Altan Ferhatoglu Zeynep, Tas Faruk
Dermatology and Venereology Department, Cerrahpaşa Medical Faculty, Istanbul University-Cerrahpaşa, Istanbul, Turkey.
Medical Oncology Department, Institute of Oncology, Istanbul University, Istanbul, Turkey.
J Cosmet Dermatol. 2025 Feb;24(2):e16677. doi: 10.1111/jocd.16677. Epub 2024 Dec 10.
BACKGROUND/AIM: Cutaneous melanoma ranks 5th among all cancers in terms of estimated new case rates in men and women (6% and 4%, respectively). The most consistent known modifiable risk factor for a cancer of this severity is exposure to ultraviolet rays. In this study, we aimed to compare the sun protection knowledge, habits and behaviors of CM patients with healthy volunteers. In addition, we aimed to determine the level of change in sun protection attitude of CM patients before and after diagnosis.
In this study, the knowledge levels and habits of cutaneous melanoma patients regarding sun protection were questioned through surveys and compared with the control group. The surveys were developed taking into consideration the Turkish Dermatology Association's sun protection patient information recommendations.
The Male:Female (M: F) ratio of 86 melanoma patients was 1.52, and the median age was 51 ± 15 years. In the control group of 174 participants, the M:F ratio was 1.38 and the median age was 49 ± 10 years. The education level of melanoma patients was statistically significantly lower than the control group (p < 0.001). Compared to melanoma patients, participants in the control group had more accurate information on 5 questions about sunscreen application methods (applying at least 30 min before sun exposure, renewing after 2-4 h in sunny environments, renewing after the sea/pool, renewing after sports, amount of application) (p < 0.001 for each of the 5 questions).
The results of our study revealed that the education level in CM patients was statistically significantly lower than in the control group of similar age and gender. In addition, in the control group, parallel to the education level, the level of sun protection knowledge was higher, and sun avoidance/protection behaviors were closer to what they should be.
背景/目的：在所有癌症中，皮肤黑色素瘤的估计新发病例率在男性和女性中分别排名第5（分别为6%和4%）。已知的、最一致的可改变的严重程度如此之高的癌症风险因素是紫外线暴露。在本研究中，我们旨在比较皮肤黑色素瘤患者与健康志愿者的防晒知识、习惯和行为。此外，我们旨在确定皮肤黑色素瘤患者在诊断前后防晒态度的变化程度。
在本研究中，通过调查问卷询问皮肤黑色素瘤患者的防晒知识水平和习惯，并与对照组进行比较。调查问卷的制定考虑了土耳其皮肤病协会的防晒患者信息建议。
86例黑色素瘤患者的男女比例为1.52，中位年龄为51±15岁。在174名参与者的对照组中，男女比例为1.38，中位年龄为49±10岁。黑色素瘤患者的教育水平在统计学上显著低于对照组（p<0.001）。与黑色素瘤患者相比，对照组参与者在5个关于防晒霜使用方法的问题上（在阳光照射前至少30分钟涂抹、在阳光充足的环境中2-4小时后重新涂抹、在海边/泳池后重新涂抹、运动后重新涂抹、涂抹量）有更准确的信息（这5个问题中的每一个p<0.001）。
我们的研究结果显示，皮肤黑色素瘤患者的教育水平在统计学上显著低于年龄和性别相似的对照组。此外，在对照组中，与教育水平平行，防晒知识水平更高，避免阳光照射/防晒行为更接近应有的水平。
