Risk-Factor Assessment and Sun Protection Behaviors of Ohio Farmers

Most farmers never had a skin cancer assessment by a health professional, but almost 20% had a skin cancer diagnosis. While at risk for skin cancer, Ohio farmers have not widely adopted sun safety protection behaviors. Understanding sun safety practices of farmers may guide development of appropriate resources and interventions.

The purpose of the study was to identify sun exposure risk factors and sun protection behaviors from a sample of Ohio farmers. A convenience sample of farmers was invited to complete a self-report survey, either online or by paper and pencil at annual pesticide training courses and community-based safety programs. This cross-sectional and descriptive study used public domain survey questions by Glanz et al. and Oh et al. Respondents totaled 505 and self-identified primarily as male, married or with a domestic partner, white, non-Latino, with very fair to fair skin, and worked full-time mostly in field crops. Over 50% of farmers applied or reapplied sunscreen. Between 50% and 70% wore a shirt with sleeves, sunglasses, and/or a hat; a baseball cap was the preferred headwear. Farmers (67%) reported 0-1 sunburns last year, and 83% said they sit in the sun to get a tan. Younger farmers (<44 years old) spent more time in the sun to tan and reported fewer painful sunburns. Most farmers (58%) never had a professional skin cancer assessment, but 17% had a skin cancer diagnosis. While at risk for skin cancer, Ohio farmers have not widely adopted sun safety protection behaviors. Data may direct future multidisciplinary health and safety educational programming by state Extension outreach and healthcare providers.