Abstract
The disease burden of actinic keratoses and keratinocyte carcinoma can be reduced by primary and secondary prevention. However, these measures are often poorly received, especially among the high-risk group of outdoor workers. The aim of this follow-up study was to investigate whether an improvement in sun protection and awareness of skin changes could be observed among the study population, especially outdoor workers, one year after aprevention campaign focusing on this topic. In 2017, all participants who initially participated in astudy at the Bavarian Central Agricultural Festival 2016 and agreed to participate in the follow-up study were contacted by mail and received the same questionnaire and evaluation questions regarding possible behavioral changes. Atotal of 400 people took part in the follow-up study (response rate 52.8%). Of the 240 outdoor workers, 45.0% said they were more conscious of protecting themselves from the sun and 68.8% said they were more aware of skin changes. About 85.0% of outdoor workers indicated that they would consult adermatologist earlier and 65.8% desired further prevention campaigns regarding skin cancer and sun protection. Overall, the majority of participants reported that they had improved sun protection behavior and awareness of skin changes after the intervention. Based on the participants' self-disclosure, especially outdoor workers tended to use sun protection measure more frequently. These findings underline the importance of target group-oriented awareness and prevention campaigns to reduce the burden of skin cancer.
Highlights
The disease burden of actinic keratoses and keratinocyte carcinoma can be reduced by primary and secondary prevention
The aim of this follow-up study was to investigate whether an improvement in sun protection and awareness of skin changes could be observed among the study population, especially outdoor workers, one year after a prevention campaign focusing on this topic
In 2017, all participants who initially participated in a study at the Bavarian Central Agricultural Festival 2016 and agreed to participate in the follow-up study were contacted by mail and received the same questionnaire and evaluation questions regarding possible behavioral changes
Summary
Die Krankheitslast von aktinischen Keratosen und Keratinozytenkarzinomen kann durch primäre und sekundäre Präventionsmaßnahmen gesenkt werden. Da Personen, die in ländlichen Regionen leben, generell seltener einen Facharzt konsultieren [2, 21], wurde beim Bayerischen Zentral-Landwirtschaftsfest (ZLF) 2016 in München eine Studie mit dem Ziel durchgeführt, Menschen aus ländlichen Regionen und insbesondere jenen, die in Außenberufen tätig sind, auf möglichst einfachem Weg einen Zugang zu gesundheitlichen Vorsorgeleistungen zu bieten, um so eine hohe Akzeptanz und Teilnehmerrate zu erreichen [24]. Ziel dieser Folgeerhebung war es zu untersuchen, ob sich 1 Jahr nach Studiendurchführung das Risikoverhalten und der Umgang mit Hauterkrankungen durch das Angebot und die Aufklärung bei der Subpopulation, insbesondere bei den Außenberufstätigen, verändert haben. Die Daten dieser Querschnittstudie basieren auf einer Folgebefragung von Teilnehmern, die 2016 bei einer Erstbefragung auf dem ZLF im Rahmen eines Gesundheitschecks in Kooperation mit der Sozialversicherung für Landwirtschaft, Forsten und Garten-. Tab. 1 Charakteristiken der Studienpopulation der Folgebefragung 2017 und der ZLF(Bayerisches Zentral-Landwirtschaftsfest)-Studie 2016 [24]
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