School of Psychology, The University of Adelaide, Adelaide, SA 5000, Australia.
Freemasons Centre for Male Health and Wellbeing, The University of Adelaide, Adelaide, SA 5000, Australia.
Int J Environ Res Public Health. 2022 Mar 3;19(5):2940. doi: 10.3390/ijerph19052940.
This study examined Australian farmers' engagement with skin cancer prevention behaviours and explored what made it hard for them to be 'SunSmart' (barriers), and what could be done to make prevention easier (facilitators). In total, 498 farmers (83.1% male, 22-89 years, 50.8% grain, sheep, or cattle farmers) participated. The least frequently performed SunSmart behaviours (reported as never practiced during summer) were using SPF 30+ sunscreen (16.6%), wearing protective sunglasses (10.5%), and wearing protective clothing (8.6%). Greater engagement (i.e., higher scores on scale from Never to Always) with SunSmart behaviours was explained by gender (female), educational attainment (trade or technical college certificate vs. high school), personal skin cancer history, and skin sun sensitivity. Barriers reported by farmers related to personal preferences (e.g., short-sleeved rather than long-sleeved clothing), comfort, and perceived impracticality of sun protection. Farmers' solutions included making protective clothing and sunscreen more appropriate for farm work (e.g., by making clothing more breathable). A personal health scare was the most reported motivation for skin cancer prevention. Findings highlight the need for increased access to sun-protective clothing and sunscreen that is suitable for wearing when working on farms, complemented by culturally appropriate health education messaging, to encourage more farmers to perform SunSmart behaviours.
本研究考察了澳大利亚农民参与皮肤癌预防行为的情况，并探讨了使他们难以“阳光明智”（障碍）的因素，以及可以采取哪些措施来使预防工作更容易（促进因素）。共有 498 名农民（83.1%为男性，年龄 22-89 岁，50.8%为谷物、绵羊或牛农民）参与了研究。最不常进行的阳光明智行为（报告为夏季从未进行过）包括使用 SPF30+防晒霜（16.6%）、佩戴防护太阳镜（10.5%）和穿着防护服（8.6%）。阳光明智行为的参与度更高（即，在从不至总是的量表上得分更高）的解释因素包括性别（女性）、教育程度（贸易或技术学院证书与高中）、个人皮肤癌史和皮肤对阳光的敏感性。农民报告的障碍与个人偏好（例如，短袖而非长袖衣服）、舒适度和防晒措施的实用性有关。农民的解决方案包括使防护服和防晒霜更适合农场工作（例如，使衣服更透气）。个人健康问题是预防皮肤癌的最主要动机。研究结果强调需要增加防晒服和防晒霜的获取途径，这些产品应适合在农场工作时穿着，并辅以文化上适当的健康教育信息，以鼓励更多的农民采取阳光明智的行为。
