了解加拿大大西洋地区阳光照射与黑色素瘤之间的感知关系:一项共识性定性研究突出了"防晒悖论"
Sauliha Alli1, Jonathan LeBeau2, Agustina Hasbani2
1Temerty Faculty of Medicine, University of Toronto, Toronto, ON M5S 1A8, Canada.
Cancers
|October 14, 2023
概括
皮肤黑色素瘤 (CM) 的风险在加拿大大西洋地区各不相同. 较高CM发病率的地区显示出更大的阳光意识,但也暴露于更多的紫外线,这表明"防晒悖论"影响公共卫生工作.
科学领域:
- 皮肤病学 皮肤病学
- 公共卫生 公共卫生
- 环境流行病学环境流行病学
背景情况:
- 全球皮肤黑色素瘤 (CM) 的发病率正在上升.
- 阳光照射是CM的主要可修改风险因素.
- 加拿大大西洋地区CM发病率呈区域差异.
研究的目的:
- 调查加拿大大西洋省份阳光照射和CM发病率之间的关系.
- 探索阳光照射行为和意识的区域差异.
- 确定导致新不伦瑞克,新斯科舍,爱德华王子岛和纽芬兰和拉布拉多多地 CM 率变化的因素.
主要方法:
- 对加拿大大西洋地区95名居民进行了22个焦点小组.
- 使用MAXQDA软件转录和主题分析定性数据.
- 利用社会生态模型作为分析框架.
主要成果:
- 高CM发病率的省份的居民表现出更高的阳光暴露意识 (例如,检查紫外线指数,使用防晒/防护服).
- 尽管人们意识到这一点,但由于气候变暖,户外工作和文化活动,这些省份的紫外线暴露率更高.
- 相反,发病率较低的省份使用防晒/防护服的频率较低,气候较凉爽,职业/爱好减少阳光照射.
- 观察到一个"防晒悖论",增加防晒的使用与更大的阳光照射相关,可能会产生一种虚假的安全感.
结论:
- 大西洋加拿大的太阳安全公共卫生倡议必须承认并解决"防晒悖论".
- 需要量身定制的运动,整合社区特定的行为,规范和环境因素.
- 了解阳光照射和CM风险的区域差异对于有效的预防策略至关重要.
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