USE OF SKIN-CANCER PREVENTION STRATEGIES AMONG FARMERS AND THEIR SPOUSES
USE OF SKIN-CANCER PREVENTION STRATEGIES AMONG FARMERS AND THEIR SPOUSES
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DOI：
10.1016/s0749-3797(18)30441-0
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发表时间：
1995-09-01
影响因子：
5.5
通讯作者：
ZHU, ZW
中科院分区：
文献类型：
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作者：
ROSENMAN, KD;GARDINER, J;ZHU, ZW
流行病学研究表明，农民患皮肤癌的风险增加，据推测，这是由于他们在户外晒太阳的时间增加所致。我们随机调查了来自密歇根州四个农村县的40岁或以上的农民及其配偶，了解他们对皮肤防晒和皮肤癌筛查医学检查的知识、态度和行为。回复率为63.5%。80%到90%的人知道皮肤上的变化可能预示着癌症，需要进行后续治疗。只有40%的男性和65%的女性在外出时会保护自己的皮肤。年龄的增长和皮肤癌的个人病史增加了男性和女性在外出时保护皮肤的可能性。此外，收入较高的女性可能会使用防晒霜。尽管90%的受访者在过去三年里做过身体检查，但只有不到三分之一的人报告说他们曾经做过皮肤癌症检查。随着年龄、收入和受教育程度的增加，接受这种检查的可能性也增加了。大多数接受皮肤检查的人都是针对特定的皮肤问题进行的检查，而不是作为常规身体检查的一部分。农民及其配偶外出时应加强防晒。此外，医疗保健提供者需要例行检查皮肤是否有皮肤癌，并提醒患者正在进行检查。
Epidemiologic studies show that farmers are at increased risk of skin cancer, presumed to be secondary to the increased time they spend outdoors with exposure to the sun. We surveyed a random sample of farmers and their spouses 40 years of age or older from four rural counties in Michigan on their knowledge, attitudes, and behavior regarding protection of their skin from the sun and screening medical exams for skin cancer Questionnaires were completed by 1,342 farmers and their spouses. This was a response rate of 63.5%. Eighty to ninety percent knew the changes in the skin that could indicate cancer and required medical follow-up. Only 40% of the men and 65% of the women were likely to protect their skin when they went outdoors. Increasing age and personal history of skin cancer increased the likelihood of both men and women protecting their skin when they went outside. Additionally, higher-income women were likely to use sun protection. Despite the fact that 90% of the respondents had had a physical examination in the last three years, less than one third reported ever having had their skin examined for cancer. Increasing age, income, and education increased the likelihood of having had such an exam. The majority of those who had had a skin exam had the exam for a particular skin problem, and not as part of a routine physical examination. Farmers and their spouses need to increase their use of sun protection when going outside. Additionally, health care providers need to routinely include examination of the skin for skin cancer and alert their patients that it is being performed.