Knowledge, attitude and practice regarding solar ultraviolet exposure among medical university students in Northeast China

Worldwide 2–3 million cases of keratinocyte carcinoma (KC) are diagnosed annually. Sun‐related knowledge is essential for adequate protection against solar ultraviolet radiation (UVR), the main risk factor for KC. The goal was (i) to provide an updated overview of primary prevention against KC including skin cancer‐related knowledge, attitudes and sun protection behaviour (SPB) of outdoor workers, the general population and medical professionals as well as (ii) to evaluate the effectiveness and acceptability of sun protection programmes. We conducted a systematic review of articles indexed for MEDLINE on PubMed using selected MeSH terms and keywords related to the studied topic as well as an extensive hand search of publications between 1 January 2012 and 31 December 2018. We identified 51 relevant cross‐sectional studies and 22 interventional studies. Sun‐related knowledge and attitude showed substantial differences with some alarming results, including people who had not even heard about skin cancer before. Reported SPB varied enormously between the included studies, with none of the studies providing an overall sufficient SPB in their examined sun protection measures. However, sun protection programmes using new technologies seem to have great potential to increase sun‐related knowledge and SPB. In countries worldwide, particularly in those where KC is not yet a public health issue, UVR protection should be promoted by healthcare institutions and authorities, politicians, cancer foundations and dermatologists to increase awareness as well as SPB and to decrease the worldwide burden of KC.

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“…Most medical professionals were aware of the harmful effects of UVR in relation to skin cancer . Isvy et al .…”

Section: Resultsmentioning

confidence: 99%

“…Most medical professionals perceived their skin cancer risk as average and thought that morning and late afternoon were good times for outdoor activities in autumn, spring and summer . Abu‐Abed et al .…”

Section: Resultsmentioning

confidence: 99%

Primary prevention of keratinocyte carcinoma among outdoor workers, the general population and medical professionals: a systematic review updated for 2019

Ziehfreund

Schuster

Zink

2019

Acad Dermatol Venereol

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“…In this regard, despite sufficient evidence on the various determinants of vitamin D deficiency including lack of sun exposure and dietary intake, studies conducted on general practitioners, university and school students, general adult populations, and athletes mostly found participants to have inadequate knowledge regarding the role of sunlight in vitamin D production, the function and sources of vitamin D, and also negative attitudes and behaviors toward sunlight [11,12,13,14,15,16,17,18,19,20,21]. Hence, it seems understanding individuals’ knowledge, attitude and practice (KAP) regarding vitamin D is essential in developing related health promotion programs.…”

Section: Introductionmentioning

confidence: 99%

“…In some previous studies conducted on vitamin D, KAP was evaluated using a number of questions rather than using a structured questionnaire [11,12,17,18,20]. On the other hand, the psychometric properties of structured questionnaires used in some other studies were mainly assessed by face and content validity and none of them utilized statistical approaches to examine construct validity of the applied instruments.…”

Section: Introductionmentioning

confidence: 99%

Psychometric Properties of a Developed Questionnaire to Assess Knowledge, Attitude and Practice Regarding Vitamin D (D-KAP-38)

et al. 2017

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The aim of this study was to develop a valid and reliable questionnaire to assess vitamin D-related knowledge, attitude and practices in Tehranian adults, who may be at increased risk of vitamin D deficiency. This study was conducted on 572 individuals, aged ≥20 years from public health care centers in Tehran, Iran. Based on results of a literature review and in-depth interviews, the 38-item vitamin D-related KAP questionnaire (D-KAP-38) with four subscales was developed: (1) general knowledge; (2) nutritional knowledge; (3) attitudes; (4) behaviors. Validity of the D-KAP-38 questionnaire was assessed, utilizing face, content, and construct validity methods. Internal consistency was calculated to assess reliability of the current developed questionnaire. A total of 572 (54.1% female) adults, aged 30.2 ± 7.9 years, participated in the study. All items were perceived as relevant and comprehendible by participants. Content validity was confirmed by a panel of experts. The internal consistency, as measured by Cronbach’s alpha coefficients, exceeded the minimum reliability standard of 0.60 for four subscales. Exploratory factor analysis suggested a four-factor construct and the results of the confirmatory factor analysis indicated acceptable fit indices for the proposed model. No ceiling effects were observed except for general knowledge (1.2%). Floor effects detected were 0%, 1.1%, 2.4%, and 8.7% for practice, attitude, general knowledge, and nutrition knowledge, respectively. General knowledge had the highest score (79.59 ± 14.52) and nutrition knowledge had the lowest (42.58 ± 20.40), among the four sub-scales. Results confirm the initial validity and reliability of D-KAP-38 questionnaire. Further investigations in different populations are recommended.

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“…Other emitted gases such as SO 2 promote acid rain, which is destructive and reduces crop yields [6][7][8][9][10]. The destruction of the ozone layer due to fuel combustion permits the transmission of harmful ultra-violet radiation to the Earth's surface; these rays have been identified as causative agents for skin http and pigment cell cancers [11][12][13]. Oil spillage during transportation destroys marine environments due to the toxicity of oil to aquatic plant and animal species [14][15][16][17][18].…”

Section: Introductionmentioning

confidence: 99%

In situ fast pyrolysis of biomass with zeolite catalysts for bioaromatics/gasoline production: A review

Galadima

Muraza

2015

Energy Conversion and Management

223

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Knowledge, attitude and practice regarding solar ultraviolet exposure among medical university students in Northeast China

Cited by 34 publications

References 28 publications

Primary prevention of keratinocyte carcinoma among outdoor workers, the general population and medical professionals: a systematic review updated for 2019

Primary prevention of keratinocyte carcinoma among outdoor workers, the general population and medical professionals: a systematic review updated for 2019

Psychometric Properties of a Developed Questionnaire to Assess Knowledge, Attitude and Practice Regarding Vitamin D (D-KAP-38)

In situ fast pyrolysis of biomass with zeolite catalysts for bioaromatics/gasoline production: A review

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