Skip to main content

Knowledge Levels of Kindergarten Teachers About Skin Cancer, Sun Protection Behaviors, and Affecting Factors

Abstract

The aim of this study was to determine the knowledge level of kindergarten teachers regarding skin cancer, the sun protection behaviors they exhibit for themselves/their students, and the affecting factors. This descriptive study was carried out in the Mediterranean region in a province located by the sea. The universe of the study consisted of 181 teachers working in kindergartens, and data were collected from the 81% who agreed to participate in the study. The mean Skin Cancer and Sun Knowledge Scale of the teachers was 12.50 ± 3.27 (range 0–25) and the mean Sun Protection Behavior Scale score was 24.78 ± 6.26 (range 8–40). When the Sun Protection Behavior Scale sub-dimensions were analyzed, the teachers’ mean score of refraining from the sun was 13.02 ± 2.02, sunscreen use was 9.88 ± 4.46, and hat use was 5.13 ± 2.52. Significant positive correlations were found between the teachers’ knowledge scores and refraining from the sun (r = 0.222; p = 0.007) and sunscreen use (r = 0.243; p = 0.003). The least used sun protection practice of the teachers regarding the students was wearing sunglasses (64.8%) and the most used practice was remaining in the shade (75.9%). The level of teachers’ knowledge about skin cancer and sun protection and their behavior regarding sun protection for themselves were moderate, but the sun protection behaviors they use for their students were inadequate. Thus, educational programs about sun exposure are needed in schools and non-formal education institutions.

This is a preview of subscription content, access via your institution.

References

  1. Rivas M, Rojas E, Calaf GM, Barberán M, Liberman C, De Paula CM (2017) Association between non-melanoma and melanoma skin cancer rates, vitamin D and latitude. Oncol Lett 13(5):3787–3792

    CAS  Article  Google Scholar 

  2. Olsen CM, Wilson LF, Green AC, Bain CJ, Fritschi L, Neale RE, Whiteman DC (2015) Cancers in Australia attributable to exposure to solar ultraviolet radiation and prevented by regular sunscreen use. Aust NZ J Public Health 39(5):471–476

    Article  Google Scholar 

  3. Rivas M, Rojas E, Araya MC, Calaf GM (2015) Ultraviolet light exposure, skin cancer risk and vitamin D production. Oncol Lett 10(4):2259–2264

    CAS  Article  Google Scholar 

  4. Tripp MK, Herrmann NB, Parcel GS, Chamberlain RM, Gritz ER (2000) Sun protection is fun! A skin cancer prevention program for preschools. J Sch Health 70(10):395–401

    CAS  Article  Google Scholar 

  5. Dobbinson S, Wakefield M, Hill D, Girgis A, Aitken JF, Beckmann K, Reeder AI, Herd N, Fairthorne A, Bowles KA (2008) Prevalence and determinants of Australian adolescents’ and adults’ weekend sun protection and sunburn, summer 2003–2004. J Am Academy Dermatol 59(4):602–614

    Article  Google Scholar 

  6. Gilaberte Y, Carrascosa JM (2014) Sun protection in children: realities and challenges. Actas Dermo-Sifiliográficas (English Edition) 105(3):253–262

  7. Sümen A, Öncel S (2014) Studies conducted with students about skin cancer and sun protection: a literature review. DEUHYED 7(2):78–91

    Google Scholar 

  8. Gritz ER, Tripp MK, James AS, Carvajal SC, Harrist RB, Mueller NH, Chamberlain RM, Parcel GS (2005) An intervention for parents to promote preschool children's sun protection: effects of sun protection is fun! Prev Med 41(2):357–366

    Article  Google Scholar 

  9. Fitzpatrick TB (1998) The validity and practicality of sun-reactive skin types I through VI. Arch Dermatol 124:869–871

    Article  Google Scholar 

  10. Haney MO, Bahar Z, Beser A, Arkan G, Cengiz B (2018) Psychometric testing of the Turkish version of the skin cancer and sun knowledge scale in nursing students. J Cancer Educ 33(1):21–28

    Article  Google Scholar 

  11. Aygun O, Ergun A (2015) Validity and reliability of sun protection behavior scale among Turkish adolescent population. Asian Nurs Res 9(3):235–242

    Article  Google Scholar 

  12. Centers for Disease Control and Prevention (CDC) (1998) Sun-protection behaviors used by adults for their children - United States, 1997. MMWR Morb Mortal Wkly Rep 19;47(23):480–482

  13. Glanz K, Steffen AD, Schoenfeld E, Tappe KA (2013) Randomized trial of tailored skin cancer prevention for children: the project SCAPE family study. J Health Commun 18(11):1368–1383

    Article  Google Scholar 

  14. Tripp MK, Vernon SW, Gritz ER, Diamond PM, Mullen PD (2013) Children’s skin cancer prevention: a systematic review of parents’ psychosocial measures. Am J Prev Med 44(3):265–273

    Article  Google Scholar 

  15. Day AK, Stapleton JL, Natale-Pereira AM, Goydos JS, Coups EJ (2017) Parent and child characteristics associated with child sunburn and sun protection among US Hispanics. Pediatr Dermatol 34(3):315–321

    Article  Google Scholar 

  16. Hernandez C, Wang S, Abraham I, Angulo MI, Kim H, Meza JR, Munoz A, Rodriguez L, Uddin S (2014) Evaluation of educational videos to increase skin cancer risk awareness and sun-safe behaviors among adult Hispanics. J Cancer Educ 29(3):563–569

    Article  Google Scholar 

  17. Gritz ER, Tripp MK, James AS, Harrist RB, Mueller NH, Chamberlain RM, Parcel GS (2007) Effects of a preschool staff intervention on children’s sun protection: outcomes of sun protection is fun! Health Educ Behav 34:562–577

    Article  Google Scholar 

  18. Buller DB, Reynolds KD, Berteletti J, Massie K, Ashley J, Buller MK, Meenan RT (2018) Accuracy of principal and teacher knowledge of school district policies on sun protection in California elementary schools. Prev Chronic Dis 15:170342

    Article  Google Scholar 

  19. Mazloomy Mahmoodabad SS, Noorbala MT, Rahaee Z, Mohammadi M (2010) Knowledge, attitude and performance study of secondary school teachers of Yazd city regarding skin cancer. J Eur Acad Dermatol Venereol 24(4):424–428

    CAS  Article  Google Scholar 

  20. Şenel E, Süslü I (2015) Knowledge, attitudes, and behaviors regarding sun protection, effects of the sun, and skin cancer among Turkish high school students and teachers. Dermatol Sin 33(4):187–190

    Article  Google Scholar 

  21. Terzi S, Başak PY, Erturan İ (2017) Evaluation of knowledge, attitude, and behavior about harmful effects of the sun and sun protection among patients attending an outpatient clinic. Turkderm-Turk Arch Dermatol Venereology 51(1):2–6

  22. Balcı E, Durmuş H, Arslantaş EE, Gün İ (2018) Knowledge, attitudes and behaviors of adults applying to primary health care organizations on the harmful effects of the sun and the ways of protection. Turk J Dermatol 12(2):96–99

    Article  Google Scholar 

  23. Alataş ET, Polat AK, Doğan G, Pıçakçıefe M (2018) Assessment of the academic staff’s knowledge, attitudes and habits related to sun protection and sunscreen use. Turk J Dermatol 12(1):9–17

    Article  Google Scholar 

  24. Crane LA, Schneider LS, Yohn JJ, Morelli JG, Plomer KD (1999) “Block the sun, not the fun”: evaluation of a skin cancer prevention program for child care centers. Am J Prev Med 17(1):31–37

    CAS  Article  Google Scholar 

  25. Sümen A, Öncel S (2018) Development of sun protection behaviors in preschoolers: a systematic review. Turkderm-Turk Arch Dermatol Venereology 52(2):56–63

  26. Bränström 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(5):992–999

    Article  Google Scholar 

  27. Day AK, Wilson CJ, Hutchinson AD, Roberts RM (2015) Sun-related behaviours among young Australians with Asian ethnic background: differences according to sociocultural norms and skin tone perceptions. Eur J Cancer Care 24(4):514–521

    CAS  Article  Google Scholar 

  28. Lee A, Garbutcheon-Singh KB, Dixit S, Brown P, Smith SD (2015) The influence of age and gender in knowledge, behaviors and attitudes towards sun protection: a cross-sectional survey of Australian outpatient clinic attendees. Am J Clin Dermatol 16(1):47–54

    Article  Google Scholar 

  29. Holman DM, Berkowitz Z, Guy GP, Hartman AM, Perna FM (2014) The association between demographic and behavioral characteristics and sunburn among US adults-National Health Interview Survey, 2010. Prev Med 63:6–12

    Article  Google Scholar 

  30. Kakourou T, Klimentopoulou A, Kavadias G, Veltsista A, Krikos X, Bakoula C (2006) Improvement of sun-related knowledge and protection practice. Eur J Dermatol 16(2):172–176

    PubMed  Google Scholar 

Download references

Funding

The authors declared that this study has received no financial support.

Author information

Affiliations

Authors

Corresponding author

Correspondence to Adem Sümen.

Ethics declarations

Conflict of Interest

The authors declare that they have no conflict of interest.

Statement of informed consent

In order to carry out the study, an institutional permit was obtained from the National Education Directorate, ethical approval was obtained from the Akdeniz University Medical Faculty Clinical Research Ethics Committee (2012-KAEK-20-22.03.2017/191), and informed.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Sümen, A., Öncel, S. Knowledge Levels of Kindergarten Teachers About Skin Cancer, Sun Protection Behaviors, and Affecting Factors. J Canc Educ 37, 210–216 (2022). https://doi.org/10.1007/s13187-020-01804-3

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13187-020-01804-3

Keywords

  • Child
  • Kindergarten
  • Kindergarten teacher
  • Skin neoplasms
  • Sunscreen factor
  • Skin cancer prevention