Advertisement
Research Article| Volume 65, ISSUE 10, P1384-1389, October 2012

Sun protection – Do we know enough?

Published:February 10, 2012DOI:https://doi.org/10.1016/j.bjps.2011.12.027

      Summary

      Introduction

      Sun protection, particularly the appropriate use of sunscreens is an important modifiable risk factor in the prevention of skin cancers. Our aim was to assess the current knowledge levels regarding sun protection, across plastic surgeons in the UK.

      Methods

      A 12-point questionnaire based on the points contained in the patient information packs on sun protection produced by the British Association of Dermatology was circulated electronically amongst 551 BAPRAS members. We received 73 responses (13.3%). Questions were formulated around the basic information patients would expect to receive from a skin cancer specialist at the time of the diagnosis.

      Results

      On average, participants could answer only 52.4% of the questions correctly. Only 9.7% (95% CI 3–17) of participants could accurately quantify the role of UV exposure in causation of melanoma. A total of 37.5% correctly identified the duration of action of sunscreen to be 3–4 h. Half of the participants were not aware that geographical conditions like altitude and latitude, as well as shade, could alter sun protection. A similar number could not answer questions related to the protective action of clothing.

      Conclusion

      As principal stakeholders in the treatment and outcomes of skin cancer patients, plastic surgeons could be at the forefront of influencing patients’ behaviour regarding sun protection measures. The results demonstrate a need for better awareness and education regarding the knowledge of sunscreens and UV protection. Improved education would lead to health benefits for patients and their relatives and influence the primary prevention of this enlarging health issue of skin cancer.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Plastic, Reconstructive & Aesthetic Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

      1. (Sunbeds (Regulation) Act 2010 Chapter 20)2012 July 29
        • Narayanan D.L.
        • Saladi R.N.
        • Fox J.L.
        Ultraviolet radiation and skin cancer.
        Int J Dermatol. 2010 Sep; 49: 978-986
        • de Gruijl F.R.
        • van Kranen H.J.
        • Mullenders L.H.
        UV-induced DNA damage, repair, mutations and oncogenic pathways in skin cancer.
        J Photochem Photobiol B Biol. 2001 Oct; 63: 19-27
        • Kricker A.
        • Armstrong B.K.
        • English D.R.
        • Heenan P.J.
        Does intermittent sun exposure cause basal cell carcinoma? A case-control study in Western Australia.
        Int J Cancer. 1995 Feb 8; 60: 489-494
        • Rass K.
        • Reichrath J.
        UV damage and DNA repair in malignant melanoma and nonmelanoma skin cancer.
        Adv Exp Med Biol. 2008 Jan; 624: 162-178
        • Staples M.P.
        • Elwood M.
        • Burton R.C.
        • Williams J.L.
        • Marks R.
        • Giles G.G.
        Non-melanoma skin cancer in Australia: the 2002 national survey and trends since 1985.
        Med J Aust. 2006 Jan 2; 184: 6-10
        • Crane L.A.
        • Deas A.
        • Mokrohisky S.T.
        • et al.
        A randomized intervention study of sun protection promotion in well-child care.
        Preventive Medicine. 2006 Mar; 42: 162-170
        • United Kingdom Cancer Research
        Skin cancer – UK mortality statistics.
        2011 Sep 5 (Available from:)
        • Koh H.K.
        • Geller A.C.
        • Miller D.R.
        • Lew R.A.
        The early detection of and screening for melanoma. International status.
        Cancer. 1995 Jan; 75: 674-683
      2. The NHS Cancer Plan: a plan for investment, a plan for reform (September 2000).
        2012 July 29
        • National Institute of Health and Clinical Excellence
        Improving outcomes for people with skin tumours including melanoma.
        (May 2010)2012 July 29
        • MacKie R.M.
        Incidence, risk factors and prevention of melanoma.
        Eur J Cancer. 1998 Jul; 34: S3-S6
        • Marks R.
        Photoprotection and prevention of melanoma.
        European Journal of Dermatology. 1999; 9: 406-412
        • The Global Solar UV Index
        UNEP/GRID-Arendal Maps and Graphics Library. 2007 (Retrieved 13:36, November 29, 2011 from)
      3. Prüss-Ustün A. Zeeb H. Repacholi M. Solar ultraviolet radiation: global burden of disease from solar ultraviolet radiation. Environmental Burden of Disease Series. Vol. 13. World Health Organisation, Geneva2006
      4. World Health Organisation Sun protection; Available from: http://www.who.int/uv/sun_protection/en/; 2012 July 29.

        • Osterwalder U.
        • Schlenker W.
        • Rohwer H.
        • Martin E.
        • Schuh S.
        Facts and fiction on ultraviolet protection by clothing.
        Radiat Prot Dosimetry. 2000; 91: 255-259
        • Topical Sunscreen agents
        2012 July 29