Nahar Vinayak K, Ford M Allison, Jacks Stephanie K, Thielen Scott P, Johnson Andrea K, Brodell Robert T, Bass Martha A
Department of Health, Exercise Science and Recreation Management, The University of Mississippi, Jackson, MS; Department of Dermatology, University of Mississippi Medical Center, Jackson, MS, USA.
Indian J Dermatol Venereol Leprol. 2015 Nov-Dec;81(6):568-75. doi: 10.4103/0378-6323.168337.
Compared to the general population, the risk of developing non-melanoma skin cancer is considerably higher among individuals with a previous history of this condition. Protection from ultraviolet (UV) radiation is the primary evidence-based approach for minimizing this risk. This review was aimed to assess the prevalence of sun-safe behaviors in non-melanoma skin cancer survivors. Searches were conducted in six electronic databases including PubMed, Psyclnfo, CINAHL, EMBASE, ERIC and Science Direct. A narrative approach was adopted to synthesize the data. The findings demonstrated that respondents do not protect themselves optimally from UV radiation exposure. Low levels of perceived skin cancer risk, a lack of knowledge about effective sun protection strategies and the inconvenience associated with sun-safe behaviors appear to explain this finding. A note of caution is required here, as there is a potential for publication bias. Moreover, the results of this study cannot be generalized to all non-melanoma skin cancer patients. Skin cancer survivors must be educated about their increased risk of future skin cancers. Behavioral interventions must be developed to increase the adoption of skin protective behaviors in this high-risk population group.
与普通人群相比，有非黑色素瘤皮肤癌病史的个体患这种疾病的风险要高得多。避免紫外线（UV）辐射是基于证据的降低这种风险的主要方法。本综述旨在评估非黑色素瘤皮肤癌幸存者中防晒行为的普遍性。检索了六个电子数据库，包括PubMed、Psyclnfo、CINAHL、EMBASE、ERIC和Science Direct。采用叙述性方法对数据进行综合分析。研究结果表明，受访者并未对自身进行最佳的紫外线辐射防护。较低的皮肤癌风险认知水平、缺乏有效的防晒策略知识以及防晒行为带来的不便似乎可以解释这一结果。在此需要提醒的是，存在发表偏倚的可能性。此外，本研究结果不能推广到所有非黑色素瘤皮肤癌患者。必须让皮肤癌幸存者了解他们未来患皮肤癌风险的增加情况。必须制定行为干预措施，以促使这一高危人群更多地采取皮肤保护行为。
