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Sağlık İnanç Modeli Bağlamında Cilt Kanseri ile İlişkili Sağlık Davranışı Müdahaleleri

Yıl 2023, Cilt: 15 Sayı: 1, 83 - 102, 31.03.2023
https://doi.org/10.18863/pgy.1112210

Öz

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.

Kaynakça

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

Yıl 2023, Cilt: 15 Sayı: 1, 83 - 102, 31.03.2023
https://doi.org/10.18863/pgy.1112210

Öz

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.

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  • 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.
Toplam 142 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Psikoloji
Bölüm Derleme
Yazarlar

Burak Ahmet Çelik 0000-0001-7744-0459

Volkan Koç 0000-0003-4218-6555

Erken Görünüm Tarihi 31 Mart 2023
Yayımlanma Tarihi 31 Mart 2023
Kabul Tarihi 1 Ağustos 2022
Yayımlandığı Sayı Yıl 2023 Cilt: 15 Sayı: 1

Kaynak Göster

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

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Psikiyatride Güncel Yaklaşımlar Creative Commons Atıf-Gayriticari-Türetilemez 4.0 Uluslararası Lisansı ile lisanslanmıştır.