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Sun-protective practices in Iranian seafarers and its psychological predictors
Affiliations- Iran University of Medical Sciences, Shahid hemmat highway, Iran University of Medical Sciences, school of public health, Tehran, Iran, Islamic Republic Of
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Abstract
Background: Given the long exposure of seafarers to sunlight and the necessity of recognising determinants of sun-protective practices along with developing educational efforts for the prevention of skin cancer, this study was designed to determine the psychological predictors of sun-protective practices among Iranian seafarers based on protection motivation theory (PMT) variables.
Materials and methods: In this cross-sectional study, 300 seafarers who worked on Ports and Maritime Organisation of Bushehr Port, Iran were selected. PMT and demographic variables were assessed through a 63-item questionnaire. Multiple linear regression (forward method) was used to determine the predictors of adopting sun-protective practices based on PMT variables.
Results: About 11.7% of the participants always wore a hat with a wide brim of more than 7.5 cm width, 20% wore sunglasses while outside under the sun and 12.7% gloves. Only 13.7% regularly had their skin checked by a doctor. Behavioural intention, perceived severity, response efficacy and response costs explained 41% of the variance of adopting sun-protective practices among the seafarers (R2 = 0.41, F = 11.89, p < 0.001).
Conclusions: The finding explores factors affecting sun protective behaviours among Iranian seafarers. Seafarers with a high level of perceived severity, more response efficacy, more intention for performing behaviour, and fewer response costs were most likely to be regularly engaged in sun protective behaviours.
Abstract
Background: Given the long exposure of seafarers to sunlight and the necessity of recognising determinants of sun-protective practices along with developing educational efforts for the prevention of skin cancer, this study was designed to determine the psychological predictors of sun-protective practices among Iranian seafarers based on protection motivation theory (PMT) variables.
Materials and methods: In this cross-sectional study, 300 seafarers who worked on Ports and Maritime Organisation of Bushehr Port, Iran were selected. PMT and demographic variables were assessed through a 63-item questionnaire. Multiple linear regression (forward method) was used to determine the predictors of adopting sun-protective practices based on PMT variables.
Results: About 11.7% of the participants always wore a hat with a wide brim of more than 7.5 cm width, 20% wore sunglasses while outside under the sun and 12.7% gloves. Only 13.7% regularly had their skin checked by a doctor. Behavioural intention, perceived severity, response efficacy and response costs explained 41% of the variance of adopting sun-protective practices among the seafarers (R2 = 0.41, F = 11.89, p < 0.001).
Conclusions: The finding explores factors affecting sun protective behaviours among Iranian seafarers. Seafarers with a high level of perceived severity, more response efficacy, more intention for performing behaviour, and fewer response costs were most likely to be regularly engaged in sun protective behaviours.
Keywords
Seafarer; protection motivation theory; skin cancer; sun-protective practices; Iran
About this articleTitle
Sun-protective practices in Iranian seafarers and its psychological predictors
Journal
Issue
Article type
Original article
Pages
201-206
Published online
2018-09-27
Page views
748
Article views/downloads
643
DOI
10.5603/IMH.2018.0032
Pubmed
Bibliographic record
IMH 2018;69(3):201-206.
Keywords
Seafarer
protection motivation theory
skin cancer
sun-protective practices
Iran
Authors
Esmat Heydari
Tahereh Dehdari
References (27)- Reichrath J. The challenge resulting from positive and negative effects of sunlight: how much solar UV exposure is appropriate to balance between risks of vitamin D deficiency and skin cancer? Prog Biophys Mol Biol. 2006; 92(1): 9–16.
- Cabrera PR, Dorta LC, Hernández MG. Bilateral solar retinopathy. Autofluorescence and optical coherence tomography. Archivos de la Sociedad Española de Oftalmología (English Edition). 2016; 91(8): 391–396.
- Feister U, Meyer G, Kirst U. Solar UV exposure of seafarers along subtropical and tropical shipping routes. Photochem Photobiol. 2013; 89(6): 1497–1506.
- Carter T, Karlshoej K. The design of health promotion strategies for seafarers. Int Marit Health. 2017; 68(2): 102–107.
- Schmitt J, Seidler A, Diepgen TL, et al. Occupational ultraviolet light exposure increases the risk for the development of cutaneous squamous cell carcinoma: a systematic review and meta-analysis. Br J Dermatol. 2011; 164(2): 291–307.
- Burke WA, Griffith DC, Scott CM, et al. Skin problems related to the occupation of commercial fishing in North Carolina. N C Med J. 2006; 67(4): 260–265.
- Fry A, Verne J. Preventing skin cancer. BMJ. 2003; 326(7381): 114–115.
- Gambichler T, Laperre J, Hoffmann K. The European standard for sun-protective clothing: EN 13758. J Eur Acad Dermatol Venereol. 2006; 20(2): 125–130.
- Schmalwieser AW, Cabaj A, Schauberger G, et al. Facial solar UV exposure of Austrian farmers during occupation. Photochem Photobiol. 2010; 86(6): 1404–1413.
- Oldenburg M, Kuechmeister B, Ohnemus U, et al. Extrinsic skin ageing symptoms in seafarers subject to high work-related exposure to UV radiation. Eur J Dermatol. 2013; 23(5): 663–670.
- Craciun C, Schüz N, Lippke S, et al. A mediator model of sunscreen use: a longitudinal analysis of social-cognitive predictors and mediators. Int J Behav Med. 2012; 19(1): 65–72.
- Dadlani C, Orlow SJ. Planning for a brighter future: a review of sun protection and barriers to behavioral change in children and adolescents. Dermatol Online J. 2008; 14(9): 1.
- Kasparian NA, McLoone JK, Meiser B. Skin cancer-related prevention and screening behaviors: a review of the literature. J Behav Med. 2009; 32(5): 406–428.
- Babazadeh T, Nadrian H, Banayejeddi M, et al. Determinants of skin cancer preventive behaviors among rural farmers in iran: an application of protection motivation theory. J Cancer Educ. 2017; 32(3): 604–612.
- Stock ML, Gerrard M, Gibbons FX, et al. Sun protection intervention for highway workers: long-term efficacy of UV photography and skin cancer information on men's protective cognitions and behavior. Ann Behav Med. 2009; 38(3): 225–236.
- Spahn JM, Reeves RS, Keim KS, et al. State of the evidence regarding behavior change theories and strategies in nutrition counseling to facilitate health and food behavior change. J Am Diet Assoc. 2010; 110(6): 879–891.
- Croyle RT. Theory at a glance: application to health promotion and health behaviour. 2nd ed. Washington, DC: United States Department of Health and Human Services, National Cancer Institute 2005.
- Jackson C. Behavioral science theory and principles for practice in health education. Health Edu Res. 1997; 12(1): 143–150.
- Conner M, Norman P. Predicting health behaviour: research and practice with social cognition models. Second edition. Open University Press. 2005: 81–126.
- Milne S, Sheeran P, Orbell S. Prediction and intervention in health-related behavior: a meta-analytic review of protection motivation theory. J Appl Soc Psychol. 2000; 30(1): 106–143.
- Rooshanpour Dehbari S, Dehdari T, Dehdari L, et al. Predictors of sun-protective practices among iranian female college students: application of protection motivation theory. Asian Pac J Cancer Prev. 2015; 16(15): 6477–6480.
- Morowatisharifabad M, Bonyadi F, EbrahimzadehArdakani M, et al. Study of sun protective behaviours for skin cancer prevention and its barriers among Kazeroon farmers. TB. 2015; 13(5): 68-82. (in Persian).
- Lampel HP. Skin cancer screening in occupational medicine. University of Pittsburgh. 2005.
- Craciun C, Schüz N, Lippke S, et al. Risk perception moderates how intentions are translated into sunscreen use. J Behav Med. 2010; 33(5): 392–398.
- Rippetoe PA, Rogers RW. Effects of components of protection-motivation theory on adaptive and maladaptive coping with a health threat. J Pers Soc Psychol. 1987; 52(3): 596–604.
- Floyds D, Entice-Dunin S, Rogersi R. A meta-analysis of research on protection motivation theory. J Appl Soc Psychol. 2000; 30(2): 407–429.
- Knight JM, Kirincich AN, Farmer ER, et al. Awareness of the risks of tanning lamps does not influence behavior among college students. Arch Dermatol. 2002; 138(10): 1311–1315.
