Review
BibTex RIS Cite

Sağlık İnanç Modeli Bağlamında Cilt Kanseri ile İlişkili Sağlık Davranışı Müdahaleleri

Year 2023, Volume: 15 Issue: 1, 83 - 102, 31.03.2023
https://doi.org/10.18863/pgy.1112210

Abstract

Cilt kanseri görülme sıklığı tüm dünyada her yıl artmaktadır. Cilt kanserinin ortaya çıkmasında birçok neden olmasına rağmen, güneş ışınlarının neden olduğu UV radyasyon en önemli etken olarak görülmektedir. Bu nedenle, UV radyasyona maruz kalmanın azaltılması, cilt kanserinin önlenmesi için en önemli öncelik olmalıdır. Ayrıca farklı demografik özellikler de UV maruziyet miktarını etkiler. Bunlar yaş, cinsiyet ve meslek gruplarını içerir. Öte yandan, insanlar gönüllü olarak UV radyasyonuna maruz kalabilirler. Buna güneşlenme veya bronzlaşma cihazlarını kullanma örnek olarak gösterilebilir. Bu nedenlerle UV radyasyonuna maruziyeti azaltmaya yönelik müdahaleler demografik özelliklere ve bronzlaşma isteğine odaklanmalıdır. Aynı zamanda literatürde teoriye dayalı ve sistematik müdahalelerin diğerlerinden daha etkili olduğu vurgulanmaktadır. Bu bağlamda sağlık davranışları için etkili bir psikososyal model olan Sağlık İnanç Modeli'nin güneşten korunma davranışlarının geliştirilmesinde faydalı olacağını düşünmekteyiz. Bu derlemede, cilt kanserinin önlenmesi ve güneşten korunma davranışlarının iyileştirilmesi için bronzlaşma davranışı, yaş, cinsiyet ve açık hava etkinlikleri bağlamında Sağlık İnanç Modeli'ne dayalı müdahaleleri tartışılmıştır.

References

  • Agar N, Young AR (2005) Melanogenesis: A photoprotective response to DNA damage? Mutat Res, 571:121-132.
  • American Academy of Dermatology Association (2021) Skin cancer. https://www.aad.org/media/stats-skin-cancer (Accessed 08.01.2022).
  • American Cancer Society (2018) What are basal and squamous cell skin cancers? https://www.cancer.org/cancer/basal-and-squamous-cell-skin-cancer/about/what-is-basal-and-squamous-cell.html (Accessed 14.01.2022).
  • American Cancer Society (2019a) Basal and squamous cell skin cancer risk factors https://www.cancer.org/cancer/basal-and-squamous-cell-skin-cancer/causes-risks-prevention/risk-factors.html (Accessed 12.01.2022).
  • American Cancer Society (2019) What is melanoma skin cancer? https://www.cancer.org/cancer/melanoma-skin-cancer/about/what-is-melanoma.html (Accessed 12.01.2022).
  • American Cancer Society (2021) Cancer Facts & Figures 2021. Atlanta, American Cancer Society.
  • Armstrong BK, Kricker A (1993) How much melanoma is caused by sun exposure? Melanoma Res, 3:395-401.
  • Armstrong BK, Kricker A (2001) The epidemiology of UV induced skin cancer. J Photochem Photobiol B, 63:8-18.
  • Auerbach MV, Heckman CJ, Darlow S (2018) To protect or not to protect:Examining reasons for sun protection among young women at risk for skin cancer. J Behav Med, 41:528-536.
  • Auster J, Hurst C, Neale RE, Youl P, Whiteman DC, Baade P et al. (2013) Determinants of uptake of whole-body skin self-examination in older men. Behav Med, 39:36-43.
  • Aygün Ö, Ergün A (2016) Sakarya ilinde bulunan 6-8. Sınıf ortaokul öğrencilerinin güneşten korunma davranışları. TAF Preventive Medicine Bulletin, 15:312-321
  • Balcı E, Durmuş H, Arslantaş EE, Gün İ (2018) Birinci basamak sağlık kuruluşlarına başvuran yetişkinlerin güneşin zararlı etkileri ve korunma yolları konusunda bilgi tutum ve davranışları. Turk J Dermatol, 12:96-99.
  • Balyacı OE, Kostu N, Temel AB (2012) Training program to raise consciousness among adolescents for protection against skin cancer through performance of skin self-examination Asian Pac J Cancer Prev, 13:5011-5017.
  • Berwick M, Buller DB, Cust A, Gallagher R, Lee TK, Meyskens F et al (2016) Melanoma epidemiology and prevention. Cancer Treat Res, 167:17-49.
  • Blashill AJ, Rooney BM, Wells KJ (2018) An integrated model of skin cancer risk in sexual minority males. J Behav Med, 41:99-108.
  • Bleyer A, O’Leary M, Barr R, Ries LAG (2006) Cancer Epidemiology in Older Adolescents and Young Adults 15 to 29 Years of Age, Including SEER Incidence and Survival:1975-2000. Bethesda, MD, National Cancer Institute.
  • Boztepe A, Özsoy S, Erkin Ö (2014) The knowledge and practices of cleaning workers concerning sun protection. International Journal of Occupational Health and Public Health Nursing, 1:65-79.
  • Bränström R, Kasparian NA, Chang YM, Affleck P, Tibben A, Aspinwall LG et al (2010) Predictors of sun protection behaviours and severe sunburn in an international online study. Cancer Epidemiol Biomarkers Prev, 19:2199-2210.
  • Bruce AF, Theeke L, Mallow J (2017) A state of the science on influential factors related to sun protective behaviours to prevent skin cancer in adults. Int J Nurs Sci, 4:225-235.
  • Brunssen A, Waldmann A, Eisemann N, Katalinic A (2017) Impact of skin cancer screening and secondary prevention campaigns on skin cancer incidence and mortality: A systematic review. J Am Acad Dermatol, 76:129-139.
  • Buster KJ, You Z, Fouad M, Elmets C (2012) Skin cancer risk perceptions: A comparison across ethnicity age education gender and income. J Am Acad Dermatol, 66:771-779.
  • Centers for Disease Control and Prevention (2021) Skin cancer. U.S Department of Health and Human Services https://www.cdc.gov/cancer/skin/basic_info/sun-safety.htm (Accessed 14.01.2022).
  • Cancer Research UK (2021) Sun safety. https://www.cancerresearchuk.org/about-cancer/causes-of-cancer/sun-uv-and-cancer/sun-safety (Accessed 12.01.2022).
  • CAREX Canada (2022) Solar UV radiation occupational exposures https://www.carexcanada.ca/profile/uv_radiation_solar-occupational-exposures/ (Accessed 13.01.2022).
  • Carmel S, Shani E, Rosenberg L (1994) The role of age and an expanded Health Belief Model on predicting skin cancer protective behaviour. Health Educ Res, 9:433-447.
  • Carmel S, Shani E, Rosenberg L (1996) Skin cancer protective behaviours among the elderly:Explaining their response to a health education program using the Health Belief Model. Educ Gerontol, 22:651-668.
  • Carpenter CJ (2010) A meta-analysis of the effectiveness of health belief model variables in predicting behaviour. Health Commun, 25:661-669.
  • Cercato MC, Ramazzotti V, Sperduti I, Asensio-Pascual A, Ribes I, Guillén C et al (2015) Sun protection among Spanish beachgoers: Knowledge attitude and behaviour. J Cancer Educ, 30:4-11.
  • Champion, V., Skinner, C. S., and Menon, U. (2005) Development of a self-efficacy scale for mammography. Res Nurs Health, 28: 329-336.
  • Champion, V. L., Menon, U., Rawl, S., and Skinner, C. S. (2004) A breast cancer fear scale: Psychometric development. J Health Psychol, 9:769-778.
  • Champion VL, Skinner CS (2008) The Health Belief Model. In Health Behaviour and Health Education: Theory, Research, and Practice, 4th edition (Eds K Glanz, BK Rimer, K Viswanath): 45-65. San Fransisco, CA, Jossey-Bass.
  • Çınar ND, Çınar S, Karakoç A, Uçar F (2009) Knowledge attitudes and behaviours concerning sun protection/skin cancer among adults in Turkey. Pak J Med Sci, 25:108-112.
  • Çınar Fİ, Çetin FŞ, Kalender N, Bağçivan G (2015) Hemşirelik yüksekokulu öğrencilerinin güneşten korunmaya ilişkin davranışlarının belirlenmesi. Gulhane Medical Journal, 57:241-246.
  • Coups EJ, Manne SL, Heckman CJ (2008) Multiple skin cancer risk behaviours in the U.S population. Am J Prev Med, 34:87-93.
  • Dağ S, Hisar F (2016) Açık alanda çalışan işçilerin cilt kanserine yönelik bilgi ve uygulamalarının saptanması. TAF Preventive Medicine Bulletin, 15:532-536.
  • Dağhan Ş, Erkin Ö, Aksoy D (2014) Skin cancer risks and practices of farmers in Turkey. Journal of Agriculture and Environmental Sciences, 3:27-42.
  • Davis R, Loescher LJ, Rogers J, Spartonos D, Snyder A, Koch S et al (2015) Evaluation of project students are sun safe (SASS): A university student-delivered skin cancer prevention program for schools. J Cancer Educ, 30:736-742.
  • Dennis LK, Lowe JB (2013) Does artificial UV use prior to spring break protect students from sunburns during spring break? Photodermatol Photoimmunol Photomed, 29:140-148.
  • Dennis LK, Vanbeek MJ, Beane Freeman LE, Smith BJ, Dawson DV, Coughlin JA (2008) Sunburns and risk of cutaneous melanoma: Does age matter? A comprehensive meta-analysis. Ann Epidemiol, 18:614-627.
  • Diepgen TL, Mahler V (2002) The epidemiology of skin cancer. Br J Dermatol, 146:1-6.
  • Dobbinson S, Wakefield M, Hill D, Girgis A, Aitken JF, Beckmann K et al (2008) Prevalence and determinants of Australian adolescents' and adults' weekend sun protection and sunburn summer 2003-2004. J Am Acad Dermatol, 59:602-614.
  • Eastabrook S, Chang P, Taylor MF (2018) Melanoma risk: Adolescent females' perspectives on skin protection pre/post-viewing a ultraviolet photoaged photograph of their own facial sun damage. Glob Health Promot, 25:23-32.
  • El Ghissassi F, Baan R, Straif K, Grosse Y, Secretan B, Bouvard V et al (2009) A review of human carcinogens - Part D: Radiation. Lancet Oncol, 10:751-752.
  • Ergin A, Bozkurt Aİ, Bostancı M, Önal Ö (2011) Beş yaşından küçük çocuğu olan annelerin güneşin sağlığa etkisine yönelik bilgi ve davranışlarının belirlenmesi. Pamukkale Tıp Dergisi, 4:72-78.
  • Ergül S, Özeren E (2011) Sun protection behaviour and individual risk factors of Turkish Primary School Students associated with skin cancer: A questionnaire-based study Asian Pac J Cancer Prev, 12:765-770.
  • Esquivel Y (2020) Skin cancer risk in the Hispanic population (Doctoral dissertation). San Marcos, California State University San Marcos.
  • Fernández-Morano T, de Troya-Martín M, Rivas-Ruiz F, Blázquez-Sánchez N, Del Boz-González J, Fernández-Peñas P et al (2014) Behaviour attitudes and awareness concerning sun exposure in adolescents on the Costa del Sol. Eur J Dermatol, 24:85-93.
  • Fernández-Morano T, Rivas-Ruiz F, de Troya-Martín M, Blázquez-Sánchez N, Ruiz MP, Buendía-Eisman A (2017) Adolescents' attitudes to sun exposure and sun protection. J Cancer Educ, 32:596-603.
  • Filiz TM, Çınar N, Topsever P, Uçar F (2006) Tanning youth: Knowledge behaviours and attitudes toward sun protection of high school students in Sakarya Turkey. J Adolesc Health, 38:469-471.
  • Gambla WC, Fernandez AM, Gassman NR, Tan M, Daniel CL (2017) College tanning behaviours attitudes beliefs and intentions: A systematic review of the literature. Prev Med, 105:77-87.
  • Gandini S, Sera F, Cattaruzza MS, Pasquini P, Picconi O, Boyle P et al (2005) Meta-analysis of risk factors for cutaneous melanoma: II Sun exposure. Eur J Cancer, 41:45-60.
  • Glanz K, Rimer BK, Viswanath K (2008) Health Behaviour and Health Education: Theory, Research, and Practice (4th ed.). San Fransisco, CA, Jossey-Bass.
  • Gochman DS (1997) Health behavior research: definitions and diversity. In Handbook of Health Behavior Research, Vol. I. Personal and Social Determinants (Ed DS Gochman). New York, Plenum Press.
  • Gochman DS (1982) Labels, systems, and motives: some perspectives on future research. Health Educ Q, 9:167-174.
  • Haney MO, Bahar Z, Beser A, Arkan G, Cengiz B (2016) Psychometric testing of the Turkish version of the skin cancer and sun knowledge scale in nursing students. J Cancer Educ, 33:21-28.
  • Heckman CJ, Coups EJ, Manne SL (2008) Prevalence and correlates of indoor tanning among US adults. J Am Acad Dermatol, 58:769-780.
  • Heckman CJ, Handorf E, Darlow SD, Yaroch AL, Raivitch S (2017) Refinement of measures to assess psychosocial constructs associated with skin cancer risk and protective behaviours of young adults. J Behav Med, 40:574-582.
  • Holman DM, Watson M (2013) Correlates of intentional tanning among adolescents in the United States: A systematic review of the literature. J Adolesc Health, 52:S52-S59.
  • Holman DM, Fox KA, Glenn JD, Guy Jr GP, Watson M, Baker K et al (2013) Strategies to reduce indoor tanning: Current research gaps and future opportunities for prevention. Am J Prev Med, 44:672-681.
  • Horsham C, Auster J, Sendall MC, Stoneham M, Youl P, Crane P et al (2014) Interventions to decrease skin cancer risk in outdoor workers: Update to a 2007 systematic review BMC Res Notes, 7:10.
  • Hönigsmann H (2002) Erythema and pigmentation. Photodermatol Photoimmunol Photomed, 18:75-81.
  • IARC Working Group (2012) Radiation: A Review of Human Carcinogens. Lyon, France, International Agency for Research on Cancer.
  • İlter N, Öztaş MO, Adışen E, Gürer MA, Keseroğlu Ö, Ünal S et al (2009) Ankara’da bir alışveriş merkezinde yapılan nevüs taramasında popülasyonun güneşten korunma alışkanlıkları ve melanositik nevüslarinin değerlendirilmesi. Turk Arch Dermatol Venereol, 43:155-159.
  • Jackson KM, Aiken LS (2000) A psychosocial model of sun protection and sunbathing in young women:the impact of health beliefs attitudes norms and self-efficacy for sun protection. Health Psychol, 19:469-478.
  • Jalleh G, Donovan RJ, Lin C, Slevin T (2008) Changing perceptions of solaria and cancer risk: The role of the media. Med J Aust, 188:735.
  • Jeihooni AK, Rakhshani T (2018) The effect of educational intervention based on health belief model and social support on promoting skin cancer preventive behaviours in a sample of Iranian farmers. J Cancer Educ, 34:392-401.
  • Jemal A, Saraiya M, Patel P, Cherala SS, Barnholtz-Sloan J, Kim J et al (2011) Recent trends in cutaneous melanoma incidence and death rates in the United States 1992-2006. J Am Acad Dermatol, 65:S17-25.e1-3.
  • Jemal A, Simard EP, Simard C, Noone AM, Markowitz LE, Kohler B et al (2013) Annual report to the nation on the status of cancer 1975-2009 featuring the burden and trends in human papillomavirus (HPV)-associated cancers and HPV vaccination coverage levels. J Natl Cancer Inst, 105:175-201.
  • Jones JL, Leary MR (1994) Effects of appearance-based admonitions against sun exposure on tanning intentions in young adults. Health Psychol, 13:86-90.
  • Kahraman AT, Aksakal FB, Dikmen AU, Büyükdemirci E, Güven AE (2018) Ankara’da bazı aile sağlığı merkezlerine başvuran 15 yaş üzeri kişilerin güneş ışınları ve deri kanseri hakkında bilgi düzeyleri ve güneş ışınlarından korunma durumları. Manisa Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 5:138-144.
  • Kaptanoğlu AF, Dalkan C, Hıncal E (2012) Kuzey Kıbrıs Türk toplumunda güneşten korunma: İlkokul çağı çocukları ve ailelerinin güneşten korunma ile ilgili bilgi tutum ve davranışları. Turk Arch Dermatol Venereol, 46:121-129.
  • Kasparian NA, McLoone JK, Meiser B (2009) Skin cancer-related prevention and screening behaviours:A review of the literature. J Behav Med, 32:406-428.
  • Kaymak Y, Tekbaş ÖF, Şimşek I (2007) Üniversite öğrencilerinin güneşten korunma ile ilgili bilgi tutum ve davranışları. Turk Arch Dermatol Venereol, 41:81-85.
  • Kinney JP, Long CS, Geller AC (2000) The ultraviolet index: A useful tool. Dermatology Online Journal, 6:2.
  • Lazovich D, Vogel RI, Berwick M, Weinstock MA, Anderson KE, Warshaw EM (2010) Indoor tanning and risk of melanoma: A case-control study in a highly exposed population. Cancer Epidemiol Biomarkers Prev, 19:1557-1568.
  • Lee C, Duffy SA, Louzon SA, Waltje AH, Ronis DJ, Redman RW et al (2014) The impact of Sun Solutions educational interventions on select health belief model constructs. Workplace Health Saf, 62:70-79.
  • Leiter U, Garbe C (2008) Epidemiology of melanoma and nonmelanoma skin cancer-the role of sunlight. Adv Exp Med Biol, 624: 89-103.
  • Levine H, Afek A, Shamiss A, Derazne E, Tzur D, Astman N et al (2013) Country of origin age at migration and risk of cutaneous melanoma: A migrant cohort study of 1,100,000 Israeli men. Int J Cancer, 133:486-494.
  • Livingston PM, White V, Hayman J, Dobbinson S (2003) Sun exposure and sun protection behaviours among Australian adolescents: Trends over time. Prev Med, 37:577-584.
  • Lucas RM, Ponsonby AL (2002) Ultraviolet radiation and health: Friend and foe. Med J Aust, 177:594-598.
  • Mahler HI, Kulik JA, Harrell J, Gerrard M, Gibbons FX (2003) Effects of appearance-based interventions on sun protection intentions and self-reported behaviours. Health Psychol, 22:199-209.
  • Malak AT, Yıldırım P, Yıldız Z, Bektaş M (2011) Effects of training about skin cancer on farmers' knowledge level and attitudes. Asian Pac J Cancer Prev, 12:117-120.
  • Manne SL, Coups EJ, Jacobsen PB, Ming M, Heckman CJ et al (2011) Sun protection and sunbathing practices among at-risk family members of patients with melanoma. BMC Public Health, 11:122.
  • Mayer JA, Woodruff SI, Slymen DJ, Sallis JF, Forster JL, Clapp EJ et al (2011) Adolescents' use of indoor tanning: A large-scale evaluation of psychosocial environmental and policy-level correlates. Am J Public Health, 101:930-938.
  • McDaid O, Melby V (2020) Female university students’ knowledge attitudes and behaviours towards sun exposure and the use of artificial tanning devices: The essence of reducing risky behaviours. J Public Health. 30:639-647
  • McLoone JK, Meiser B, Karatas J, Sousa MS, Zilliacus E, Kasparian NA (2014) Perceptions of melanoma risk among Australian adolescents: Barriers to sun protection and recommendations for improvement. Aust N Z J Public Health, 38:321-325.
  • McWhirter JE, Hoffman-Goetz L (2016) Application of the Health Belief Model to U.S magazine text and image coverage of skin cancer and recreational tanning (2000-2012). J Health Commun, 21:424-438.
  • Merino A (2017) A quality improvement project: Implementing the sunwise education program in middle school adolescents (Doctoral dissertation). Lawrence, KS, University of Kansas.
  • Michie S, Abraham C (2004) Interventions to change health behaviours: Evidence-based or evidence-inspired? Psychol Health, 19:29-49.
  • Mirzaei-Alavijeh M, Gharibnavaz H, Jalilian F (2020) Skin cancer prevention: Psychosocial predictors of sunscreen use in university students. J Cancer Educ, 35:187-192.
  • Moradhaseli S, Ataei P, Farhadian H, Ghofranipour F (2019) Farmers' preventive behaviour analysis against sunlight using the Health Belief Model: A study from Iran. J Agromedicine, 24:110-118.
  • Moser SE (2011) Development and evaluation of an intervention to increase sun protection in young women (Doctoral dissertation). Tempe, AZ, Arizona State University.
  • Myers LB, Horswill MS (2006) Social cognitive predictors of sun protection intention and behaviour. Behav Med, 32:57-63.
  • Nahar VK, Ford MA, Hallam JS, Bass MA, Hutcheson A, Vice MA (2013) Skin cancer knowledge beliefs self-efficacy and preventative behaviours among North Mississippi landscapers. Dermatol Res Pract, 496913.
  • National Cancer Institute (2016 April) Anyone can get skin cancer U.S Department of Health and Human Services https://www.cancer.gov/types/skin/anyone-can-get-skin-cancer (17 Ocak 2022'te ulaşıldı).
  • Özuğuz P, Kaçar SD, Akyürek FT, Üzel H (2014) Birinci sınıf ve son sınıf tıp öğrencileri arasında güneş ve deri hakkındaki bilgi düzeyi ve davranışlarının değerlendirilmesi. Turk J Dermatol, 8:19-22.
  • Parkin DM, Mesher D, Sasieni P (2011) Cancers attributable to solar (ultraviolet) radiation exposure in the UK in 2010. Br J Cancer, 105:S66-S69.
  • Paul C, Tzelepis F, Parfitt N, Girgis A (2008) How to improve adolescents' sun protection behaviour? Age and gender issues. Am J Health Behav, 32:387-398.
  • Pearlman RL, Patel V, Davis RE, Ferris TS, Gruszynski K, Elledge T et al (2021) Effects of health beliefs social support and self-efficacy on sun protection behaviours among medical students:Testing of an extended Health Belief Model. Arch Dermatol Res, 313:445-452.
  • Pedeux R, Al-Irani N, Marteau C, Pellicier F, Branche R, Ozturk M et al (1998) Thymidine dinucleotides induce S phase cell cycle arrest in addition to increased melanogenesis in human melanocytes. J Invest Dermatol, 111:472-477.
  • Peharda V, Gruber F, Kastelan M, Massari LP, Saftić M, Cabrijan L et al (2007) Occupational skin diseases caused by solar radiation. Coll Antropol, 31:87-90.
  • Perez MI (2019) Skin Cancer in Hispanics in the United States. J Drugs Dermatol, 18:s117-120.
  • Rhodes LE, Webb AR, Fraser HI, Kift R, Durkin MT, Allan D et al (2010) Recommended summer sunlight exposure levels can produce sufficient (> or =20 ng ml(-1)) but not the proposed optimal (> or =32 ng ml(-1)) 25(OH)D levels at UK latitudes. J Invest Dermatol, 130:1411-1418.
  • Rigel DS (2008) Cutaneous ultraviolet exposure and its relationship to the development of skin cancer. J Am Acad Dermatol, 58:S129-132.
  • Rosenstock IM (1974) The Health Belief Model and preventive health behaviour. Health Educ Monogr, 2:354-386.
  • Rosenstock IM, Strecher VJ, Becker MH (1988) Social learning theory and the Health Belief Model. Health Educ Q, 15:175-183.
  • Rouhani P, Hu S, Kirsner RS (2008) Melanoma in Hispanic and Black Americans. Cancer Control, 15:248-253.
  • Rouhani P, Pinheiro PS, Sherman R, Arheart K, Fleming LE, Mackinnon J et al (2010) Increasing rates of melanoma among nonwhites in Florida compared with the United States. Arch Dermatol, 146:741-746.
  • Ryan P (2009) Integrated theory of health behaviour change: background and intervention development. Clin Nurse Spec, 23:161-172.
  • Schein OD, Vicencio C, Muñoz B, Gelatt KN, Duncan DD, Nethercott J et al (1995) Ocular and dermatologic health effects of ultraviolet radiation exposure from the ozone hole in southern Chile. Am J Public Health, 85:546-550.
  • Schmitt J, Seidler A, Diepgen TL, Bauer A (2011) Occupational ultraviolet light exposure increases the risk for the development of cutaneous squamous cell carcinoma: A systematic review and meta-analysis. Br J Dermatol, 164:291-307.
  • Schneider S, Krämer H (2010) Who uses sunbeds? A systematic literature review of risk groups in developed countries. J Eur Acad Dermatol Venereol, 24:639-648.
  • Shoveller JA, Lovato CY, Young RA, Moffat B (2003) Exploring the development of sun-tanning behaviour: A grounded theory study of adolescents' decision-making experiences with becoming a sun tanner. Int J Behav Med, 10:299-314.
  • Skiveren J, Mortensen EL, Haedersdal M (2010) Sun protective behaviour in renal transplant recipients A qualitative study based on individual interviews and the Health Belief Model. J Dermatolog Treat, 21:331-336.
  • Starfelt Sutton LC, White KM (2016) Predicting sun-protective intentions and behaviours using the theory of planned behaviour: A systematic review and meta-analysis. Psychol Health, 31:1272-1292.
  • Støle HS, Nilsen L, Joranger P (2019) Beliefs attitudes and perceptions to sun-tanning behaviour in the Norwegian population: A cross-sectional study using the Health Belief Model. BMC Public Health, 19:206.
  • Sümen A, Öncel S (2015) Effect of skin cancer training provided to maritime high school students on their knowledge and behaviour. Asian Pac J Cancer Prev, 16:7769-7779.
  • Sümen A, Öncel S (2018) Türkiye'de cilt kanseri ve güneşten korunmaya yönelik yapılan araştırmaların incelenmesi. Turkiye Klinikleri J Nurs Sci, 10:59-69.
  • Sümen A, Öncel S (2020a) The effect of ‘I am Protecting my Child from the Sun’ programme on parental sun protection behaviours: Randomized controlled trial. J Adv Nurs, 77:387-400.
  • Sümen A, Öncel S (2020b) Knowledge levels of kindergarten teachers about skin cancer, sun protection behaviors, and affecting factors. J Cancer Educ, 37(1):210-216.
  • Sümen A, Öncel S (2021) Sun protection behaviors and its affecting factors in parents of kindergarteners. Turk Arch Dermatol Venereol, 55:178-183.
  • Şenel E, Süslü İ (2015) Knowledge attitudes and behaviours regarding sun protection effects of the sun and skin cancer among Turkish high school students and teachers. Dermatologica Sinica, 33:187-190.
  • Terzi S, Başak PY, Erturan İ (2017) Polikliniğe başvuran hastalarda güneşin zararlı etkileri ve korunma yolları ile ilgili bilgi tutum ve davranışların araştırılması. Turk Arch Dermatol Venereol , 51:2-7.
  • Ting W, Schultz K, Cac NN, Peterson M, Walling HW (2007) Tanning bed exposure increases the risk of malignant melanoma. Int J Dermatol, 46:1253-1257.
  • U.S Department of Health and Human Services (2014) The Surgeon General’s Call to Action to Prevent Skin Cancer. Washington DC, U.S. Dept of Health and Human Services, Office of the Surgeon General.
  • Uğurlu Z, Işık SA, Balanuye B, Budak E, Elbaş NÖ, Kav S (2016) Awareness of skin cancer prevention and early detection among Turkish university students. Asia Pac J Oncol Nurs, 3:93-97.
  • Uslu M, Şavk E, Karaman G, Şendur N (2009) Okul çocuklarında melanositik nevüs prevalansı ve güneş maruziyeti ilişkisi. Turk Arch Dermatol Venereol , 43:149-154.
  • Uysal A, Özsoy SA, Ergül Ş (2004) Öğrencilerin cilt kanseri risklerinin ve güneş ışınlarından korunmaya yönelik uygulamalarının değerlendirilmesi. Ege J Med , 43:95-99.
  • Van Deventer E, Sinclair C (2017) Artificial Tanning Devices: Public Health Interventions to Manage Sunbeds. Geneva, World Health Organization.
  • van Osch L, Reubsaet A, Lechner L, de Vries H (2008) The formation of specific action plans can enhance sun protection behaviour in motivated parents. Prev Med, 47:127-132.
  • van Ryn M, Heaney CA (1992) What's the use of theory? Health Educ Q, 19:315–330.
  • Veierød MB, Adami HO, Lund E, Armstrong BK, Weiderpass E (2010) Sun and solarium exposure and melanoma risk: Effects of age pigmentary characteristics and nevi. Cancer Epidemiol Biomarkers Prev, 19:111-120.
  • Walter SD, King WD, Marrett LD (1999) Association of cutaneous malignant melanoma with intermittent exposure to ultraviolet radiation: Results of a case-control study in Ontario Canada. Int J Epidemiol, 28:418-427.
  • Weir HK, Marrett LD, Cokkinides V, Barnholtz-Sloan J, Patel P, Tai E et al (2011) Melanoma in adolescents and young adults (ages 15-39 years): United States. J Am Acad Dermatol, 65:S38-49.
  • White KM, Starfelt LC, Young RM, Hawkes AL, Cleary C, Leske S et al (2015) A randomised controlled trial of an online theory-based intervention to improve adult Australians' sun-protective behaviours. Prev Med, 72:19-22.
  • Whiteman DC, Whiteman CA, Green AC (2001) Childhood sun exposure as a risk factor for melanoma:A systematic review of epidemiologic studies. Cancer Causes Control, 12:69-82.
  • WHO (2017) Radiation: Ultraviolet (UV) radiation and skin cancer https://www.who.int/news-room/q-a-detail/radiation-ultraviolet-(uv)-radiation-and-skin-cancer (Accessed 14.01.2022).
  • WHO (2022) Health effects of UV radiation. https://www.who.int/teams/environment-climate-change-and-health/radiation-and-health/uv/health-effects (Accessed 02.02.2022).
  • Witte K (1992) Putting the Fear Back into Fear Appeals: The Extended Parallel Process Model. Communication Monographs, 59: 329-349.
  • Wu X, Groves FD, McLaughlin CC, Jemal A, Martin J, Chen VW (2005) Cancer incidence patterns among adolescents and young adults in the United States. Cancer Causes Control, 16:309-320.
  • Yilmaz M, Yavuz B, Subasi M, Kartal A, Celebioglu A, Kacar H et al (2015) Skin cancer knowledge and sun protection behaviour among nursing students. Jpn J Nurs Sci, 12:69-78.
  • Yurtseven E, Ulus T, Vehid S, Köksal S, Bosat M, Akkoyun K (2012) Assessment of knowledge behaviour and sun protection practices among health services vocational school students. Int J Environ Res Public Health, 9:2378-2385.

Skin Cancer-Related Health Behavior Interventions in the Context of the Health Belief Model

Year 2023, Volume: 15 Issue: 1, 83 - 102, 31.03.2023
https://doi.org/10.18863/pgy.1112210

Abstract

The incidence of skin cancer is increasing around the world every year. Although there are many reasons for the occurrence of skin cancer, UV radiation caused by sunlight is seen as the most important factor. Therefore, reducing exposure to UV radiation should be a top priority for skin cancer prevention. In addition, different demographic features also affect the amount of UV exposure. These include age, gender and professional groups. On the other hand, people can be exposed to UV radiation voluntarily. Sunbathing or using tanning devices can be shown as examples for this. For these reasons, interventions to reduce exposure to UV radiation should focus on demographic features and the desire to tan. At the same time, it is emphasized in the literature that theory-based and systematic interventions are more effective than others. In this context, we think that the Health Belief Model, which is an effective psychosocial model for health behaviors, will be useful in developing sun protection behaviors. In this review, interventions based on the Health Belief Model in the context of tanning behavior, age, gender, and outdoor activities for the prevention of skin cancer and the improvement of sun protection behaviors have been discussed.

References

  • Agar N, Young AR (2005) Melanogenesis: A photoprotective response to DNA damage? Mutat Res, 571:121-132.
  • American Academy of Dermatology Association (2021) Skin cancer. https://www.aad.org/media/stats-skin-cancer (Accessed 08.01.2022).
  • American Cancer Society (2018) What are basal and squamous cell skin cancers? https://www.cancer.org/cancer/basal-and-squamous-cell-skin-cancer/about/what-is-basal-and-squamous-cell.html (Accessed 14.01.2022).
  • American Cancer Society (2019a) Basal and squamous cell skin cancer risk factors https://www.cancer.org/cancer/basal-and-squamous-cell-skin-cancer/causes-risks-prevention/risk-factors.html (Accessed 12.01.2022).
  • American Cancer Society (2019) What is melanoma skin cancer? https://www.cancer.org/cancer/melanoma-skin-cancer/about/what-is-melanoma.html (Accessed 12.01.2022).
  • American Cancer Society (2021) Cancer Facts & Figures 2021. Atlanta, American Cancer Society.
  • Armstrong BK, Kricker A (1993) How much melanoma is caused by sun exposure? Melanoma Res, 3:395-401.
  • Armstrong BK, Kricker A (2001) The epidemiology of UV induced skin cancer. J Photochem Photobiol B, 63:8-18.
  • Auerbach MV, Heckman CJ, Darlow S (2018) To protect or not to protect:Examining reasons for sun protection among young women at risk for skin cancer. J Behav Med, 41:528-536.
  • Auster J, Hurst C, Neale RE, Youl P, Whiteman DC, Baade P et al. (2013) Determinants of uptake of whole-body skin self-examination in older men. Behav Med, 39:36-43.
  • Aygün Ö, Ergün A (2016) Sakarya ilinde bulunan 6-8. Sınıf ortaokul öğrencilerinin güneşten korunma davranışları. TAF Preventive Medicine Bulletin, 15:312-321
  • Balcı E, Durmuş H, Arslantaş EE, Gün İ (2018) Birinci basamak sağlık kuruluşlarına başvuran yetişkinlerin güneşin zararlı etkileri ve korunma yolları konusunda bilgi tutum ve davranışları. Turk J Dermatol, 12:96-99.
  • Balyacı OE, Kostu N, Temel AB (2012) Training program to raise consciousness among adolescents for protection against skin cancer through performance of skin self-examination Asian Pac J Cancer Prev, 13:5011-5017.
  • Berwick M, Buller DB, Cust A, Gallagher R, Lee TK, Meyskens F et al (2016) Melanoma epidemiology and prevention. Cancer Treat Res, 167:17-49.
  • Blashill AJ, Rooney BM, Wells KJ (2018) An integrated model of skin cancer risk in sexual minority males. J Behav Med, 41:99-108.
  • Bleyer A, O’Leary M, Barr R, Ries LAG (2006) Cancer Epidemiology in Older Adolescents and Young Adults 15 to 29 Years of Age, Including SEER Incidence and Survival:1975-2000. Bethesda, MD, National Cancer Institute.
  • Boztepe A, Özsoy S, Erkin Ö (2014) The knowledge and practices of cleaning workers concerning sun protection. International Journal of Occupational Health and Public Health Nursing, 1:65-79.
  • Bränström R, Kasparian NA, Chang YM, Affleck P, Tibben A, Aspinwall LG et al (2010) Predictors of sun protection behaviours and severe sunburn in an international online study. Cancer Epidemiol Biomarkers Prev, 19:2199-2210.
  • Bruce AF, Theeke L, Mallow J (2017) A state of the science on influential factors related to sun protective behaviours to prevent skin cancer in adults. Int J Nurs Sci, 4:225-235.
  • Brunssen A, Waldmann A, Eisemann N, Katalinic A (2017) Impact of skin cancer screening and secondary prevention campaigns on skin cancer incidence and mortality: A systematic review. J Am Acad Dermatol, 76:129-139.
  • Buster KJ, You Z, Fouad M, Elmets C (2012) Skin cancer risk perceptions: A comparison across ethnicity age education gender and income. J Am Acad Dermatol, 66:771-779.
  • Centers for Disease Control and Prevention (2021) Skin cancer. U.S Department of Health and Human Services https://www.cdc.gov/cancer/skin/basic_info/sun-safety.htm (Accessed 14.01.2022).
  • Cancer Research UK (2021) Sun safety. https://www.cancerresearchuk.org/about-cancer/causes-of-cancer/sun-uv-and-cancer/sun-safety (Accessed 12.01.2022).
  • CAREX Canada (2022) Solar UV radiation occupational exposures https://www.carexcanada.ca/profile/uv_radiation_solar-occupational-exposures/ (Accessed 13.01.2022).
  • Carmel S, Shani E, Rosenberg L (1994) The role of age and an expanded Health Belief Model on predicting skin cancer protective behaviour. Health Educ Res, 9:433-447.
  • Carmel S, Shani E, Rosenberg L (1996) Skin cancer protective behaviours among the elderly:Explaining their response to a health education program using the Health Belief Model. Educ Gerontol, 22:651-668.
  • Carpenter CJ (2010) A meta-analysis of the effectiveness of health belief model variables in predicting behaviour. Health Commun, 25:661-669.
  • Cercato MC, Ramazzotti V, Sperduti I, Asensio-Pascual A, Ribes I, Guillén C et al (2015) Sun protection among Spanish beachgoers: Knowledge attitude and behaviour. J Cancer Educ, 30:4-11.
  • Champion, V., Skinner, C. S., and Menon, U. (2005) Development of a self-efficacy scale for mammography. Res Nurs Health, 28: 329-336.
  • Champion, V. L., Menon, U., Rawl, S., and Skinner, C. S. (2004) A breast cancer fear scale: Psychometric development. J Health Psychol, 9:769-778.
  • Champion VL, Skinner CS (2008) The Health Belief Model. In Health Behaviour and Health Education: Theory, Research, and Practice, 4th edition (Eds K Glanz, BK Rimer, K Viswanath): 45-65. San Fransisco, CA, Jossey-Bass.
  • Çınar ND, Çınar S, Karakoç A, Uçar F (2009) Knowledge attitudes and behaviours concerning sun protection/skin cancer among adults in Turkey. Pak J Med Sci, 25:108-112.
  • Çınar Fİ, Çetin FŞ, Kalender N, Bağçivan G (2015) Hemşirelik yüksekokulu öğrencilerinin güneşten korunmaya ilişkin davranışlarının belirlenmesi. Gulhane Medical Journal, 57:241-246.
  • Coups EJ, Manne SL, Heckman CJ (2008) Multiple skin cancer risk behaviours in the U.S population. Am J Prev Med, 34:87-93.
  • Dağ S, Hisar F (2016) Açık alanda çalışan işçilerin cilt kanserine yönelik bilgi ve uygulamalarının saptanması. TAF Preventive Medicine Bulletin, 15:532-536.
  • Dağhan Ş, Erkin Ö, Aksoy D (2014) Skin cancer risks and practices of farmers in Turkey. Journal of Agriculture and Environmental Sciences, 3:27-42.
  • Davis R, Loescher LJ, Rogers J, Spartonos D, Snyder A, Koch S et al (2015) Evaluation of project students are sun safe (SASS): A university student-delivered skin cancer prevention program for schools. J Cancer Educ, 30:736-742.
  • Dennis LK, Lowe JB (2013) Does artificial UV use prior to spring break protect students from sunburns during spring break? Photodermatol Photoimmunol Photomed, 29:140-148.
  • Dennis LK, Vanbeek MJ, Beane Freeman LE, Smith BJ, Dawson DV, Coughlin JA (2008) Sunburns and risk of cutaneous melanoma: Does age matter? A comprehensive meta-analysis. Ann Epidemiol, 18:614-627.
  • Diepgen TL, Mahler V (2002) The epidemiology of skin cancer. Br J Dermatol, 146:1-6.
  • Dobbinson S, Wakefield M, Hill D, Girgis A, Aitken JF, Beckmann K et al (2008) Prevalence and determinants of Australian adolescents' and adults' weekend sun protection and sunburn summer 2003-2004. J Am Acad Dermatol, 59:602-614.
  • Eastabrook S, Chang P, Taylor MF (2018) Melanoma risk: Adolescent females' perspectives on skin protection pre/post-viewing a ultraviolet photoaged photograph of their own facial sun damage. Glob Health Promot, 25:23-32.
  • El Ghissassi F, Baan R, Straif K, Grosse Y, Secretan B, Bouvard V et al (2009) A review of human carcinogens - Part D: Radiation. Lancet Oncol, 10:751-752.
  • Ergin A, Bozkurt Aİ, Bostancı M, Önal Ö (2011) Beş yaşından küçük çocuğu olan annelerin güneşin sağlığa etkisine yönelik bilgi ve davranışlarının belirlenmesi. Pamukkale Tıp Dergisi, 4:72-78.
  • Ergül S, Özeren E (2011) Sun protection behaviour and individual risk factors of Turkish Primary School Students associated with skin cancer: A questionnaire-based study Asian Pac J Cancer Prev, 12:765-770.
  • Esquivel Y (2020) Skin cancer risk in the Hispanic population (Doctoral dissertation). San Marcos, California State University San Marcos.
  • Fernández-Morano T, de Troya-Martín M, Rivas-Ruiz F, Blázquez-Sánchez N, Del Boz-González J, Fernández-Peñas P et al (2014) Behaviour attitudes and awareness concerning sun exposure in adolescents on the Costa del Sol. Eur J Dermatol, 24:85-93.
  • Fernández-Morano T, Rivas-Ruiz F, de Troya-Martín M, Blázquez-Sánchez N, Ruiz MP, Buendía-Eisman A (2017) Adolescents' attitudes to sun exposure and sun protection. J Cancer Educ, 32:596-603.
  • Filiz TM, Çınar N, Topsever P, Uçar F (2006) Tanning youth: Knowledge behaviours and attitudes toward sun protection of high school students in Sakarya Turkey. J Adolesc Health, 38:469-471.
  • Gambla WC, Fernandez AM, Gassman NR, Tan M, Daniel CL (2017) College tanning behaviours attitudes beliefs and intentions: A systematic review of the literature. Prev Med, 105:77-87.
  • Gandini S, Sera F, Cattaruzza MS, Pasquini P, Picconi O, Boyle P et al (2005) Meta-analysis of risk factors for cutaneous melanoma: II Sun exposure. Eur J Cancer, 41:45-60.
  • Glanz K, Rimer BK, Viswanath K (2008) Health Behaviour and Health Education: Theory, Research, and Practice (4th ed.). San Fransisco, CA, Jossey-Bass.
  • Gochman DS (1997) Health behavior research: definitions and diversity. In Handbook of Health Behavior Research, Vol. I. Personal and Social Determinants (Ed DS Gochman). New York, Plenum Press.
  • Gochman DS (1982) Labels, systems, and motives: some perspectives on future research. Health Educ Q, 9:167-174.
  • Haney MO, Bahar Z, Beser A, Arkan G, Cengiz B (2016) Psychometric testing of the Turkish version of the skin cancer and sun knowledge scale in nursing students. J Cancer Educ, 33:21-28.
  • Heckman CJ, Coups EJ, Manne SL (2008) Prevalence and correlates of indoor tanning among US adults. J Am Acad Dermatol, 58:769-780.
  • Heckman CJ, Handorf E, Darlow SD, Yaroch AL, Raivitch S (2017) Refinement of measures to assess psychosocial constructs associated with skin cancer risk and protective behaviours of young adults. J Behav Med, 40:574-582.
  • Holman DM, Watson M (2013) Correlates of intentional tanning among adolescents in the United States: A systematic review of the literature. J Adolesc Health, 52:S52-S59.
  • Holman DM, Fox KA, Glenn JD, Guy Jr GP, Watson M, Baker K et al (2013) Strategies to reduce indoor tanning: Current research gaps and future opportunities for prevention. Am J Prev Med, 44:672-681.
  • Horsham C, Auster J, Sendall MC, Stoneham M, Youl P, Crane P et al (2014) Interventions to decrease skin cancer risk in outdoor workers: Update to a 2007 systematic review BMC Res Notes, 7:10.
  • Hönigsmann H (2002) Erythema and pigmentation. Photodermatol Photoimmunol Photomed, 18:75-81.
  • IARC Working Group (2012) Radiation: A Review of Human Carcinogens. Lyon, France, International Agency for Research on Cancer.
  • İlter N, Öztaş MO, Adışen E, Gürer MA, Keseroğlu Ö, Ünal S et al (2009) Ankara’da bir alışveriş merkezinde yapılan nevüs taramasında popülasyonun güneşten korunma alışkanlıkları ve melanositik nevüslarinin değerlendirilmesi. Turk Arch Dermatol Venereol, 43:155-159.
  • Jackson KM, Aiken LS (2000) A psychosocial model of sun protection and sunbathing in young women:the impact of health beliefs attitudes norms and self-efficacy for sun protection. Health Psychol, 19:469-478.
  • Jalleh G, Donovan RJ, Lin C, Slevin T (2008) Changing perceptions of solaria and cancer risk: The role of the media. Med J Aust, 188:735.
  • Jeihooni AK, Rakhshani T (2018) The effect of educational intervention based on health belief model and social support on promoting skin cancer preventive behaviours in a sample of Iranian farmers. J Cancer Educ, 34:392-401.
  • Jemal A, Saraiya M, Patel P, Cherala SS, Barnholtz-Sloan J, Kim J et al (2011) Recent trends in cutaneous melanoma incidence and death rates in the United States 1992-2006. J Am Acad Dermatol, 65:S17-25.e1-3.
  • Jemal A, Simard EP, Simard C, Noone AM, Markowitz LE, Kohler B et al (2013) Annual report to the nation on the status of cancer 1975-2009 featuring the burden and trends in human papillomavirus (HPV)-associated cancers and HPV vaccination coverage levels. J Natl Cancer Inst, 105:175-201.
  • Jones JL, Leary MR (1994) Effects of appearance-based admonitions against sun exposure on tanning intentions in young adults. Health Psychol, 13:86-90.
  • Kahraman AT, Aksakal FB, Dikmen AU, Büyükdemirci E, Güven AE (2018) Ankara’da bazı aile sağlığı merkezlerine başvuran 15 yaş üzeri kişilerin güneş ışınları ve deri kanseri hakkında bilgi düzeyleri ve güneş ışınlarından korunma durumları. Manisa Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 5:138-144.
  • Kaptanoğlu AF, Dalkan C, Hıncal E (2012) Kuzey Kıbrıs Türk toplumunda güneşten korunma: İlkokul çağı çocukları ve ailelerinin güneşten korunma ile ilgili bilgi tutum ve davranışları. Turk Arch Dermatol Venereol, 46:121-129.
  • Kasparian NA, McLoone JK, Meiser B (2009) Skin cancer-related prevention and screening behaviours:A review of the literature. J Behav Med, 32:406-428.
  • Kaymak Y, Tekbaş ÖF, Şimşek I (2007) Üniversite öğrencilerinin güneşten korunma ile ilgili bilgi tutum ve davranışları. Turk Arch Dermatol Venereol, 41:81-85.
  • Kinney JP, Long CS, Geller AC (2000) The ultraviolet index: A useful tool. Dermatology Online Journal, 6:2.
  • Lazovich D, Vogel RI, Berwick M, Weinstock MA, Anderson KE, Warshaw EM (2010) Indoor tanning and risk of melanoma: A case-control study in a highly exposed population. Cancer Epidemiol Biomarkers Prev, 19:1557-1568.
  • Lee C, Duffy SA, Louzon SA, Waltje AH, Ronis DJ, Redman RW et al (2014) The impact of Sun Solutions educational interventions on select health belief model constructs. Workplace Health Saf, 62:70-79.
  • Leiter U, Garbe C (2008) Epidemiology of melanoma and nonmelanoma skin cancer-the role of sunlight. Adv Exp Med Biol, 624: 89-103.
  • Levine H, Afek A, Shamiss A, Derazne E, Tzur D, Astman N et al (2013) Country of origin age at migration and risk of cutaneous melanoma: A migrant cohort study of 1,100,000 Israeli men. Int J Cancer, 133:486-494.
  • Livingston PM, White V, Hayman J, Dobbinson S (2003) Sun exposure and sun protection behaviours among Australian adolescents: Trends over time. Prev Med, 37:577-584.
  • Lucas RM, Ponsonby AL (2002) Ultraviolet radiation and health: Friend and foe. Med J Aust, 177:594-598.
  • Mahler HI, Kulik JA, Harrell J, Gerrard M, Gibbons FX (2003) Effects of appearance-based interventions on sun protection intentions and self-reported behaviours. Health Psychol, 22:199-209.
  • Malak AT, Yıldırım P, Yıldız Z, Bektaş M (2011) Effects of training about skin cancer on farmers' knowledge level and attitudes. Asian Pac J Cancer Prev, 12:117-120.
  • Manne SL, Coups EJ, Jacobsen PB, Ming M, Heckman CJ et al (2011) Sun protection and sunbathing practices among at-risk family members of patients with melanoma. BMC Public Health, 11:122.
  • Mayer JA, Woodruff SI, Slymen DJ, Sallis JF, Forster JL, Clapp EJ et al (2011) Adolescents' use of indoor tanning: A large-scale evaluation of psychosocial environmental and policy-level correlates. Am J Public Health, 101:930-938.
  • McDaid O, Melby V (2020) Female university students’ knowledge attitudes and behaviours towards sun exposure and the use of artificial tanning devices: The essence of reducing risky behaviours. J Public Health. 30:639-647
  • McLoone JK, Meiser B, Karatas J, Sousa MS, Zilliacus E, Kasparian NA (2014) Perceptions of melanoma risk among Australian adolescents: Barriers to sun protection and recommendations for improvement. Aust N Z J Public Health, 38:321-325.
  • McWhirter JE, Hoffman-Goetz L (2016) Application of the Health Belief Model to U.S magazine text and image coverage of skin cancer and recreational tanning (2000-2012). J Health Commun, 21:424-438.
  • Merino A (2017) A quality improvement project: Implementing the sunwise education program in middle school adolescents (Doctoral dissertation). Lawrence, KS, University of Kansas.
  • Michie S, Abraham C (2004) Interventions to change health behaviours: Evidence-based or evidence-inspired? Psychol Health, 19:29-49.
  • Mirzaei-Alavijeh M, Gharibnavaz H, Jalilian F (2020) Skin cancer prevention: Psychosocial predictors of sunscreen use in university students. J Cancer Educ, 35:187-192.
  • Moradhaseli S, Ataei P, Farhadian H, Ghofranipour F (2019) Farmers' preventive behaviour analysis against sunlight using the Health Belief Model: A study from Iran. J Agromedicine, 24:110-118.
  • Moser SE (2011) Development and evaluation of an intervention to increase sun protection in young women (Doctoral dissertation). Tempe, AZ, Arizona State University.
  • Myers LB, Horswill MS (2006) Social cognitive predictors of sun protection intention and behaviour. Behav Med, 32:57-63.
  • Nahar VK, Ford MA, Hallam JS, Bass MA, Hutcheson A, Vice MA (2013) Skin cancer knowledge beliefs self-efficacy and preventative behaviours among North Mississippi landscapers. Dermatol Res Pract, 496913.
  • National Cancer Institute (2016 April) Anyone can get skin cancer U.S Department of Health and Human Services https://www.cancer.gov/types/skin/anyone-can-get-skin-cancer (17 Ocak 2022'te ulaşıldı).
  • Özuğuz P, Kaçar SD, Akyürek FT, Üzel H (2014) Birinci sınıf ve son sınıf tıp öğrencileri arasında güneş ve deri hakkındaki bilgi düzeyi ve davranışlarının değerlendirilmesi. Turk J Dermatol, 8:19-22.
  • Parkin DM, Mesher D, Sasieni P (2011) Cancers attributable to solar (ultraviolet) radiation exposure in the UK in 2010. Br J Cancer, 105:S66-S69.
  • Paul C, Tzelepis F, Parfitt N, Girgis A (2008) How to improve adolescents' sun protection behaviour? Age and gender issues. Am J Health Behav, 32:387-398.
  • Pearlman RL, Patel V, Davis RE, Ferris TS, Gruszynski K, Elledge T et al (2021) Effects of health beliefs social support and self-efficacy on sun protection behaviours among medical students:Testing of an extended Health Belief Model. Arch Dermatol Res, 313:445-452.
  • Pedeux R, Al-Irani N, Marteau C, Pellicier F, Branche R, Ozturk M et al (1998) Thymidine dinucleotides induce S phase cell cycle arrest in addition to increased melanogenesis in human melanocytes. J Invest Dermatol, 111:472-477.
  • Peharda V, Gruber F, Kastelan M, Massari LP, Saftić M, Cabrijan L et al (2007) Occupational skin diseases caused by solar radiation. Coll Antropol, 31:87-90.
  • Perez MI (2019) Skin Cancer in Hispanics in the United States. J Drugs Dermatol, 18:s117-120.
  • Rhodes LE, Webb AR, Fraser HI, Kift R, Durkin MT, Allan D et al (2010) Recommended summer sunlight exposure levels can produce sufficient (> or =20 ng ml(-1)) but not the proposed optimal (> or =32 ng ml(-1)) 25(OH)D levels at UK latitudes. J Invest Dermatol, 130:1411-1418.
  • Rigel DS (2008) Cutaneous ultraviolet exposure and its relationship to the development of skin cancer. J Am Acad Dermatol, 58:S129-132.
  • Rosenstock IM (1974) The Health Belief Model and preventive health behaviour. Health Educ Monogr, 2:354-386.
  • Rosenstock IM, Strecher VJ, Becker MH (1988) Social learning theory and the Health Belief Model. Health Educ Q, 15:175-183.
  • Rouhani P, Hu S, Kirsner RS (2008) Melanoma in Hispanic and Black Americans. Cancer Control, 15:248-253.
  • Rouhani P, Pinheiro PS, Sherman R, Arheart K, Fleming LE, Mackinnon J et al (2010) Increasing rates of melanoma among nonwhites in Florida compared with the United States. Arch Dermatol, 146:741-746.
  • Ryan P (2009) Integrated theory of health behaviour change: background and intervention development. Clin Nurse Spec, 23:161-172.
  • Schein OD, Vicencio C, Muñoz B, Gelatt KN, Duncan DD, Nethercott J et al (1995) Ocular and dermatologic health effects of ultraviolet radiation exposure from the ozone hole in southern Chile. Am J Public Health, 85:546-550.
  • Schmitt J, Seidler A, Diepgen TL, Bauer A (2011) Occupational ultraviolet light exposure increases the risk for the development of cutaneous squamous cell carcinoma: A systematic review and meta-analysis. Br J Dermatol, 164:291-307.
  • Schneider S, Krämer H (2010) Who uses sunbeds? A systematic literature review of risk groups in developed countries. J Eur Acad Dermatol Venereol, 24:639-648.
  • Shoveller JA, Lovato CY, Young RA, Moffat B (2003) Exploring the development of sun-tanning behaviour: A grounded theory study of adolescents' decision-making experiences with becoming a sun tanner. Int J Behav Med, 10:299-314.
  • Skiveren J, Mortensen EL, Haedersdal M (2010) Sun protective behaviour in renal transplant recipients A qualitative study based on individual interviews and the Health Belief Model. J Dermatolog Treat, 21:331-336.
  • Starfelt Sutton LC, White KM (2016) Predicting sun-protective intentions and behaviours using the theory of planned behaviour: A systematic review and meta-analysis. Psychol Health, 31:1272-1292.
  • Støle HS, Nilsen L, Joranger P (2019) Beliefs attitudes and perceptions to sun-tanning behaviour in the Norwegian population: A cross-sectional study using the Health Belief Model. BMC Public Health, 19:206.
  • Sümen A, Öncel S (2015) Effect of skin cancer training provided to maritime high school students on their knowledge and behaviour. Asian Pac J Cancer Prev, 16:7769-7779.
  • Sümen A, Öncel S (2018) Türkiye'de cilt kanseri ve güneşten korunmaya yönelik yapılan araştırmaların incelenmesi. Turkiye Klinikleri J Nurs Sci, 10:59-69.
  • Sümen A, Öncel S (2020a) The effect of ‘I am Protecting my Child from the Sun’ programme on parental sun protection behaviours: Randomized controlled trial. J Adv Nurs, 77:387-400.
  • Sümen A, Öncel S (2020b) Knowledge levels of kindergarten teachers about skin cancer, sun protection behaviors, and affecting factors. J Cancer Educ, 37(1):210-216.
  • Sümen A, Öncel S (2021) Sun protection behaviors and its affecting factors in parents of kindergarteners. Turk Arch Dermatol Venereol, 55:178-183.
  • Şenel E, Süslü İ (2015) Knowledge attitudes and behaviours regarding sun protection effects of the sun and skin cancer among Turkish high school students and teachers. Dermatologica Sinica, 33:187-190.
  • Terzi S, Başak PY, Erturan İ (2017) Polikliniğe başvuran hastalarda güneşin zararlı etkileri ve korunma yolları ile ilgili bilgi tutum ve davranışların araştırılması. Turk Arch Dermatol Venereol , 51:2-7.
  • Ting W, Schultz K, Cac NN, Peterson M, Walling HW (2007) Tanning bed exposure increases the risk of malignant melanoma. Int J Dermatol, 46:1253-1257.
  • U.S Department of Health and Human Services (2014) The Surgeon General’s Call to Action to Prevent Skin Cancer. Washington DC, U.S. Dept of Health and Human Services, Office of the Surgeon General.
  • Uğurlu Z, Işık SA, Balanuye B, Budak E, Elbaş NÖ, Kav S (2016) Awareness of skin cancer prevention and early detection among Turkish university students. Asia Pac J Oncol Nurs, 3:93-97.
  • Uslu M, Şavk E, Karaman G, Şendur N (2009) Okul çocuklarında melanositik nevüs prevalansı ve güneş maruziyeti ilişkisi. Turk Arch Dermatol Venereol , 43:149-154.
  • Uysal A, Özsoy SA, Ergül Ş (2004) Öğrencilerin cilt kanseri risklerinin ve güneş ışınlarından korunmaya yönelik uygulamalarının değerlendirilmesi. Ege J Med , 43:95-99.
  • Van Deventer E, Sinclair C (2017) Artificial Tanning Devices: Public Health Interventions to Manage Sunbeds. Geneva, World Health Organization.
  • van Osch L, Reubsaet A, Lechner L, de Vries H (2008) The formation of specific action plans can enhance sun protection behaviour in motivated parents. Prev Med, 47:127-132.
  • van Ryn M, Heaney CA (1992) What's the use of theory? Health Educ Q, 19:315–330.
  • Veierød MB, Adami HO, Lund E, Armstrong BK, Weiderpass E (2010) Sun and solarium exposure and melanoma risk: Effects of age pigmentary characteristics and nevi. Cancer Epidemiol Biomarkers Prev, 19:111-120.
  • Walter SD, King WD, Marrett LD (1999) Association of cutaneous malignant melanoma with intermittent exposure to ultraviolet radiation: Results of a case-control study in Ontario Canada. Int J Epidemiol, 28:418-427.
  • Weir HK, Marrett LD, Cokkinides V, Barnholtz-Sloan J, Patel P, Tai E et al (2011) Melanoma in adolescents and young adults (ages 15-39 years): United States. J Am Acad Dermatol, 65:S38-49.
  • White KM, Starfelt LC, Young RM, Hawkes AL, Cleary C, Leske S et al (2015) A randomised controlled trial of an online theory-based intervention to improve adult Australians' sun-protective behaviours. Prev Med, 72:19-22.
  • Whiteman DC, Whiteman CA, Green AC (2001) Childhood sun exposure as a risk factor for melanoma:A systematic review of epidemiologic studies. Cancer Causes Control, 12:69-82.
  • WHO (2017) Radiation: Ultraviolet (UV) radiation and skin cancer https://www.who.int/news-room/q-a-detail/radiation-ultraviolet-(uv)-radiation-and-skin-cancer (Accessed 14.01.2022).
  • WHO (2022) Health effects of UV radiation. https://www.who.int/teams/environment-climate-change-and-health/radiation-and-health/uv/health-effects (Accessed 02.02.2022).
  • Witte K (1992) Putting the Fear Back into Fear Appeals: The Extended Parallel Process Model. Communication Monographs, 59: 329-349.
  • Wu X, Groves FD, McLaughlin CC, Jemal A, Martin J, Chen VW (2005) Cancer incidence patterns among adolescents and young adults in the United States. Cancer Causes Control, 16:309-320.
  • Yilmaz M, Yavuz B, Subasi M, Kartal A, Celebioglu A, Kacar H et al (2015) Skin cancer knowledge and sun protection behaviour among nursing students. Jpn J Nurs Sci, 12:69-78.
  • Yurtseven E, Ulus T, Vehid S, Köksal S, Bosat M, Akkoyun K (2012) Assessment of knowledge behaviour and sun protection practices among health services vocational school students. Int J Environ Res Public Health, 9:2378-2385.
There are 142 citations in total.

Details

Primary Language English
Subjects Psychology
Journal Section Review
Authors

Burak Ahmet Çelik 0000-0001-7744-0459

Volkan Koç 0000-0003-4218-6555

Early Pub Date March 31, 2023
Publication Date March 31, 2023
Acceptance Date August 1, 2022
Published in Issue Year 2023 Volume: 15 Issue: 1

Cite

AMA Çelik BA, Koç V. Skin Cancer-Related Health Behavior Interventions in the Context of the Health Belief Model. Psikiyatride Güncel Yaklaşımlar - Current Approaches in Psychiatry. March 2023;15(1):83-102. doi:10.18863/pgy.1112210

Creative Commons License
Psikiyatride Güncel Yaklaşımlar - Current Approaches in Psychiatry is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.