Volume 8, Issue 3 (Jul- Sep 2019)                   JCHR 2019, 8(3): 148-155 | Back to browse issues page

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Mazloomy Mahmoodabad S S, Gerayllo S, Mizani N. Factors Influencing Skin Cancer Preventive Behaviors Based on the Extended Parallel Process Model in Yazd Medical Sciences Students. JCHR. 2019; 8 (3) :148-155
URL: http://jhr.ssu.ac.ir/article-1-491-en.html
1- Research Center on Social Determinants of Health, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
2- Department of Health Education and Promotion,School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran , gerayllo65@yahoo.com
Abstract:   (3293 Views)
Background: Skin cancer is one of the most common cancers and it is mostly caused by ultraviolet radiation. Therefore, this study aimed to investigate the factors affecting skin cancer preventive behaviors in medical sciences students who are responsible for the future health of the community.
Methods: This descriptive cross-sectional study was carried out on 150 students who were selected by the simple random sampling method. The data were collected by translating the questionnaire based on the extended parallel process model and were analyzed using SPSS-18 software. Moreover, data coding was analyzed using appropriate nonparametric statistical tests.
Results: The mean age of participants was 22.01 ± 5.24, more than half of whom (57.3%) used sunscreen as a self-protective behavior against the sunlight. The perceived severity construct had the highest score among the constructs. Among the background variables, gender had a significant statistical difference with the constructs of fear and behavioral intention, and preventive behaviors and economic status variable in the perceived response efficacy construct. Among the model constructs, the behavioral intention was the strongest behavioral predictor of skin cancer prevention.
Conclusion: Considering the correlation between self-efficacy and behavior as well as the correlation between the perceived response efficacy and behavioral intentions, it seems necessary to plan in this field in order to increase protective behaviors against sunlight and skin cancer prevention by removing existing barriers including cultural issues.
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Review: Research | Subject: Health education
Received: 2018/12/31 | Accepted: 2019/10/21 | Published: 2019/10/2

1. Babazadeh T, Nadrian H, Banayejeddi M, et al. Determinants of skin cancer preventive behaviors among rural farmers in Iran: an application of protection motivation theory. Journal of Cancer Education. 2017;32(3):604-12. [DOI:10.1007/s13187-016-1004-7]
2. Al-Dujaili Z, Henry M, Dorizas A, et al. Skin cancer concerns particular to women. International journal of women's dermatology. 2017;3(1):S49-S51. [DOI:10.1016/j.ijwd.2017.02.009]
3. Alberg AJ, Herbst RM, Genkinger JM,et al. Knowledge, attitudes, and behaviors toward skin cancer in Maryland youths. Journal of Adolescent Health. 2002;31(4):372-7. [DOI:10.1016/S1054-139X(02)00377-4]
4. Esteva A, Kuprel B, Novoa RA, et al. Dermatologist-level classification of skin cancer with deep neural networks. Nature. 2017;542(7639):115-8. [DOI:10.1038/nature21056]
5. Segal R, Miller K, Jemal A. Cancer statistics, 2018. CA Cancer J Clin. 2018;68(1):7-30. [DOI:10.3322/caac.21442]
6. Janda M, Youl P, Marshall AL ,et al. The HealthyTexts study: A randomized controlled trial to improve skin cancer prevention behaviors among young people. Contemporary clinical trials. 2013;35(1):159-67. [DOI:10.1016/j.cct.2013.03.009]
7. Livingston PM, White V, Hayman J, et al. Australian adolescents' sun protection behavior: Who are we kidding? Preventive medicine. 2007;44(6):508-12. [DOI:10.1016/j.ypmed.2007.02.015]
8. Kim RH, Armstrong AW. Nonmelanoma skin cancer. Dermatologic clinics. 2012;30(1):125-39. [DOI:10.1016/j.det.2011.08.008]
9. Mohebbipour A, F. A. Prevalence of melanoma and nonmelanoma malignancies in patients visiting dermatology clinics in Ardabil City, 2002-2013. International Journal of Advances in Medicine. 2015;2(1):38-43. [Persian] [DOI:10.5455/2349-3933.ijam20150209]
10. Guy Jr GP, Thomas CC, Thompson T, et al. Vital signs: melanoma incidence and mortality trends and projections-United States, 1982-2030. MMWR Morbidity and mortality weekly report. 2015;64(21):591-96.
11. Afshari M, Bahrami M, Kangavari M. Factors preventing skin cancer in farmers from tuyserkan city based on protection motivation theory. Iran Occupational Health. 2016;13(1):80-90. [Persian]
12. Noorbala MT, Kafaie P. Analysis of 15 years of skin cancer in central Iran (Yazd). Dermatology online journal. 2007;13(4):1-4.
13. Nadrian H, Rahaee Z, Mazloomy Mahmoodabad SS, et al. Effects of educational intervention on promoting skin cancer preventive behaviors and its predisposing factors among female students in Yazd city: An application of some PRECEDE Model constructs. Razi Journal of Medical Sciences. 2014;21(126):55-64. [Persian]
14. Geller AC, Swetter SM, Brooks K, et al. Screening, early detection, and trends for melanoma: current status (2000-2006) and future directions. Journal of the American Academy of Dermatology. 2007;57(4):555-72. [DOI:10.1016/j.jaad.2007.06.032]
15. Sandhu PK, Elder R, Patel M, et al. Community-wide interventions to prevent skin cancer: two community guide systematic reviews. American journal of preventive medicine. 2016;51(4):531-9. [DOI:10.1016/j.amepre.2016.03.020]
16. Boniol M, Autier P, Boyle P, et al. Cutaneous melanoma attributable to sunbed use: systematic review and meta-analysis. Bmj. 2012;345:e4757. [DOI:10.1136/bmj.e4757]
17. MahmoodAbad SSM, Noorbala MT, Mohammadi M, et al. Knowledge, attitude, and performance of students toward skin cancer in Yazd, 2009. International journal of dermatology. 2011;50(10):1262-5. [DOI:10.1111/j.1365-4632.2011.05020.x]
18. Birmingham WC, Hung M, Boonyasiriwat W, et al. Effectiveness of the extended parallel process model in promoting colorectal cancer screening. Psycho Oncology. 2015;24(10):1265-78. [DOI:10.1002/pon.3899]
19. Witte K. Fear as motivator, fear as inhibitor: Using the extended parallel process model to explain fear appeal successes and failures. InHandbook of communication and emotion 1996: 423-450. Academic Press. [DOI:10.1016/B978-012057770-5/50018-7]
20. Basil M, Basil D, Deshpande S, et al. Applying the Extended Parallel Process Model to workplace safety messages. Health communication. 2013;28(1):29-39. [DOI:10.1080/10410236.2012.708632]
21. Jasemzadeh M, Jaafarzadeh N, Khafaie MA, et al. Predicator of pregnant women's self-care behavior against air pollution: an explanation based on the extended parallel process model (EPPM). Electronic physician. 2016;8(9):2871. [DOI:10.19082/2871]
22. Jin SS, Kai B, Chen FF, et al. Correlates of condom-use self-efficacy on the EPPM-based integrated model among Chinese college students. Biomedical and Environmental Sciences. 2017;30(2):97-105.
23. https://msu.edu/~wittek/scale.htm.
24. Mohammadi S, Baghiani Moghadam MH, Noorbala MT, et al. Survey about the role of appearance concern with skin cancer prevention behavior based on protection motivation theory. Journal of Dermatology and Cosmetic. 2010;1(2):70-7. [Persian]
25. Davati A, Pirasteh A, Yahyaei M, et al. Skin protective behavior amongst girl students; based on health belief model. Acta Medica Iranica. 2013:626-32.
26. Lowe JB, Borland R, Stanton WR, et al. Sun-safe behaviour among secondary school students in Australia. Health Education Research. 2000;15(3):271-81. [DOI:10.1093/her/15.3.271]
27. Benvenuto‐Andrade C, Zen B, Fonseca G, et al. Sun Exposure and Sun Protection Habits Among High‐school Adolescents in Porto Alegre, Brazil¶. Photochemistry and photobiology. 2005;81(3):630-5. [DOI:10.1562/2005-01-25-RA-428.1]
28. Dalli D, Ogce F, Okcin FA. Knowledge of the effects of sun exposure of Turkish high school students and their sun bathing habits. Asian Pacific Journal of Cancer Prevention. 2004;5(4):366-9.
29. Aquilina S, Gauci AA, Ellul M, et al. Sun awareness in Maltese secondary school students. Journal of the European Academy of Dermatology and Venereology. 2004;18(6):670-5. [DOI:10.1111/j.1468-3083.2004.01046.x]
30. De Vries H, Lezwijn J, Hol M, et al. Skin cancer prevention: behaviour and motives of Dutch adolescents. European Journal of Cancer Prevention. 2005;14(1):39-50. [DOI:10.1097/00008469-200502000-00006]
31. Allahverdipour H, Hidarnia A, Kazemnejad A, et al. Assessment of substance abuse behaviors in adolescents': integration of self-control into extended parallel process model. SSU_Journals. 2005;13(1):21-31. [Persian]
32. Savona M, Jacobsen M, James R, et al. Ultraviolet radiation and the risks of cutaneous malignant melanoma and non-melanoma skin cancer: perceptions and behaviours of Danish and American adolescents. European Journal of Cancer Prevention. 2005;14(1):57-62. [DOI:10.1097/00008469-200502000-00008]
33. McQueen A, Vernon SW, Rothman AJ, et al. Examining the role of perceived susceptibility on colorectal cancer screening intention and behavior. Annals of Behavioral Medicine. 2010;40(2):205-17. [DOI:10.1007/s12160-010-9215-3]
34. Novak CB, Young DS, Lipa JE, et al. Evaluation of sun protection behaviour in patients following excision of a skin lesion. Canadian Journal of Plastic Surgery. 2007;15(1):38-40. [DOI:10.1177/229255030701500106]
35. Reinau D, Meier C, Gerber N, et al. Sun protective behaviour of primary and secondary school students in North-Western Switzerland. Swiss medical weekly. 2012;142(w13520). [DOI:10.4414/smw.2012.13520]
36. Najafi A, Nadrian E, Bakri G, et al. Skin cancer preventive behaviors and its determinants among high school students in Sanandaj, Iran: an application of PRECEDE model. J Educ Community Health. 2017;4(1):1-11. [Persian] [DOI:10.21859/jech.4.1.1]
37. Heckman CJ, Manne SL, Kloss JD, et al. Beliefs and intentions for skin protection and UV exposure in young adults. American journal of health behavior. 2011;35(6):699-711 [DOI:10.5993/AJHB.35.6.6]

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