DOI QR코드

DOI QR Code

Predictors of Sun-Protective Practices among Iranian Female College Students: Application of Protection Motivation Theory

  • Dehbari, Samaneh Rooshanpour (Department of Health Education and Health Promotion, School of Health, Iran University of Medical Sciences) ;
  • Dehdari, Tahereh (Department of Health Education and Health Promotion, School of Health, Iran University of Medical Sciences) ;
  • Dehdari, Laleh (Department of Statistics, School of Mathematics Sciences, Yazd University) ;
  • Mahmoudi, Maryam (Department of Health Education and Health Promotion, School of Health, Tehran University of Medical Sciences)
  • 발행 : 2015.10.06

초록

Purpose: Given the importance of sun protection in the prevention of skin cancer, this study was designed to determine predictors of sun-protective practices among a sample of Iranian female college students based on protection motivation theory (PMT) variables. Materials and Methods: In this cross-sectional study, a total of 201 female college students in Iran University of Medical Sciences were selected. Demographic and PMT variables were assessed with a 67-item questionnaire. Multiple linear regression was used to identify demographic and PMT variables that were associated with sun-protective practices and intention. Results: one percent of participants always wore a hat with a brim, 3.5% gloves and 15.9% sunglasses while outdoors. Only 10.9% regularly had their skin checked by a doctor. Perceived rewards, response efficacy, fear, self-efficacy and marital status were the five variables which could predict 39% variance of participants intention to perform sun-protective practices. Also, intention and response cost explained 31% of the variance of sun-protective practices. Conclusions: These predictive variables may be used to develop theory-based education interventions to prevent skin cancer among college students.

키워드

참고문헌

  1. Al-Naggar RA (2013). Practice of skin cancer prevention among road traffic police officers in Malaysia. Asian Pac J Cancer Prev, 14, 4577-81. https://doi.org/10.7314/APJCP.2013.14.8.4577
  2. Andsoy II, Gul A, Sahin AO, Karabacak H (2013). What Turkish nurses know and do about skin cancer and sun protective behavior. Asian Pac J Cancer Prev, 14, 7663-8. https://doi.org/10.7314/APJCP.2013.14.12.7663
  3. Azzarello LM, Dessureault S, Jacobsen PB (2006). Sunprotective behavior among individuals with a family history of melanoma. Cancer Epidemiol Biomarkers Prev, 15, 142-5. https://doi.org/10.1158/1055-9965.EPI-05-0478
  4. Baghianimoghadam MH, Mohammadi S, Noorbala MT, et al (2011). An intervention based on protection motivation theory in reducing skin cancer risk. J Pakistan Assoc Dermatol, 21, 141-8.
  5. Branstrom R, Kasparian NA, Chang Y, et al (2010). Predictors of sun protection behaviors and severe sunburn in an international online study. Cancer Epidemiol Biomarkers Prev, 19, 2199-210. https://doi.org/10.1158/1055-9965.EPI-10-0196
  6. Branstrom R, Ullen H, Brandberg Y (2004). Attitudes, subjective norms and perception of behavioural control as predictors of sun-related behaviour in Swedish adults. Prev Med, 39, 992-9. https://doi.org/10.1016/j.ypmed.2004.04.004
  7. Cho H, Sands LP, Wilson KM (2010). Predictors of summer sun safety practice intentions among rural high school students. Am J Health Behav, 34, 412-9.
  8. Cody R, Lee C (1990). Behaviors, beliefs, and intentions in skin cancer prevention. J Behav Med, 13, 373-89. https://doi.org/10.1007/BF00844885
  9. Conner M, Norman P (2005). Predicting health behaviour: research and practice with social. Second edition. McGraw-Hill: Open University Press, 85.
  10. Dadlani C, Orlow SJ. Planning for a brighter future: A review of sun protection and barriers to behavioral change in children and adolescents (2008). Dermatol Online J, 14, 1.
  11. Dalli D, Ogce F, Okcin FA (2004). Knowledge of the effects of sun exposure of Turkish high school students and their sun bathing habits. Asian Pac J Cancer Prev, 5, 366-9.
  12. Dehdari T, Hassani L, Hajizadeh E, et al. (2014). Effects of an educational intervention based on the protection motivation theory and implementation intentions on first and second Pap test practice in Iran. Asian Pac J Cancer Prev, 15, 7257-61. https://doi.org/10.7314/APJCP.2014.15.17.7257
  13. DeVries H, Lezwijn J, Hol M, et al (2005). Skin cancer prevention: behaviour and motives of Dutch adolescents. Eur J Cancer Prev, 14, 39-50. https://doi.org/10.1097/00008469-200502000-00006
  14. Emmons KM, Colditz GA (1999). Preventing excess sun exposure: it is time for a national policy. J Natl Cancer Inst, 91, 1269-70. https://doi.org/10.1093/jnci/91.15.1269
  15. Grunfeld E (2004). What influences university students' intentions to practice safe sun exposure behaviors? J Adolesc Health, 35, 486-92.
  16. Heidari M, Najafi F (2013). Trends of skin cancer incidence in 6 geographical regions of the Islamic Republic of Iran, 2000-2005. East Mediterr Health J, 19, 59-65.
  17. Marjani A, Kabir MJ (2009). Male skin cancer incidence in Golestan province, Iran. J Pak Med Assoc, 59, 287-9.
  18. Morowatisharifabad MA, Bonyadi F, EbrahimzadehArdakani M, et al (2015). Study of sun protective behaviors for skin cancer prevention and its barriers among Kazeroon farmers. Tolooe Behdasht, 5, 68-82. [In Persian].
  19. Mousavi F, Golestan B, Vaseie M, et al (2011). Knowledge, attitude, and practice of adults to the protective actions against sun in northwest Tehran, Iran. Arch Iran Med, 14, 126-31.
  20. Mujumdar UJ, Hay JL, Monroe-Hinds YC, et al (2009). Sun protection and skin self-examination in melanoma survivors. Psycho-Oncol, 18, 1106-15. https://doi.org/10.1002/pon.1510
  21. Noorbala MT, Kafaie P (2007). Analysis of 15 years of skin cancer in central Iran (Yazd). Dermatol Online J, 13, 1.
  22. Pender NJ, Murdaugh CL, Parsons MA. Health promotion in nursing practice. 4th ed. Upper Saddle River, NJ: Pearson/Prentice Hall; 2002.
  23. Ramezanpour A, Niksirat A, Golshahi Rad S (2013). Knowledge, attitude and behavior (practice) toward sunscreen use among hospital personnel in comparison with Laypeople in Zanjan, Iran. World Appl Sci J, 22, 683-9.
  24. Saridi MI, Toska AG, Rekleiti MD, et al (2015). Sun burn incidence and knowledge of Greek elementary and high school children about sun protection. Asian Pac J Cancer Prev, 16, 15291534.
  25. WHO: skin cancers (2015). www.who.int/uv/faq/skincancer/en/index1.html.

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