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澳大利亚农村地区患者的日光浴行为、对皮肤癌的认知及其皮肤癌发病风险。

Patients' sun practices, perceptions of skin cancer and their risk of skin cancer in rural Australia.

机构信息

RACGP, North Sydney, NSW, Australia.

Graduate Medicine, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, NSW, Australia.

出版信息

Health Promot J Austr. 2020 Jan;31(1):84-92. doi: 10.1002/hpja.253. Epub 2019 May 10.

Abstract

ISSUE ADDRESSED

Skin cancer affects nearly one in three Australians. As a preventable disease there have been many public awareness campaigns targeting skin cancer knowledge and sun protection in Australia in the last 30 years to increase knowledge of the disease and how to prevent it. Despite higher incidence and mortality of skin cancer in regional Australia and adults over 65 years though, little research exists examining this high-risk population's skin cancer knowledge and sun behaviours, with most previous research conducted in urban Australia or overseas. This study aimed to examine adults' skin cancer knowledge, sun behaviours and demographic factors in a regional Australian town.

METHODS

Cross-sectional study design was utilised. Adult patients of a Mudgee General Practice (n = 179, 18-89 years) completed a survey based on their skin cancer knowledge and sun behaviours. Chi-squared tests were used to analyse responses.

RESULTS

Poor non-melanoma skin cancer awareness, risky sun behaviours and inadequate sun protection behaviours were found. Males and those at greatest current risk of skin cancer in Australia, those over 60 years, had the poorest skin cancer knowledge and were least likely to recognise skin cancer or use some sun protection measures.

CONCLUSIONS

Greater non-melanoma skin cancer and sun protection education and research is needed, particularly targeting older and male Australians. SO WHAT?: The findings suggest rural men and older Australians would benefit from more targeted campaigns and education to increase their skin cancer awareness and use of sun protection in order to minimise future skin cancer.

摘要

问题解决

皮肤癌影响了近三分之一的澳大利亚人。作为一种可预防的疾病,在过去的 30 年里,澳大利亚已经开展了许多针对皮肤癌知识和防晒的公众意识活动,以提高人们对该疾病的认识以及预防该疾病的方法。尽管在澳大利亚的偏远地区和 65 岁以上的成年人中皮肤癌的发病率和死亡率更高,但很少有研究检查这一高危人群的皮肤癌知识和阳光行为,大多数以前的研究都是在澳大利亚的城市或海外进行的。本研究旨在检查澳大利亚一个地区城镇中成年人的皮肤癌知识、阳光行为和人口统计学因素。

方法

采用横断面研究设计。Mudgee 综合诊所的成年患者(n=179,18-89 岁)根据他们的皮肤癌知识和阳光行为完成了一项调查。采用卡方检验分析应答。

结果

发现了非黑素瘤皮肤癌意识薄弱、危险的阳光行为和不足的防晒行为。男性和澳大利亚皮肤癌风险最高的人群(60 岁以上的人)皮肤癌知识最差,最不可能识别皮肤癌或使用一些防晒措施。

结论

需要开展更多的非黑素瘤皮肤癌和防晒教育和研究,特别是针对老年和男性澳大利亚人。

所以呢?研究结果表明,农村男性和老年澳大利亚人将受益于更有针对性的活动和教育,以提高他们的皮肤癌意识并使用防晒措施,从而最大程度地减少未来的皮肤癌。

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