Research Article
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Skin Cancer Knowledge Levels and Sun Protection Behaviors of Adults

Year 2025, Volume: 9 Issue: 3, 645 - 653, 30.09.2025
https://doi.org/10.30621/jbachs.1374734

Abstract

References

  • de Buhr Y, Bunde H, Grossmann E, Breitbart EW. Skin cancer prevention Analyzing the German skin cancer screening program. Onkologe. 2022;28(1):49-54.
  • Fitzmaurice C, Abate D, Abbasi N, Abbastabar H, Abd-Allah F, Abdel-Rahman O, et al. Global, Regional, and National Cancer Incidence, Mortality, Years of Life Lost, Years Lived With Disability, and Disability-Adjusted Life-Years for 29 Cancer Groups, 1990 to 2017: A Systematic Analysis for the Global Burden of Disease Study. JAMA Oncol. 2019;5(12):1749-68.
  • Kornek T, Augustin M. Skin cancer prevention. Journal Der Deutschen Dermatologischen Gesellschaft. 2013;11(4):283-98.
  • Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. Ca-a Cancer Journal For Clinicians. 2021;71(3):209-49.
  • Khalesi M, Whiteman DC, Tran B, Kimlin MG, Olsen CM, Neale RE. A meta-analysis of pigmentary characteristics, sun sensitivity, freckling and melanocytic nevi and risk of basal cell carcinoma of the skin. Cancer Epidemiol. 2013;37(5):534-43.
  • Stanton WR, Janda M, Baade PD, Anderson P. Primary prevention of skin cancer: a review of sun protection in Australia and internationally. Health Promotion International. 2004;19(3):369-78.
  • Aguilera J, de Galvez MV, Sanchez-Roldan C, Herrera-Ceballos E. New advances in protection against solar ultraviolet radiation in textiles for summer clothing. Photochem Photobiol. 2014;90(5):1199-206.
  • Bleakley A, Lazovich D, Jordan AB, Glanz K. Compensation Behaviors and Skin Cancer Prevention. American Journal of Preventive Medicine. 2018;55(6):848-55.
  • Jones OT, Ranmuthu CKI, Hall PN, Funston G, Walter FM. Recognising Skin Cancer in Primary Care. Adv Ther. 2020;37(1):603-16. Epub 2019/11/18.
  • Di Quinzio ML, Dewar RA, Burge FI, Veugelers PJ. Family Physician Visits and Early Recognition of Melanoma. Canadian Journal of Public Health. 2005;96(2):136-9.
  • Aygun O, Ergun A. Validity and Reliability of Sun Protection Behavior Scale among Turkish Adolescent Population. Asian Nursing Research. 2015;9(3):235-42.
  • Byrne N, Markham T. Knowledge, attitudes and behaviours in relation to skin cancer prevention. Ir J Med Sci. 2020;189(1):197-202.
  • 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 Educ Behav. 2014;41(4):440-8.
  • Gavin A, Boyle R, Donnelly D, Donnelly C, Gordon S, McElwee G, et al. Trends in skin cancer knowledge, sun protection practices and behaviours in the Northern Ireland population. European Journal Of Publıc Health. 2012;22(3):408-12.
  • Haney MO, 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. J Cancer Educ. 2018;33(1):21-8.
  • Hobbs C, Nahar VK, Ford MA, Bass MA, Brodell RT. Skin cancer knowledge, attitudes, and behaviors in collegiate athletes. J Skin Cancer. 2014;2014:248198.
  • Jongenelis M, Pettigrew S, Strickland M, Minto C, Slevin T. The relationship between skin checking and sun protection behaviours: implications for skin cancer prevention campaigns. Publıc Health. 2018;155:55-8.
  • Karlsson O, Hagberg O, Nielsen K, Paoli J, Ingvar A. Difference in Sun Exposure Habits Between Individuals with High and Low Risk of Skin Cancer. Dermatol Pract Concept. 2021;11(4):e2021090.
  • Lee A, Garbutcheon-Singh KB, Dixit S, Brown P, Smith SD. The Influence of Age and Gender in Knowledge, Behaviors and Attitudes Towards Sun Protection: A Cross-Sectional Survey of Australian Outpatient Clinic Attendees. American Journal of Clinical Dermatology. 2015;16(1):47-54.
  • Meyer N, Pruvost-Balland C, Bourdon-Lanoy E, Maubec E, Avri MF. Awareness, knowledge and attitudes towards sun protection among skin cancer-treated patients in France. Journal Of The European Academy Of Dermatology And Venereology. 2007;21(4):520-5.
  • Patel SS, Nijhawan RI, Stechschulte S, Parmet Y, Rouhani P, Kirsner RS, et al. Skin Cancer Awareness, Attitude, and Sun Protection Behavior Among Medical Students at the University of Miami Miller School of Medicine. Archıves Of Dermatology. 2010;146(7):797-800.
  • Rocholl M, Hannappel J, Ludewig M, John SM. UV-Induced Skin Cancer Knowledge, Sun Exposure, and Tanning Behavior among University Students: Investigation of an Opportunity Sample of German University Students. J Skin Cancer. 2021;2021:5558694.
  • Seité S, Del Marmol V, Moyal D, Friedman AJ. Public primary and secondary skin cancer prevention, perceptions and knowledge: an international cross-sectional survey. J Eur Acad Dermatol Venereol. 2017;31(5):815-20. Epub 2017/01/04.
  • Strome A, Herbert K, Walsh K, Lamberg O, Waselewski ME, Chang T. Assessment of Sun Protection Knowledge and Behaviors of US Youth. JAMA Netw Open. 2021;4(11):e2134550. Epub 2021/11/16.
  • 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 European Academy Of Dermatology And Venereology. 2013;27(5):571-9.
  • Maddock JE, Rossi JS, Redding CA, Meier KS, Velicer WF, Prochaska JO. Development of transtheoretical model constructs for sun protection behaviors among adolescents. Ann Behav Med. 1998;20(SUPPL.):S208.
  • Sumen A, Oncel S. Knowledge Levels of Kindergarten Teachers About Skin Cancer, Sun Protection Behaviors, and Affecting Factors. Journal Of Cancer Educatıon. 2022;37(1):210-6.
  • Weinstock MA, Rossi JS, Redding CA, Maddock JE, Cottrill SD. Sun protection behaviors and stages of change for the primary prevention of skin cancers among beachgoers in Southeastern New England. Annals Of Behavıoral Medıcıne. 2000;22(4):286-93. de Vries H, Lezwijn J, Hol M, Honing C. Skin cancer prevention: behaviour and motives of Dutch adolescents. Eur J Cancer Prev. 2005;14(1):39-50.
  • Jones B, Oh C, Corkery E, Hanley R, Egan CA. Attitudes and perceptions regarding skin cancer and sun protection behaviour in an Irish population. Journal Of The European Academy Of Dermatology And Venereology. 2007;21(8):1097-101.
  • Gies P, van Deventer E, Green AC, Sinclair C, Tinker R. Review of the Global Solar UV Index 2015 Workshop Report. Health Phys. 2018;114(1):84-90.
  • Santmyire BR, Feldman SR, Fleischer AB. Lifestyle high-risk behaviors and demographics may predict the level of participation in sun-protection behaviors and skin cancer primary prevention in the United States - Results of the 1998 National Health Interview Survey. Cancer. 2001;92(5):1315-24.
  • American Academy of Dermatology Association. How Can I Tell If I Have Skin Cancer 2022 [cited 2022 September]. Available from: https://www.aad.org/public/diseases/skin-cancer/find/know-how.
  • Skin Cancer Foundation. Self Exams Save Lives 2022 [cited 2022 October]. Available from: https://www.skincancer.org/early-detection/self-exams/.
  • Smith RA, Caleffi M, Albert US, Chen TH, Duffy SW, Franceschi D, et al. Breast cancer in limited-resource countries: early detection and access to care. Breast J. 2006;12 Suppl 1:S16-26.
  • Robinson JD, Silk KJ, Parrott RL, Steiner C, Morris SM, Honeycutt C. Healthcare providers' sun-protection promotion and at-risk clients' skin-cancer-prevention outcomes. Preventıve Medıcıne. 2004;38(3):251-7.

Skin Cancer Knowledge Levels and Sun Protection Behaviors of Adults

Year 2025, Volume: 9 Issue: 3, 645 - 653, 30.09.2025
https://doi.org/10.30621/jbachs.1374734

Abstract

Background and Purpose: This study aimed to evaluate adults' knowledge of skin cancer and their sun protection behaviors.
Methods: This was a cross-sectional study. The study was carried out between August and September 2022 using a survey. In the survey, sociodemographic variables, skin cancer risk factors, Skin Cancer and Sun Knowledge Scale (SCSKS) and Sun Protection Behavior Scale (SPBS) were included.
Results: A total of 511 participants were included. The mean SCSKS score of the participants was 15.4±3.2. The mean SPBS score was 25.0±6.3. The findings indicated that younger individuals, females, those with higher education, fair skin, shorter sun exposure, and those who performed skin self-examinations or considered themselves at risk had significantly higher knowledge levels. The most common sun protection behavior was avoiding sun exposure, and only 17.4% of participants performed skin self-examinations.
Conclusion: The findings indicated that adults' knowledge of skin cancer and their sun protection behaviors were limited. Females, individuals with higher levels of education, and those with fairer skin exhibited greater knowledge of skin cancer and engaged in more sun protection behaviors.

References

  • de Buhr Y, Bunde H, Grossmann E, Breitbart EW. Skin cancer prevention Analyzing the German skin cancer screening program. Onkologe. 2022;28(1):49-54.
  • Fitzmaurice C, Abate D, Abbasi N, Abbastabar H, Abd-Allah F, Abdel-Rahman O, et al. Global, Regional, and National Cancer Incidence, Mortality, Years of Life Lost, Years Lived With Disability, and Disability-Adjusted Life-Years for 29 Cancer Groups, 1990 to 2017: A Systematic Analysis for the Global Burden of Disease Study. JAMA Oncol. 2019;5(12):1749-68.
  • Kornek T, Augustin M. Skin cancer prevention. Journal Der Deutschen Dermatologischen Gesellschaft. 2013;11(4):283-98.
  • Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. Ca-a Cancer Journal For Clinicians. 2021;71(3):209-49.
  • Khalesi M, Whiteman DC, Tran B, Kimlin MG, Olsen CM, Neale RE. A meta-analysis of pigmentary characteristics, sun sensitivity, freckling and melanocytic nevi and risk of basal cell carcinoma of the skin. Cancer Epidemiol. 2013;37(5):534-43.
  • Stanton WR, Janda M, Baade PD, Anderson P. Primary prevention of skin cancer: a review of sun protection in Australia and internationally. Health Promotion International. 2004;19(3):369-78.
  • Aguilera J, de Galvez MV, Sanchez-Roldan C, Herrera-Ceballos E. New advances in protection against solar ultraviolet radiation in textiles for summer clothing. Photochem Photobiol. 2014;90(5):1199-206.
  • Bleakley A, Lazovich D, Jordan AB, Glanz K. Compensation Behaviors and Skin Cancer Prevention. American Journal of Preventive Medicine. 2018;55(6):848-55.
  • Jones OT, Ranmuthu CKI, Hall PN, Funston G, Walter FM. Recognising Skin Cancer in Primary Care. Adv Ther. 2020;37(1):603-16. Epub 2019/11/18.
  • Di Quinzio ML, Dewar RA, Burge FI, Veugelers PJ. Family Physician Visits and Early Recognition of Melanoma. Canadian Journal of Public Health. 2005;96(2):136-9.
  • Aygun O, Ergun A. Validity and Reliability of Sun Protection Behavior Scale among Turkish Adolescent Population. Asian Nursing Research. 2015;9(3):235-42.
  • Byrne N, Markham T. Knowledge, attitudes and behaviours in relation to skin cancer prevention. Ir J Med Sci. 2020;189(1):197-202.
  • 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 Educ Behav. 2014;41(4):440-8.
  • Gavin A, Boyle R, Donnelly D, Donnelly C, Gordon S, McElwee G, et al. Trends in skin cancer knowledge, sun protection practices and behaviours in the Northern Ireland population. European Journal Of Publıc Health. 2012;22(3):408-12.
  • Haney MO, 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. J Cancer Educ. 2018;33(1):21-8.
  • Hobbs C, Nahar VK, Ford MA, Bass MA, Brodell RT. Skin cancer knowledge, attitudes, and behaviors in collegiate athletes. J Skin Cancer. 2014;2014:248198.
  • Jongenelis M, Pettigrew S, Strickland M, Minto C, Slevin T. The relationship between skin checking and sun protection behaviours: implications for skin cancer prevention campaigns. Publıc Health. 2018;155:55-8.
  • Karlsson O, Hagberg O, Nielsen K, Paoli J, Ingvar A. Difference in Sun Exposure Habits Between Individuals with High and Low Risk of Skin Cancer. Dermatol Pract Concept. 2021;11(4):e2021090.
  • Lee A, Garbutcheon-Singh KB, Dixit S, Brown P, Smith SD. The Influence of Age and Gender in Knowledge, Behaviors and Attitudes Towards Sun Protection: A Cross-Sectional Survey of Australian Outpatient Clinic Attendees. American Journal of Clinical Dermatology. 2015;16(1):47-54.
  • Meyer N, Pruvost-Balland C, Bourdon-Lanoy E, Maubec E, Avri MF. Awareness, knowledge and attitudes towards sun protection among skin cancer-treated patients in France. Journal Of The European Academy Of Dermatology And Venereology. 2007;21(4):520-5.
  • Patel SS, Nijhawan RI, Stechschulte S, Parmet Y, Rouhani P, Kirsner RS, et al. Skin Cancer Awareness, Attitude, and Sun Protection Behavior Among Medical Students at the University of Miami Miller School of Medicine. Archıves Of Dermatology. 2010;146(7):797-800.
  • Rocholl M, Hannappel J, Ludewig M, John SM. UV-Induced Skin Cancer Knowledge, Sun Exposure, and Tanning Behavior among University Students: Investigation of an Opportunity Sample of German University Students. J Skin Cancer. 2021;2021:5558694.
  • Seité S, Del Marmol V, Moyal D, Friedman AJ. Public primary and secondary skin cancer prevention, perceptions and knowledge: an international cross-sectional survey. J Eur Acad Dermatol Venereol. 2017;31(5):815-20. Epub 2017/01/04.
  • Strome A, Herbert K, Walsh K, Lamberg O, Waselewski ME, Chang T. Assessment of Sun Protection Knowledge and Behaviors of US Youth. JAMA Netw Open. 2021;4(11):e2134550. Epub 2021/11/16.
  • 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 European Academy Of Dermatology And Venereology. 2013;27(5):571-9.
  • Maddock JE, Rossi JS, Redding CA, Meier KS, Velicer WF, Prochaska JO. Development of transtheoretical model constructs for sun protection behaviors among adolescents. Ann Behav Med. 1998;20(SUPPL.):S208.
  • Sumen A, Oncel S. Knowledge Levels of Kindergarten Teachers About Skin Cancer, Sun Protection Behaviors, and Affecting Factors. Journal Of Cancer Educatıon. 2022;37(1):210-6.
  • Weinstock MA, Rossi JS, Redding CA, Maddock JE, Cottrill SD. Sun protection behaviors and stages of change for the primary prevention of skin cancers among beachgoers in Southeastern New England. Annals Of Behavıoral Medıcıne. 2000;22(4):286-93. de Vries H, Lezwijn J, Hol M, Honing C. Skin cancer prevention: behaviour and motives of Dutch adolescents. Eur J Cancer Prev. 2005;14(1):39-50.
  • Jones B, Oh C, Corkery E, Hanley R, Egan CA. Attitudes and perceptions regarding skin cancer and sun protection behaviour in an Irish population. Journal Of The European Academy Of Dermatology And Venereology. 2007;21(8):1097-101.
  • Gies P, van Deventer E, Green AC, Sinclair C, Tinker R. Review of the Global Solar UV Index 2015 Workshop Report. Health Phys. 2018;114(1):84-90.
  • Santmyire BR, Feldman SR, Fleischer AB. Lifestyle high-risk behaviors and demographics may predict the level of participation in sun-protection behaviors and skin cancer primary prevention in the United States - Results of the 1998 National Health Interview Survey. Cancer. 2001;92(5):1315-24.
  • American Academy of Dermatology Association. How Can I Tell If I Have Skin Cancer 2022 [cited 2022 September]. Available from: https://www.aad.org/public/diseases/skin-cancer/find/know-how.
  • Skin Cancer Foundation. Self Exams Save Lives 2022 [cited 2022 October]. Available from: https://www.skincancer.org/early-detection/self-exams/.
  • Smith RA, Caleffi M, Albert US, Chen TH, Duffy SW, Franceschi D, et al. Breast cancer in limited-resource countries: early detection and access to care. Breast J. 2006;12 Suppl 1:S16-26.
  • Robinson JD, Silk KJ, Parrott RL, Steiner C, Morris SM, Honeycutt C. Healthcare providers' sun-protection promotion and at-risk clients' skin-cancer-prevention outcomes. Preventıve Medıcıne. 2004;38(3):251-7.
There are 35 citations in total.

Details

Primary Language English
Subjects Clinical Sciences (Other)
Journal Section Research Article
Authors

Firdevs Doğan Duyar 0000-0002-9115-3824

Mustafa Kürşat Şahin 0000-0002-3490-6009

Publication Date September 30, 2025
Submission Date October 11, 2023
Acceptance Date July 3, 2025
Published in Issue Year 2025 Volume: 9 Issue: 3

Cite

APA Doğan Duyar, F., & Şahin, M. K. (2025). Skin Cancer Knowledge Levels and Sun Protection Behaviors of Adults. Journal of Basic and Clinical Health Sciences, 9(3), 645-653. https://doi.org/10.30621/jbachs.1374734
AMA Doğan Duyar F, Şahin MK. Skin Cancer Knowledge Levels and Sun Protection Behaviors of Adults. JBACHS. September 2025;9(3):645-653. doi:10.30621/jbachs.1374734
Chicago Doğan Duyar, Firdevs, and Mustafa Kürşat Şahin. “Skin Cancer Knowledge Levels and Sun Protection Behaviors of Adults”. Journal of Basic and Clinical Health Sciences 9, no. 3 (September 2025): 645-53. https://doi.org/10.30621/jbachs.1374734.
EndNote Doğan Duyar F, Şahin MK (September 1, 2025) Skin Cancer Knowledge Levels and Sun Protection Behaviors of Adults. Journal of Basic and Clinical Health Sciences 9 3 645–653.
IEEE F. Doğan Duyar and M. K. Şahin, “Skin Cancer Knowledge Levels and Sun Protection Behaviors of Adults”, JBACHS, vol. 9, no. 3, pp. 645–653, 2025, doi: 10.30621/jbachs.1374734.
ISNAD Doğan Duyar, Firdevs - Şahin, Mustafa Kürşat. “Skin Cancer Knowledge Levels and Sun Protection Behaviors of Adults”. Journal of Basic and Clinical Health Sciences 9/3 (September2025), 645-653. https://doi.org/10.30621/jbachs.1374734.
JAMA Doğan Duyar F, Şahin MK. Skin Cancer Knowledge Levels and Sun Protection Behaviors of Adults. JBACHS. 2025;9:645–653.
MLA Doğan Duyar, Firdevs and Mustafa Kürşat Şahin. “Skin Cancer Knowledge Levels and Sun Protection Behaviors of Adults”. Journal of Basic and Clinical Health Sciences, vol. 9, no. 3, 2025, pp. 645-53, doi:10.30621/jbachs.1374734.
Vancouver Doğan Duyar F, Şahin MK. Skin Cancer Knowledge Levels and Sun Protection Behaviors of Adults. JBACHS. 2025;9(3):645-53.