Skin cancer-related knowledge, attitudes, beliefs, and practices among the population in Gulf Cooperation Council countries: a systematic search and literature review

Nahar, Vinayak K.; Wilkerson, Amanda H.; Pearlman, Ross L; Ferris, Taylor S; Zardoost, Pooya; Payson, Shirley N; Aman, Iram; Quadri, Syed

doi:10.1007/s00403-020-02041-w

Cited by 4 publications

(4 citation statements)

References 29 publications

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“…Another study found that female Middle Eastern immigrants living in California had 5 times the risk of melanoma compared with those in the Middle East . Studies in the Middle East and Australia have suggested poor community knowledge of sun protection measures, engaging in lower or no sunscreen use, and perceiving darker skin as protective as the contributing factors to an increased skin cancer burden in this population . While the prevalence of skin cancer in this population is likely low, additional research may help to further understand its prevalence and associated risk and protective factors.…”

Section: Discussionmentioning

confidence: 99%

Perceptions of US-Based Muslim Patients of Their Dermatology Care

El-Banna,

Rezaei,

Chang

et al. 2024

JAMA Dermatol

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ImportanceCultural humility training is of growing interest, yet the religious and cultural accommodations of Muslim patients in dermatology have not been studied.ObjectiveTo explore the perceptions of Muslim patients of their dermatology care.Design, Setting, and ParticipantsThis qualitative mixed-methods study, consisting of surveys and semistructured interviews, recruited participants from 2 clinical sites within a large academic health care system in California. Participants were adult, English-speaking, Muslim patients who were evaluated at least once by a medical or surgical dermatologist between January 2022 and January 2023.Main Outcomes and MeasuresA survey obtained the following data: demographics, religious practices pertinent to dermatology care, and experiences of bias outside and inside the dermatology clinic. Semistructured interviews covered topics related to positive and negative experiences in the dermatology clinic, accommodation of cultural and religious needs in dermatology, and future interventions.ResultsA total of 21 patients (mean [SD] age, 36.4 [11.6] years; range, 26-71 years) participated in the study: 5 male individuals (24%) and 16 female individuals (76%), including 10 female individuals who wore hijab. Eleven participants identified as Middle Eastern (52%), 8 as South Asian (38%), 1 as North African (5%), and 1 as Pacific Islander (5%). Survey results showed variations in the impact of Islamic practices on dermatology care. Interviews showed that Muslim participants did not perceive dermatology care as a priority and expressed interest in community events focused on general dermatology education. They also experienced stigmatization of their skin disease and cosmetic care. Prior experiences with Islamophobia and colorism hindered the Muslim patient–dermatologist relationship and disclosure of the need for accommodations. There were instances when participants experienced bias and poor cultural humility from dermatologists. Finally, Muslim participants had unique religious and cultural needs pertinent to their care, including clinician gender concordance, medication timing adjustment while fasting, and halal medication ingredients.Conclusions and RelevanceThis qualitative mixed-methods study explored the experiences of Muslim patients in dermatology in the US. Recommendations supported by this study include incorporating religion into cultural humility training, increasing diversity in the dermatology workforce, implementing policies for clearer medication labeling, supporting dermatology research in subpopulations of Muslim individuals in the US, and partnering with community organizations for dermatology education.

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Section: Discussionmentioning

confidence: 99%

Perceptions of US-Based Muslim Patients of Their Dermatology Care

El-Banna,

Rezaei,

Chang

et al. 2024

JAMA Dermatol

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“…Es así como, por ejemplo, vale la pena destacar el bajo uso de sombrero, que a pesar de ser una medida económica y muy efectiva, tiene un bajo nivel de aceptación entre la población bogotana, por lo que sería fundamental implementar estrategias tendientes a rescatar y reforzar su uso. En la literatura mundial se han reportado múltiples trabajos que han estudiado las creencias, actitudes y prácticas frente al cáncer de piel (19). En estos estudios se ha documentado una serie de creencias y prácticas reportadas por pacientes que ya padecen cáncer de piel, dentro de los que vale la pena destacar un alto nivel de horas promedio de exposición a lo largo del día y, en contraste, un bajo nivel de uso de protector solar y otras medidas.…”

Section: Discussionunclassified

Conocimientos, prácticas y prevalencia de uso de medidas de protección adecuada frente a la radiación ultravioleta en habitantes de Bogotá D.C. (2013-2018)

Sánchez-Vanegas

Caicedo-Gelvez

Guarín-Castaño

et al. 2021

Investig. segur. soc. salud.

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Objetivo: describir los conocimientos, las prácticas y la prevalencia de uso de medidas de protección adecuadas frente a la radiación ultravioleta (RUV) en una muestra de habitantes de Bogotá D.C., Colombia (2013-2018). Método: estudio de corte transversal a partir de encuestas realizadas por la Secretaría Distrital de Salud (SDS) en diferentes sectores de Bogotá. Se entrevistaron transeúntes de áreas públicas de concentración masiva en las 20 localidades de Bogotá, los cuales fueron incluidos de forma secuencial y por conveniencia. Se estudiaron aspectos sociodemográficos, fenotípicos, antecedente de interés, conocimientos y prácticas relacionadas con la exposición a la RUV. Resultados: se analizaron 8.420 encuestas, donde el 66 % (n: 5.560) eran sujetos de género femenino, con una mediana de edad de 38 años. La mayoría de los encuestados se ubicaron en los estratos socioeconómicos del I al III (95,6 %; n: 8.051). El 27 % declaró una ocupación laboral al aire libre (n: 2.268) y el 50 % reportaron exponerse a la RUV los siete días de la semana (n: 4.255). El 70 % de los participantes (n: 5.870) reconoció que la RUV es un factor de riesgo de cáncer de piel, pero tan sólo el 20,8 % (n: 1.753)reportó prácticas adecuadas de protección. Conclusiones: a pesar del alto nivel de conocimiento frente a los riesgos de la RUV existe un bajo porcentaje de uso de medidas de protección en esta muestra de habitantes de Bogotá. Se deben reforzar las estrategias que conduzcan a incrementar la protección frente a la RUV en este grupo poblacional.

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“…[50][51][52] Frequently reported barriers to using sunscreen and sun-protective strategies include increased application challenges, cosmetic acceptability (especially with thicker products), or poor understanding of the risks of extensive UVR exposure. 59 In the authors' opinion, these barriers are only exacerbated by third party evaluators that potentially have a financial interest in recommending specific sunscreen products. 90,94 For all of these reasons, the SCPWG believes that dermatologists are uniquely qualified to advocate for patients and educate the general public on the importance of sun-protective strategies.…”

Section: The Proven Benefits Of Sunscreen Usage Overwhelmingly Outweigh the Hypothetical Risksmentioning

confidence: 99%

“…57,58 Underutilization is often exacerbated by additional barriers including: increased application challenges, poor comprehension of the risk of extensive UVR exposure, belief that tan skin appeared healthier, belief that sunscreen was harmful to the skin, or belief that sunscreens negatively impacts systemic vitamin D levels. 59…”

Section: Adherence Among the General Public Tomentioning

confidence: 99%

Expert Consensus on Sunscreen for the Primary Prevention of Skin Cancer: Results of the Skin Cancer Prevention Working Group Conference

Marson¹,

Farberg

Glazer

et al. 2021

J of Skin

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Background: Melanoma and non-melanoma skin cancers (NMSC) are the overall most common type of malignancy. Despite this fact, the use of sunscreen as a primary preventative measure for skin cancer is not ubiquitous. Objective: To review the literature regarding efficacy and safety of sunscreens and to process and condense data into overarching principles to provide guidance to the general public and improve outcomes for melanoma NMSC. Methods: A systematic review of the literature pertaining to sunscreen efficacy in the primary prevention of melanoma and non-melanoma skin cancer, safety in humans and environmental impact was conducted. Following a thorough review of the literature, the Skin Cancer Prevention Working Group (SCPWG), an expert panel consisting of dermatologists with specialized training in melanoma and NMSC diagnosis and management, employed a modified Delphi technique to reach consensus over the development of statements regarding the current level of evidence for sunscreen efficacy and safety. Final statements were only adopted after achieving a supermajority vote >80%. Results: 96 articles were identified for further review and discussion. The SCPWG developed 7 consensus statements regarding the efficacy and safety of sunscreens and their role in the prevention of melanoma and NMSC. Conclusion: The proven benefits of primary skin cancer prevention outweigh the potential/hypothetical risks of sunscreen use, especially given insufficient real-world, prospective data for the discussed risks. As experts in skin health and skin cancer pathophysiology, the SCPWG believes dermatologists are uniquely qualified to lead future studies investigating sunscreen efficacy and safety and should counsel patients and the public on skin cancer primary prevention strategies.

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Skin cancer-related knowledge, attitudes, beliefs, and practices among the population in Gulf Cooperation Council countries: a systematic search and literature review

Cited by 4 publications

References 29 publications

Perceptions of US-Based Muslim Patients of Their Dermatology Care

Perceptions of US-Based Muslim Patients of Their Dermatology Care

Conocimientos, prácticas y prevalencia de uso de medidas de protección adecuada frente a la radiación ultravioleta en habitantes de Bogotá D.C. (2013-2018)

Expert Consensus on Sunscreen for the Primary Prevention of Skin Cancer: Results of the Skin Cancer Prevention Working Group Conference

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