Department of Dermatology, Oxford Radcliffe Hospitals NHS Trust, Oxford, UK.
Clin Exp Dermatol. 2013 Jun;38(4):338-43. doi: 10.1111/j.1365-2230.2012.04459.x. Epub 2013 Mar 27.
The rate of skin cancer in the UK continues to rise.
To identify the current knowledge and awareness of and attitudes towards the avoidance of skin cancer among a variety of patient groups to aid the design of future UK sun-awareness campaigns.
Patients aged ≥ 16 years presenting to one of three general practices (two urban, one rural) in the UK during the period 1 June to 31 July 2010 were invited to complete a paper-based questionnaire collecting data on their sun-exposure behaviour, with significance assessed by the Fisher exact test.
In total, 1000 patients (327 male, 673 female) responded. Those aged 16-30 years were significantly more likely to get sunburn than the older age groups. The understanding of ways to avoid skin cancer in 16-30-year-olds was also rated as significantly worse than that of all other age groups. Compared with the older age groups, this group was also less likely to avoid midday sun exposure (P < 0.001) or to cover up in the sun (P < 0.001). There was no significant difference in sun exposure or frequency of sunburn between those with or without a personal or family history of skin cancer. Those with a positive history were more likely to wear sunscreen (P < 0.01), but not to cover up or avoid the midday sun.
UK-based sun-awareness programmes should target younger age groups. In addition, healthcare professionals must ensure that opportunities are taken to reinforce the importance of safe sun exposure for patients presenting with skin cancer.
英国的皮肤癌发病率持续上升。
确定各种患者群体对避免皮肤癌的现有知识、意识和态度，以帮助设计未来英国的防晒宣传活动。
2010 年 6 月 1 日至 7 月 31 日期间，邀请在英国三家全科诊所（两家城市诊所，一家农村诊所）就诊的年龄≥16 岁的患者填写一份纸质问卷，收集有关其日晒行为的数据，采用 Fisher 确切检验评估显著性。
共 1000 名患者（327 名男性，673 名女性）做出了回应。16-30 岁的患者比其他年龄组更容易晒伤。16-30 岁的人群对避免皮肤癌的方法的理解也明显差于所有其他年龄组。与其他年龄组相比，该组也较少避免在中午阳光直射时暴露（P<0.001）或在阳光下遮盖（P<0.001）。有或没有皮肤癌个人或家族史的患者在日晒或晒伤频率方面没有显著差异。有阳性病史的患者更有可能使用防晒霜（P<0.01），但不会遮盖或避免中午阳光直射。
英国的防晒宣传活动应该针对年轻群体。此外，医护人员必须确保有机会向患有皮肤癌的患者强调安全日晒的重要性。
