Outdoor workers' perceptions of the risks of excess sun-exposure

Abstract

Objectives: To describe the pattern of associations with sunscreen use of sun protection attitudes and knowledge in a large sample of New Zealand outdoor workers. We also examined the relationship between perceived skin type and perceived risk of developing skin cancer. Methods: Outdoor workers from nine occupational groups (n=1,131) completed a questionnaire, which included measures of skin cancer related risk perceptions, knowledge and sunscreen use. Results: Sunscreen use was associated with perceived prioritization of sun-protection, concern about sun-exposure, knowledge about the effects of sun-exposure and perceived supportive workplace culture. These variables accounted for 37% of the variation in sunscreen use. Maori, younger workers and forestry workers least likely to report sunscreen use and sun-exposure risk perception. Conclusions: Interventions that strengthen knowledge about risks and values of sun protection are likely to increase sun protection efforts. However, interventions for outdoor workers need to take into account potential socio-demographic, personal and workplace influences are required to prevent the risk of developing non-melanoma skin cancers within this population group.