının geliştirilmesi gerekmektedir. Halk sağlığı profesyonellerinin, güneşe maruziyetin deri kanseri üzerindeki etkisi konusunda farkındalık artırıcı çalışmalar ve bilgilendirme toplantıları planlaması önerilmektedir.
Ethical Statement
Yazarlar, bu makalenin araştırması, yazarlığı ve/veya yayınlanmasıyla ilgili herhangi bir potansiyel çıkar çatışması olmadığını beyan ederler.
Supporting Institution
Bu çalışma herhangi bir şirketten finansal destek almamıştır.
References
-
Asil, E. U., Dagli, A., & Aygun, O. (2024). Sun protection knowledge and behaviors of agricultural workers in Turkey: a cross-sectional study. BMC Public Health, 24(1), 1–10. https://doi.org/10.1186/S12889-024-20121-8
-
Aygun, O., & Ergun, A. (2015). Validity and reliability of sun protection behavior scale among turkish adolescent population. Asian Nursing Research, 9(3), 235–242. https://doi.org/10.1016/J.ANR.2015.04.006
-
Bahashwan, E. (2024). Awareness and knowledge of sun exposure and use of sunscreen among adults in Aseer region, Saudi Arabia. Saudi Pharmaceutical Journal, 32(5), 102019. https://doi.org/10.1016/J.JSPS.2024.102019
-
Birinci, Ş., Demirkol, M. E., & Bağcı, H. H. (2020). Türkiye Kanser İstatistikleri 2020.
-
Bowers, J. M., Hamilton, J. G., Lobel, M., Kanetsky, P. A., & Hay, J. L. (2021). Sun exposure, tanning behaviors, and sunburn: examining activities associated with harmful ultraviolet radiation exposures in college students. Journal of Primary Prevention, 42(5), 425–440. https://doi.org/10.1007/S10935-021-00638-Z/TABLES/1
-
Brar, G., Dhaliwal, A., Brar, A. S., Sreedevi, M., Ahmadi, Y., Irfan, M., Golbari, R., Zumárraga, D., Yateem, D., Lysak, Y., & Abarca-Pineda, Y. A. (2025). A comprehensive review of the role of uv radiation in photoaging processes between different types of skin. Cureus. https://doi.org/10.7759/cureus.81109
-
Chang, Z., Chen, Y., Zhao, Y., Fu, J., Liu, Y., Tang, S., Han, Y., & Fan, Z. (2022). Association of sunshine duration with acute myocardial infarction hospital admissions in Beijing, China: A time-series analysis within-summer. Science of The Total Environment, 828, 154528. https://doi.org/10.1016/J.SCITOTENV.2022.154528
-
Cherrie, J. W., & Cherrie, M. P. C. (2022). Workplace exposure to UV radiation and strategies to minimize cancer risk. British Medical Bulletin, 144(1), 45–56. https://doi.org/10.1093/BMB/LDAC019
-
D’Orazio, J., Jarrett, S., Amaro-Ortiz, A., & Scott, T. (2013). UV radiation and the skin. International Journal of Molecular Sciences, 14(6), 12222–12248.
https://doi.org/10.3390/IJMS140612222
-
Garbe, C., Forsea, A. M., Amaral, T., Arenberger, P., Autier, P., Berwick, M., Boonen, B., Bylaite, M., del Marmol, V., Dreno, B., Fargnoli, M. C., Geller, A. C., Green, A. C., Greinert, R., Hauschild, A., Harwood, C. A., Hoorens, I., Kandolf, L., Kaufmann, R., ... Brochez, L. (2024). Skin cancers are the most frequent cancers in fair-skinned populations, but we can prevent them. European Journal of Cancer, 204, 114074. https://doi.org/10.1016/j.ejca.2024.114074
-
Grandi, C., & D’ovidio, M. C. (2020). Balance between health risks and benefits for outdoor workers exposed to solar radiation: an overview on the role of near infrared radiation alone and in combination with other solar spectral bands. International Journal of Environmental Research and Public Health, 17(4), 1357. https://doi.org/10.3390/IJERPH17041357
-
Gromkowska-Kępka, K. J., Puścion-Jakubik, A., Markiewicz-Żukowska, R., & Socha, K. (2021). The impact of ultraviolet radiation on skin photoaging — review of in vitro studies. Journal of Cosmetic Dermatology, 20(11), 3427–3431. https://doi.org/10.1111/JOCD.14033
-
International Agency for Research on Cancer (IARC). Cancer Today. (2025). Access Date: 05.05.2025 https://gco.iarc.fr/today/en/dataviz/pie?mode=population&group_populations=0
-
Kaundinya, T., Kundu, R.V. & Feinglass, J. (2023). The epidemiology of skin cancer by UV index: cross-sectional analysis from the 2019 behavioral risk factor surveillance survey. Archives of Dermatological Research, 315, 613–615. https://doi.org/10.1007/s00403-021-02313-z
-
Khan, A., Nazir, A., Rehman, A., Naveed, M., Ashraf, M., Iqbal, K., Basit, A., & Maqsood, H. S. (2020). A review of UV radiation protection on humans by textiles and clothing. International Journal of Clothing Science and Technology, 32(6), 869–890. https://doi.org/10.1108/IJCST-10-2019-0153
-
Luca, R. M., & Ponsonby, A. L. (2002). Ultraviolet radiation and health: Friend and foe. Medical Journal of Australia, 177(11–12), 594–598. https://doi.org/10.5694/J.1326-5377.2002.TB04979
-
McMichael, J. R., Veledar, E., & Chen, S. C. (2013). UV radiation protection by handheld umbrellas. JAMA Dermatology, 149(6), 757–758. https://doi.org/10.1001/JAMADERMATOL.2013.2519
-
Nicholson, A., Abbott, R., Wright, C. Y., Kamali, P., & Sinclair, C. (2025). Skin cancer prevention and sunscreens. BMJ, 390. https://doi.org/10.1136/bmj-2025-08512
-
Silva, E. S. D., Tavares, R., Paulitsch, F. D. S., & Zhang, L. (2018). Use of sunscreen and risk of melanoma and non-melanoma skin cancer: a systematic review and meta-analysis. European Journal of Dermatology, 28(2), 186–201. https://doi.org/10.1684/ejd.2018.3251
-
Singer, S., Karrer, S., & Berneburg, M. (2019). Modern sun protection. Current Opinion in Pharmacology, 46, 24–28. https://doi.org/10.1016/J.COPH.2018.12.006
-
Tang, X., Yang, T., Yu, D., Xiong, H., & Zhang, S. (2024). Current insights and future perspectives of ultraviolet radiation (UV) exposure: Friends and foes to the skin and beyond the skin. Environment International, 185, 108535. https://doi.org/10.1016/J.ENVINT.2024.108535