Sun protection habits of patients at a health unit in the southern region of Brazil
DOI:
https://doi.org/10.5712/rbmfc18(45)3427Keywords:
Sunscreen agents, Knowledge, Sunlight, Health risk behaviors, Primary health care.Abstract
Introduction: Skin cancer is the most prevalent cancer in Brazil, especially in the South region. Despite its high prevalence, it is a potentially preventable comorbidity with sun protection measures. Objective: To analyze photoprotection habits in patients in primary care. Methods: This was a cross-sectional study, with a quantitative approach and analytical-descriptive purposes, with a sample of 374 patients over 18 years old, selected from a primary health unit in the South region of Brazil. As instruments, the Sun Exposure Protection Index questionnaire and a sociodemographic questionnaire formulated for this study were used. Results: It was found that a large portion of patients are at high risk in relation to sun exposure. Nearly half do not use sunscreen, and most do not use physical barrier methods to protect themselves from the sun. The risk resulting from sun exposure was higher in men (p=0.007), in people with darker skin tone (p=0.033) and in individuals with less education (p=0.037). The propensity to improve photoprotection habits was lower in people with darker skin (p=0.010) and in individuals with less education (p=0.019). In general, it was found that the greater the risk of the individual, the worse the propensity to reduce it with photoprotection measures (p<0.001). Conclusions: A large portion of patients are at high risk in relation to sun exposure. It is up to health professionals to promote awareness of the risks of inadvertent exposure to the sun and guide healthy behaviors in photoprotection.
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Brasil. Ministério da Saúde. Instituto Nacional de Câncer José Alencar Gomes da Silva. Estimativa 2020: incidência de câncer no Brasil. Rio de Janeiro: INCA; 2019.
Schalka S, Steiner D, Ravelli FN, Steiner T, Terena AC, Marçon CR, et al. Consenso brasileiro de fotoproteção. An Bras Dermatol 2014;89(6 Supl 1):S6-75. https://doi.org/10.1590/abd1806-4841.20143971 DOI: https://doi.org/10.1590/abd1806-4841.20143971
Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin 2018;68(6):394-424. https://doi.org/10.3322/caac.21492 DOI: https://doi.org/10.3322/caac.21492
Ferlay J, Ervik M, Lam F, Colombet M, Mery L, Piñeros M, Znaor A, Soerjomataram I, Bray F. Cancer today (powered by GLOBOCAN 2018): IARC CAncerBase, n. 15. Lyon: International Agency for Research on Cancer; 2018.
Brasil. Ministério da Saúde. Instituto Nacional de Câncer José Alencar Gomes da Silva. Câncer de pele não melanoma [Internet]. Rio de Janeiro: INCA; 2021 [acessado em 17 jan. 2022]. Disponível em: https://www.inca.gov.br/tipos-de-cancer/cancer-de-pele-nao-melanoma
Brasil. Mistério da Saúde. Instituto Nacional de Câncer José Alencar Gomes da Silva. Câncer de pele melanoma [Internet]. Rio de Janeiro: INCA; 2021 [acessado em 17 jan. 2022]. Disponível em: https://www.inca.gov.br/tipos-de-cancer/cancer-de-pele-melanoma
Mendonça GAS. Risco crescente de melanoma de pele no Brasil. Rev Saúde Pública 1992;26(4):290-4. https://doi.org/10.1590/S0034-89101992000400012 DOI: https://doi.org/10.1590/S0034-89101992000400012
Bakos L, Wagner M, Bakos RM, Leite CSM, Sperhacke CL, Dzekaniak KS, et al. Sunburn, sunscreens, and phenotypes: some risk factors for cutaneous melanoma in southern Brazil. Int J Dermatol. 2002;41(9):557-62. https://doi.org/10.1046/j.1365-4362.2002.01412.x DOI: https://doi.org/10.1046/j.1365-4362.2002.01412.x
American Cancer Society. Cancer facts & figures 2019 [Internet]. 2019 [acessado em 17 jan. 2022]. Disponível em: https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/annual-cancer-facts-and-figures/2019/cancer-facts-and-figures-2019.pdf
Bonamigo RR, Carvalho AVE, Sebastiani VRZ, Silva CM, Pinto ACZ. HLA and skin cancer. An Bras Dermatol 2012;87(1):9-1.; quiz 17-8. https://doi.org/10.1590/S0365-05962012000100001 DOI: https://doi.org/10.1590/S0365-05962012000100001
Chang N, Feng R, Gao Z, Gao W. Skin cancer incidence is highly associated with ultraviolet-B radiation history. Int J Hyg Environ Health 2010;213(5):359-68. https://doi.org/10.1016/j.ijheh.2010.06.006 DOI: https://doi.org/10.1016/j.ijheh.2010.06.006
Urasaki MBM, Murad MM, Silva MT, Maekawa TA, Zonta GMA. Práticas de exposição e proteção solar de jovens universitários. Rev Bras Enferm. 2016;69(1):126-33. http://doi.org/10.1590/0034-7167.2016690117i DOI: https://doi.org/10.1590/0034-7167.2016690117i
Detert H, Hedlund S, Anderson CD, Rodvall Y, Festin K, Whiteman DC, et al. Validation of sun exposure and protection index (SEPI) for estimation of sun habits. Cancer Epidemiol 2015;39(6):986-93. https://doi.org/10.1016/j.canep.2015.10.022 DOI: https://doi.org/10.1016/j.canep.2015.10.022
Villa RT, Villa ACFBB, Costa MRSR, Brito ABC, Braga BCS, Yamaguchi EM, et al. Photoprotection and skin self-examination in primary attention users: the impact of smartphone as a tool for education. J Dermat Cosmetol 2020;4(4):92-7. https://doi.org/10.15406/jdc.2020.04.00160 DOI: https://doi.org/10.15406/jdc.2020.04.00160
Sociedade Brasileira de Dermatologia. Cuidados diários com a pele [Internet]. Rio de Janeiro; 2017 [acessado em 02 jan. 2021]. Disponível em: https://www.sbd.org.br/cuidados-diarios-com-a-pele/#:~:text=Evitar%20exposi%C3%A7%C3%A3o%20excessiva%20ao%20sol,realizar%20esfolia%C3%A7%C3%B5es%20excessivas%20na%20pele
Melo MM, Ribeiro CSC. Novas considerações sobre a fotoproteção no Brasil: revisão de literatura. Rev Ciênc Saúde 2015;5(3):80-6. https://doi.org/10.21876/rcsfmit.v5i3.375 DOI: https://doi.org/10.21876/rcsfmit.v5i3.375
Castilho IG, Sousa MAA, Leite RMS. Fotoexposição e fatores de risco para câncer da pele: uma avaliação de hábitos e conhecimentos entre estudantes universitários. An Bras Dermatol 2010;85(2):173-8. https://doi.org/10.1590/S0365-05962010000200007 DOI: https://doi.org/10.1590/S0365-05962010000200007
Balogh TS, Velasco MVR, Pedriali CA, Kaneko TM, Baby AR. Proteção à radiação ultravioleta: recursos disponíveis na atualidade em fotoproteção. An Bras Dermatol 2011;86(4):732-42. https://doi.org/10.1590/s0365-05962011000400016 DOI: https://doi.org/10.1590/S0365-05962011000400016
Sociedade Brasileira de Dermatologia. Regional Pernambuco. Notícias [Internet]. 2016 [acessado em 12 jan. 2022]. Disponível em: https://www.sbd-pe.org.br/news
Szklo AS, Almeida LM, Figueiredo V, Lozana JA, Mendonça GAS, Moura L, et al. Comportamento relativo à exposição e proteção solar na população de 15 anos ou mais de 15 capitais brasileiras e Distrito Federal, 2002-2003. Cad Saúde Pública 2007;23(4):823-34. https://doi.org/10.1590/S0102-311X2007000400010 DOI: https://doi.org/10.1590/S0102-311X2007000400010
Silva ES, Dumith SC. Non-use of sunscreen among adults and elderly in southern Brazil. An Bras Dermatol 2019;94(5):567-73. https://doi.org/10.1016/j.abd.2018.10.002 DOI: https://doi.org/10.1016/j.abd.2018.10.002
Bardini G, Lourenço D, Fissmer MC. Avaliação do conhecimento e hábitos de pacientes dermatológicos em relação ao cââââââ da Arq Catarin Med 2012;41(2):56-63
Dallazem LND, Benvegnú AM, Stramari JM, Beber AAC, Chemello RML, Beck MO. Knowledge and habits of sun exposure in university students: a cross-sectional study in Southern Brazil. An Bras Dermatol 2019;9;94(2):172-81. https://doi.org/10.1590/abd1806-4841.20197507 DOI: https://doi.org/10.1590/abd1806-4841.20197507
Silva ALA, Sousa KRF, Silva AF, Fernandes ABF, Matias VL, Colares AV. A importância do uso de protetores solares na prevenção do fotoenvelhecimento e câncer de pele. Rev Interfaces 2015;3(1):1-8. https://doi.org/10.16891/257 DOI: https://doi.org/10.16891/2317-434X.257.
Andrade LA, Luz LF, Ricardo GSD, Melo LB, Ferreira PB, Ferreira FC, et al. “Olhe para a sua pele”: análise transversal do conhecimento populacional sobre o câncer de pele. REAS 2021;27;13(11):e9172. https://doi.org/10.25248/reas.e9172.2021 DOI: https://doi.org/10.25248/reas.e9172.2021
Didier FBCW, Brum LFS, Aerts DRGC. Hábitos de exposição ao sol e uso de fotoproteção entre estudantes universitários de Teresina, Piauí. Epidemiol Serv Saúde 2014;23(3):487-96. https://doi.org/10.5123/S1679-49742014000300011 DOI: https://doi.org/10.5123/S1679-49742014000300011
Tresoldi GM, Duarte MF, Costa MCD. Ensaio comparativo: diferentes sexos relacionando a preocupação com o fotoenvelhecimento. Rev Terra & Cult 2018;34(special):164-70
Cardinez CJ, Cokkinides VE, Weinstock MA, O'Connell MC. Sun protective behaviors and sunburn experiences in parents of youth ages 11 to 18. Prev Med 2005;41(1):108-17. https://doi.org/10.1016/j.ypmed.2004.10.015 DOI: https://doi.org/10.1016/j.ypmed.2004.10.015
McCarthy EM, Ethridge KP, Wagner Jr RF. Beach holiday sunburn: the sunscreen paradox and gender differences. Cutis 1999;64(1):37-42. PMID: 10431670
Hockberger PE. A history of ultraviolet photobiology for humans, animals and microorganisms. Photochem Photobiol 2002;76(6):561-79. https://doi.org/10.1562/0031-8655(2002)0760561AHOUPF2.0.CO2 DOI: https://doi.org/10.1562/0031-8655(2002)076<0561:AHOUPF>2.0.CO;2
Sundown: História da marca [Internet]. 2007 [acessado em 13 dez. 2021]. Disponível em: https://aletp.com.br/2007/01/sundown
Popim RC, Corrente JE, Marino JAG, Souza CA. Câncer de pele: uso de medidas preventivas e perfil demográfico de um grupo de risco na cidade de Botucatu. Ciênc Saúde Coletiva 2008;13(4):1331-6. https://doi.org/10.1590/S1413-81232008000400030 DOI: https://doi.org/10.1590/S1413-81232008000400030
Costa GLG. Estudo retrospectivo dos casos de câncer de pele diagnosticados no hospital de câncer de Mato Grosso [dissertação de mestrado]. São Paulo: Fundação Antonio Prudente em Oncologia, Associação Matogrossense de Combate ao Câncer; 2017. [acessado em 13 dez. 2021]. Disponível em: https://docs.bvsalud.org/biblioref/2018/11/963711/giovannalgcosta.pdf.
Halder RM, Bridgeman-Shah S. Skin cancer in African Americans. Cancer 1995;75(2 Suppl):667-73. https://doi.org/10.1002/1097-0142(19950115)75:2+<667::aid-cncr2820751409>3.0.co;2-i DOI: https://doi.org/10.1002/1097-0142(19950115)75:2+<667::AID-CNCR2820751409>3.0.CO;2-I
Agbai ON, Buster K, Sanchez M, Hernandez C, Kundu RV, Chiu M, et al. Skin cancer and photoprotection in people of color: a review and recommendations for physicians and the public. J Am Acad Dermatol 2014;70(4):748-62. https://doi.org/10.1016/j.jaad.2013.11.038 DOI: https://doi.org/10.1016/j.jaad.2013.11.038
Eid RT, Alchorne MMA. Câncer de pele negra. Rev Bras Clin Med 2011;9(6):418-22
Bonfá R, Martins-Costa GM, Lovato B, Rezende R, Belletini C, Weber MB. Evaluation of the knowledge and photoprotection habits of children and their caregivers in the city of Porto Alegre, Brazil. Surg Cosmet Dermatol 2014;6(2):148-53
Santos ROM. Atuação do enfermeiro na detecção precoce do câncer de pele. Rev Baiana Saúde Pública. 2017;41(1):196-206. https://doi.org/10.22278/2318-2660.2017.v41.n1.a2331 DOI: https://doi.org/10.22278/2318-2660.2017.v41.n1.a2331
Tinôco YMF. Ações para detecção precoce e prevenção do câncer de pele nos usuários da Unidade de Saúde “Santa Rita de Cássia” em Liberdade, Minas Gerais [monografia]. Liberdade: Universidade Federal de Minas Gerais, Faculdade de Medicina; 2020.
US Preventive Services Task Force; Grossman DC, Curry SJ, Owens DK, Barry MJ, Caughey AB, et al. Behavioral counseling to prevent skin cancer: US preventive services task force recommendation statement. JAMA 2018;319(11):1134-42. https://doi.org/10.1001/jama.2018.1623 DOI: https://doi.org/10.1001/jama.2018.1623
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