Environmental and Occupational Hazards Control Research Center, Department of Health Education & Health Promotion, School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Health Education & Health Promotion, School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran/Ilam University of Medical Sciences, Ilam Health Center, Ilam, Iran.
J Cosmet Dermatol. 2019 Dec;18(6):1830-1836. doi: 10.1111/jocd.12929. Epub 2019 Apr 1.
Skin cancers are the most common malignancies in Iran. According to the statistics, skin cancer is the most prevalent cancer in Ilam city. This study is conducted to evaluate skin cancer coping of farmers in rural areas of Ilam city.
This is a cross-sectional study. Samples were collected by multistage random sampling. The required data were collected by a researcher-made questionnaire from 248 farmers in rural areas of Ilam city. Questions were based on the protection motivation theory, and they were related to the subscales of response efficacy, self-efficacy, and response costs. Collected data were analyzed by SPSS software version 16.
Results of this study indicated that efficacy and perceived self-efficacy in farmers were low and response cost was high. The efficacy and perceived self-efficacy were high in 18.1% and 4.8% of farmers, respectively, and only 4.4% of them had low response costs, in association with protective behaviors. Regarding coping appraisal status also results showed that 204 people of farmers (82.3%) were unacceptable, one person (0.4%) was in the borderline, and 43 people (17.3%) were acceptable. There was a statistically significant association between coping appraisal status and education level and also income amount (P < 0.001) but there was no statistically significant association between coping appraisal status and family size (P > 0.670).
The founding proved that a coping appraisal is a beneficial approach for predicting cognitive determinants of skin cancer behavior among rural farmers. The most farmers have been the low level of coping appraisal (82.3% were unacceptable).
皮肤癌是伊朗最常见的恶性肿瘤。根据统计数据，皮肤癌是伊拉姆市最常见的癌症。本研究旨在评估伊拉姆市农村地区农民的皮肤癌应对方式。
这是一项横断面研究。采用多阶段随机抽样方法采集样本。研究人员从伊拉姆市农村地区的 248 名农民那里收集了通过自制问卷获得的数据。这些问题基于保护动机理论，与反应效能、自我效能和反应成本的子量表有关。收集的数据使用 SPSS 软件版本 16 进行分析。
研究结果表明，农民的效能感和感知自我效能感较低，而反应成本较高。只有 18.1%的农民效能感高，4.8%的农民感知自我效能感高，只有 4.4%的农民反应成本低，与保护行为有关。关于应对评估状况，结果表明，204 名农民（82.3%）的评估状况不可接受，1 人（0.4%）处于边界状态，43 人（17.3%）的评估状况可接受。应对评估状况与教育程度和收入金额之间存在统计学显著关联（P<0.001），但与家庭规模之间不存在统计学显著关联（P>0.670）。
研究结果表明，应对评估是预测农村农民皮肤癌行为认知决定因素的有益方法。大多数农民的应对评估水平较低（82.3%不可接受）。
