European Journal of Oncology Nursing
Volume 13, Issue 1 , Pages 29-35 , February 2009

Attitudes, knowledge and behaviours with regard to skin cancer: A literature review

  • Sinead Keeney

      Affiliations

    • Institute of Nursing Research, School of Nursing, University of Ulster, Shore Road, Newtownabbey, Co. Antrim BT37 0QB, United Kingdom
    • Corresponding Author InformationCorresponding author. Tel.: +44 28 9036 8463; fax: +44 28 9036 8202.
  • ,
  • Hugh McKenna

      Affiliations

    • Faculty of Life and Health Sciences, University of Ulster, United Kingdom
  • ,
  • Paul Fleming

      Affiliations

    • Faculty of Life and Health Sciences, University of Ulster, United Kingdom
  • ,
  • Sonja McIlfatrick

      Affiliations

    • Northern Health & Social Care Trust & University of Ulster, United Kingdom

References 

  1. Amir Z, Wright A, Kernohan EE, Hart G. Attitudes, beliefs and behaviour regarding the use of sunbeds among healthcare workers in Bradford. European Journal of Cancer Care. 2000;9(2):76–79
  2. Arthey S, Clarke VA. Suntanning and sun protection: a review of the psychological literature. Social Science and Medicine. 1995;40:265–274
  3. Arveux P, Durand G, Milan C, Bedenne L, Levey D, Doan B. Views of a general population on mass screening for colorectal cancer: the Burgandy Study. Preventive Medicine. 1992;21:574–581
  4. Audrain-McGovern J, Hughes C, Patterson F. Effecting behaviour change: awareness of family history. American Journal of Preventive Medicine. 2003;24(2):183–198
  5. Autier P, Dore JF, Reis AC, Griv A, Ollivaud L, Truchetet F, et al. Sunscreen use and intentional exposure to ultraviolet A and B radiation: a double blind randomised controlled trial using personal dosimeters. British Journal of Cancer. 2000;83(9):1243–1248
  6. Baker AH, Wardle J. Increasing fruit and vegetable intake among adults attending colorectal cancer screening: the efficacy of a brief tailored intervention. Cancer Epidemiology, Biomarkers and Prevention. 2002;11:203–206
  7. Bolognia JL, Berwick M, Fine JA. Sun protection in newborns: a comparison of educational methods. American Journal of Diseases of the Child. 1991;145:1125–1129
  8. Borland RM, Hocking B, Godhin GA. The impact of a skin cancer control education package for outdoor workers. Medical Journal of Australia. 1991;154(10):686–688
  9. Branstrom R, Ullen H, Brandberg Y. Attitudes, subjective norms and perception of behavioural control as predictors of sun-related behaviour in Swedish adults. Preventive Medicine. 2004;39:992–999
  10. British Nutrition Foundation . A Critical Review of the Psychosocial Basis of Food Choice and Identification of Tools to Effect Positive Food Choice. London: Food Standards Agency; 2004;
  11. Broadstock M, Borland R, Gason R. Effects of suntan on judgements of healthiness and attractiveness by adolescents. Journal of Applied Social Psychology. 1992;22:157–172
  12. Buller MK, Loescher LJ, Buller DB. Sunshine and skin health: a curriculum for skin cancer prevention education. Journal of Cancer Education. 1994;9(3):155–161
  13. Buller DB, Morrill C, Taren D. Randomised trial testing the effect of peer education at increasing fruit and vegetable intake. Journal of the National Cancer Institute. 1999;91:1491–1500
  14. Cameron IH, McGuire C. “Are you dying to get a suntan?” The pre and post campaign survey results. Health Education Journal. 1990;49:166–170
  15. Campbell HS, Birdsell JM. Knowledge, beliefs and sun protection behaviours of Alberta adults. Preventive Medicine. 1994;23:160–166
  16. Cancer Research UK . Skin Cancer Overview. 2008;http://info.cancerresearchuk.org/healthyliving/sunsmart/skincancer/(accessed 17.11.08)
  17. Cancer Research UK . Cancer Statistics. 2008;http://info.cancerresearchuk.org/cancerstats/(accessed 17.11.08)
  18. Devos SA, Baeyens K, Van Hecke L. Sunscreen and skin protection behaviours on the Belgian beach. International Journal of Dermatology. 2003;42:352–356
  19. Dey P, Collins S, Will S, Woodman CBJ. Randomised controlled trial assessing effectiveness of health education leaflets in reducing incidence of sunburn. British Medical Journal. 1995;311:1062–1063
  20. Fielder H, Lo SV, Shorney S, Roberts DL. Skin, sun and sense: an evaluation of a skin cancer prevention campaign. Health Education Journal. 1996;55:431–438
  21. Gerbert B, Johnson K, Bleecker T, McPhee . Attitudes about skin cancer prevention: a qualitative study. Journal of Cancer Education. 1996;11(2):96–101
  22. Giles GG, Armstrong BK, Burton RC, Staples MP, Thursfield VJ. Has mortality from melanoma stopped rising in Australia? Analysis of trends between 1931–1994. British Medical Journal. 1996;312:1121–1125
  23. Girgis A, Sanson-Fisher RW, Watson A. A workplace intervention for increasing outdoor workers' use of solar protection. American Journal of Public Health. 1994;84(1):77–81
  24. Goldsmith DF, Sisneros GC. Cancer prevention strategies among California farmworkers: preliminary findings. Journal of Rural Health. 1996;12(4):S343–S348
  25. Green J, Tones K. For debate: towards a secure evidence base for health promotion. Journal of Public Health. 1999;21(2):133–139
  26. Halpern AC, Kopp LJ. Awareness, knowledge and attitudes to non-melanoma skin cancer and actinic keratosis among the general public. International Journal of Dermatology. 2005;44:107–111
  27. Hancock L, Sanson-Fisher R, Redman S, Reid A, Tripodi T. Knowledge of cancer risk reduction practices in rural towns of New South Wales. Australian and New Zealand Journal of Public Health. 1996;20(5):529–538
  28. Hill D, White V, Mark R, Theobald T, Borland R, Roy C. Melanoma prevention: behavioural and non-behavioural factors in sunburn among Australian urban population. Preventive Medicine. 1992;21:654–669
  29. Hill D, White V, Marks R, Borland R. Changes in sun-related attitudes and behaviours and reduced sunburn prevalence in a population at high risk of melanoma. European Journal of Cancer Prevention. 1993;2:447–456
  30. Hughes BR, Altman DG, Newton JA. Melanoma and skin cancer: evaluation of a health education programme for secondary schools. British Journal of Dermatology. 1993;128(4):412–417
  31. Irish Cancer Society . Sun and Skin Cancer Survey. Dublin: Irish Marketing Surveys; 1999;
  32. Jackson A, Wilkinson C, Pill R. Moles and melanomas – who's at risk, who knows, and who cares? A strategy to inform those at risk. British Journal of General Practice. 1999;49:199–203
  33. Jackson KM, Aiken LS. Evaluation of a multi-component appearance based sun protective intervention for young women: uncovering the mechanisms of program efficacy. Health Psychology. 2006;25(1):34–46
  34. Jerkegren E, Sandrieser L, Brandberg Y, Rosdahl I. Sun related behaviour and melanoma awareness among Swedish university students. European Journal of Cancer Prevention. 1998;8:27–34
  35. Keesling B, Friedman HS. Psychological factors in sunbathing and sunscreen use. Health Psychology. 1987;6:477–493
  36. Kiekbusch S, Hannich HJ, Isacsson A, Johnannisson A, Lindholm LHJ, Sager E, et al. Impact of a cancer education multimedia device on public knowledge, attitudes and behaviours: a controlled intervention study in southern Sweden. Journal of Cancer Education. 2000;15(4):232–236
  37. Leary MR, Jones JL. The social psychology of tanning and sunscreen use: self-presentational motives as a predictor of health risk. Journal of Applied Social Psychology. 1993;23(17):1390–1406
  38. Ling TC, Faulker C, Rhodes LE. A questionnaire survey of attitudes to and usage of sunscreens in northwest England. Photodermatology, Photoimmunology & Photomedicine. 2003;19:98–101
  39. Loescher LJ, Emerson J, Taylor A, Christensen DH, McKinney M. Educating preschoolers about sun safety. American Journal of Public Health. 1995;85:939–943
  40. MacKie RM, Hole DJ. Audit of public education campaign to encourage earlier detection of malignant melanoma. British Medical Journal. 1992;304:1012–1015
  41. MacKie RM. Awareness, knowledge and attitudes to basal cell carcinoma and actinic keratoses among the general public within Europe. Journal of the European Academy of Dermatology and Venereology. 2004;18:552–555
  42. Marks R. Campaigning for melonoma prevention: a model for a health education program. Journal of the European Academy of Dermatology and Venereology. 2004;18:44–47
  43. Mawn VB, Fleischer AB. A survey of attitudes, beliefs and behaviour regarding tanning bed use, sunbathing and sunscreen use. Journal of the American Academy of Dermatology. 1993;29(6):959–962
  44. McClendon BT, Prentice-Dunn S, Blake R, McMath B. The role of appearance concern in response to intervention to reduce skin cancer risk. Health Education. 2002;102(2):76–83
  45. Melia J, Pendry L, Eiser JR, Harland C, Moss S. Evaluation of primary prevention initiatives for skin cancer: a review from a UK perspective. British Journal of Dermatology. 2000;143:701–708
  46. Miles A, Waller J, Hiom S, Swanston D. Sunsmart? Skin cancer knowledge and preventive behaviour in a British population representative sample. Health Education Research. 2005;20(5):579–585
  47. Mullan PB, Gardiner JC, Rosenman K, Zhu Z, Swanson GM. Skin cancer prevention and detection practices in a Michigan farm population following an educational intervention. The Journal of Rural Health. 1996;12(4):311–319
  48. National Cancer Institute . Skin Cancer Screening. 2004;http://www.cancer.gov/cancertopics/pdq/screening/skin/patient/allpages/print#Keypoint1(accessed 12.03.05)
  49. Owen T, Fitzpatrick D, Dolan O, Gavin A. Knowledge, attitudes and behaviours in the sun: the barriers to behavioural change in Northern Ireland. The Ulster Medical Journal. 2004;73(2):96–104
  50. Paul C, Tzelepis F, Walsh RA, Girgis A, King L, McKenzie J. Has the investment in public cancer education delivered observable changes in knowledge over the last ten years?. Cancer. 2003;97(12):2931–2939
  51. Prium B, Wright L, Green A. Do people who apply sunscreen, re-apply them?. Australasian Journal of Dermatology. 1999;40:79–82
  52. Rebello-Palencia MR, Berlanga-Gonzalez MA, Casado-Alonsa Y, et al. Knowledge and attitudes related with cancer prevention in a population served at a health centre. Aten Primara. 1996;18:417–424
  53. Robins-Sadler G, Thomas A, Yen J, Dhanjal S, Ko C, Tran C, et al. Asian grocery store-based cancer education program. Journal of Cancer Education. 2000;15(3):173–177
  54. Robinson JK. Behavior modification obtained by sun protection education coupled with removal of skin cancer. Archives of Dermatology. 1990;126:477–481
  55. Robinson JD, Silk KJ, Parrott RL, Steiner C, Morris SM, Honeycutt MA. Healthcare providers sun-protection promotion and at-risk clients' skin-cancer-prevention outcomes. Preventive Medicine. 2004;38:251–257
  56. Scerri L, Aquilina S, Amato GA, Dalmas M. Sun awareness and sun protection practices in Malta. Journal of European Academic Dermatol Venereol. Jan 2002;16(1):47–52
  57. Schofield PE, Freeman JL, Dixon HG, Borland R, Hill DJ. Trends in sun protection behaviour among Australian young adults. Australian New Zealand Journal of Public Health. 2001;25:62–65
  58. Sharpe CR, Siemiatyclci JA, Racnet BP. The effects of smoking on the risk of colorectal cancer. Diseases of the Colon and Rectum. 2002;45(8):1041–1050
  59. Smith BJ, Ferguson C, McKenzie J, Bauman A, Vita P. Impacts from repeated mass media campaigns to promote sun protection in Australia. Health Promotion International. 2002;17(1):51–60
  60. Sorensen G, Stoddard AM, LaMontagne AD, Emmons K, Hunt K, Youngstrom R. A comprehensive worksite cancer prevention intervention: behaviour change results from a randomised controlled trial. Cancer Causes and Control. 2002;13:493–502
  61. 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):369–378
  62. Tamir D, Tamir J, Dayan I, Josef H, Orenstein A, Shafir R. Positive changes in sun-related behaviour in Isreal (1994–1998). Preventive Medicine. 2000;35:369–375
  63. Taylor PR, Dawsey SM, Hu N, Albanes D, Wu M. Nutritional intervention to prevent hereditary cancer. Journal of the National Cancer Institutes Monographs. 1995;17:43–47
  64. Ulster Cancer Foundation . Obsession with the Sun. 2003;http://www.ulstercancer.org/news.asp?NewsID=33(accessed 13.11.03)
  65. von Schirnding Y, Strauss N, Mathee A, Robertson P, Blignaut R. Sunscreen use and environmental awareness among beach goers in Cape Town. South Africa Public Health Review. 1991;19:209–217
  66. Weinstein JM, Yarnold PR, Hornung RL. Parental knowledge and practice of primary skin cancer prevention: gaps and solutions. Pediatric Dermatology. 2001;18(6):473–477
  67. Wesson KM, Silverberg NB. Sun protection education in the United States: what we know and what needs to be taught. Cutis. 2003;71(1):71–74

PII: S1462-3889(08)00148-8

doi: 10.1016/j.ejon.2008.11.004

European Journal of Oncology Nursing
Volume 13, Issue 1 , Pages 29-35 , February 2009