Does counseling have an effect on sun protection behaviors and early detection of skin cancer in middle-aged and older Turkish people?

O�rum, Atiye; Demir, Osman

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Does counseling have an effect on sun protection behaviors and early detection of skin cancer in middle-aged and older Turkish people? [Turkderm-Turk Arch Dermatol Venereol]

Turkderm-Turk Arch Dermatol Venereol. 2020; 54(1): 9-14 | DOI: 10.4274/turkderm.galenos.2019.25593

Does counseling have an effect on sun protection behaviors and early detection of skin cancer in middle-aged and older Turkish people?

Atiye O�rum¹, Osman Demir²
¹Tokat Gaziosmanpa�a University Faculty of Medicine, Department of Dermatology and Venereology Tokat, Turkey
²Tokat Gaziosmanpa�a University Faculty of Medicine, Department of Biostatistics Tokat, Turkey

Background and Design: The most important avoidable risk factor for skin cancer is ultraviolet light exposure. The aim of this study is to evaluate the frequency and the effect of counseling on sun protection behaviors and early detection of skin cancer. Materials and Methods: Five hundred individuals aged 45-75 years participated in this cross-sectional survey between February 6th and March 07th of 2019. Participants were directed to filled out a questionnaire to understand their sun protection behaviors and learn whether they receive counseling on sun protection and early detection of skin cancer. Results: Out of the 500 subjects, 283 (56.6%) were female and 217 (43.4%) were male. The mean age was 56.65�9.24 years (45-75 years). Two hundred and thirty-four (46.8%) respondents reported having skin-cancer risk factors. The rates of counseling on sun protection and behavior of sun protection were 16% and 39.4%, respectively. Sun protection counseling was significantly associated with self-reported skincancer risk factors and being a female (p<0.001; p=0.048, respectively). The rate of counseling on early detection of skin cancer was low (skin selfexamination: 12%; moles monitoring: 11.8%; annual checkup: 13.2%). The counseling on sun protection and early detection of skin cancer were significantly associated with behaviors of sun protection and early detection of skin cancer (p<0.001; p<0.001, respectively). The older age had a negative effect on the counseling and behaviors (p=0.047; p=0.005, respectively), however, high level of education had a positive effect (p=0.024; p<0.001). Conclusion: Counseling by healthcare professionals on primary and secondary preventions for the middle-aged and older people seems to be insufficient. Further studies on this issue may be beneficial on prevention and early detection of skin cancer.

Keywords: Middle age, older adult, sun protection, counseling, skin cancer, early detection

Orta ve ileri ya� T�rk insan�nda g�ne�ten korunmaya y�nelik dan��manl��n g�ne�ten korunma davran��lar� ve deri kanserinin erken tan�s�na etkisi var m�d�r?

Atiye O�rum¹, Osman Demir²
¹Gaziosmanpa�a �niversitesi T�p Fak�ltesi, Deri ve Z�hrevi Hastal�klar� Anabilim Dal�
²Gaziosmanpa�a �niversitesi T�p Fak�ltesi, Biyoistatistik Anabili Dal�

Ama�: Deri kanserinin �nlenebilir en �nemli risk fakt�r� ultraviyole ��n maruziyetidir. Bu �al��man�n amac�, dan��manl��n g�ne�ten korunma davran��lar� ve deri kanserinin erken tan�s�na olan etkisini de�erlendirmektir. Gere� ve Y�ntem: Bu kesitsel anket �al��mas� 06 �ubat-07 Mart 2019 tarihleri aras�nda, 45-75 ya� aral��ndaki 500 birey ile yap�ld�. Kat�l�mc�lara, g�ne�ten korunmaya y�nelik davran��lar� ile g�ne�ten korunma ve deri kanserinin erken tan�s�yla ilgili dan��manl�k al�p almad�klar�n� ��renmeye y�nelik haz�rlanan anket cevaplat�ld�. Bulgular: �al��maya kat�lan 500 ki�inin 283�� (%56,6) kad�n, 217�si (%43,4) erkek olup, ya� ortalamas� 56,65�9,24 y�l (45-75 y�l) idi. Kat�l�mc�lar�n 234�� (%46,8) deri kanseri risk fakt�r� varl��n� beyan etti. G�ne�ten korunmaya y�nelik dan��manl�k alma ve davran�� sergileme oranlar� s�ras�yla, %16 ve %39,6 idi. G�ne�ten korunmaya y�nelik dan��manl�k alma, deri kanseri risk fakt�r� beyan� ve kad�n olma ile anlam� oranda ili�kiliydi (s�ras�yla, p<0.001; p=0,048). Deri kanserinin erken tan�s�na y�nelik dan��manl�k alma oran� d��kt� (kendi kendine deri muayenesi: %12; ben takibi: %11,8; y�ll�k kontrol: %13,2). G�ne�ten korunma ve deri kanseri erken tan�s�na y�nelik dan��manl�k alma durumlar�, g�ne�ten korunma ve deri kanseri erken tan�s�na y�nelik davran�� sergileme durumu ile anlaml� oranda ili�kiliydi (s�ras�yla; p<0,001, p<0,001). �leri ya��n dan��manl�k alma ve davran��lar �zerine negatif y�nde etkisi varken (s�ras�yla; p=0,047; p=0,005); y�ksek e�itim d�zeyi pozitif y�nde etkiliydi (p=0,024; p<0,001). Sonu�: Orta ve ileri ya� grubunda, sa�l�k �al��anlar�nca uygulanan birincil ve ikincil �nlemlere ili�kin dan��manl�k yetersiz g�z�kmektedir. Bu konudaki faaliyetlerin geli�tirilmesi, deri kanserinin �nlenmesi ve erken tan�s�nda fayda sa�layabilir.

Anahtar Kelimeler: Orta ya�, ileri ya� eri�kin, g�ne�ten korunma, dan��manl�k, deri kanseri, erken tan�

Corresponding Author: Atiye O�rum, T�rkiye
Manuscript Language: English

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Does counseling have an effect on sun protection behaviors and early detection of skin cancer in middle-aged and older Turkish people?

Orta ve ileri ya� T�rk insan�nda g�ne�ten korunmaya y�nelik dan��manl���n g�ne�ten korunma davran��lar� ve deri kanserinin erken tan�s�na etkisi var m�d�r?

Orta ve ileri ya� T�rk insan�nda g�ne�ten korunmaya y�nelik dan��manl��n g�ne�ten korunma davran��lar� ve deri kanserinin erken tan�s�na etkisi var m�d�r?