Introduction
Population-based surveys of sun-exposure behaviour do not necessarily represent patients attending public dermatology services who are frequently at high risk of skin cancer and lower socioeconomic status. To date, there has been limited research addressing this key population group of interest.
This study aimed to describe the knowledge, attitudes and behaviours regarding sun protection and vitamin D in a population attending a public dermatology service.
Methods
Patients aged 18 years and over who were attending the dermatology outpatients clinic at the Sunshine Coast University Hospital were asked to complete a comprehensive survey. We used descriptive analyses and regression models to identify associations with sun exposure behaviour.
Results
307 participants were included, with demographics consistent for the location (average age 56 years, female 56%, married 59%, retired 42%). Most participants had Fitzpatrick skin type I/II (85%).
Consistent with existing literature, participants more commonly applied sunscreen regardless of outdoor exposure in summer and to the face, regardless of season. Sunglasses were the most common sun protection measure used outdoors, regardless of season.
The minority of participants (33%) reported using the UV index to inform sun protection and only 12% of participants knew the correct UV index required for sun protection. Most participants over-estimated the required time outdoors for vitamin D, in both summer (70%) and winter (64%).
Conclusion
This high-risk population demonstrated poor knowledge, attitudes and behaviours regarding sun protection.