Employee factors associated with interest in improving sun protection in an Australian mining workforce
Tamara D. Street A B C and Drew Leighton Thomas A
+ Author Affiliations
- Author Affiliations
A Wesley Research Institute, PO Box 499, Toowong, Qld 4066, Australia.
B Institute of Health and Biomedical Innovation (IHBI), Queensland University of Technology, QUT K Block K-433, 130 Victoria Park Road, Kelvin Grove, Qld 4059, Australia.
C Corresponding author. Email: tstreet@wesleyresearch.com.au
Health Promotion Journal of Australia 26(1) 33-38 https://doi.org/10.1071/HE14049
Submitted: 16 October 2014 Accepted: 6 January 2015 Published: 7 April 2015
Abstract
Background: As Australia experiences moderate to extreme levels of ultraviolet radiation from the sun, high participation in sun protection behaviour is required to minimise the risk of developing skin cancer. Understanding factors associated with interest in improving sun protection will enable employers to increase enrolment in sun protection programs.
Method: A cross-sectional survey was conducted at mining sites in rural Australia. The survey assessed employee demographics, stages of change and health-belief model variables, sun protection behaviour, and preferences for improving sun protection.
Results: Overall, 897 employees participated: 73% were male and 47% were classed as being at high risk of ultraviolet-related illnesses. Although 24% of high-risk participants wanted to increase their sun protection practices, only 6% wanted employer-provided sun protection assistance. Marital status and recent experience of sunburn were associated with desire to improve sun protection. Over 50% of the high-risk participants who did not want to increase their sun protection and did not want assistance were in the pre-contemplative stage of change. Self-efficacy was associated with desire to improve sun protection while susceptibility was associated with desire for assistance.
Conclusion: The use of sun protection behaviours among this sample was low. Many employees at high risk of ultraviolet radiation exposure do not believe their approach to sun protection needs changing.
So what?: Workplace health promotion programs need to educate employees about susceptibility to ultraviolet radiation exposure and develop employees’ self-efficacy for sun protection behaviours. These findings can inform the content development of sun protection communication strategies targeting employees.
References
[1] World Health Organization. Ultraviolet radiation and the INTERSUN programme: health effects of radiation. 2014. Available from: http://www.who.int/uv/health/en/ [Verified 4 June 2014].[2] Australian Institute of Health and Welfare & Australasian Association of Cancer Registries. Cancer in Australia: an overview 2012. Cancer series no. 74. Cat. no. CAN 70. Canberra: AIHW; 2012.
[3] Dobbinson SJ, Wakefield MA, Jamsen KM, Herd NL, Spittal MJ, Lipscimb JE, et al (2008) Weekend sun protection and sunburn in Australia: trends (1987–2002) and association with SunSmart television advertising. Am J Prev Med 34, 94–101.
| Weekend sun protection and sunburn in Australia: trends (1987–2002) and association with SunSmart television advertising.Crossref | GoogleScholarGoogle Scholar | 18201638PubMed |
[4] Volkov A, Dobbinson A, Wakefield M, Slevin T (2013) Seven-year trends in sun protection and sunburn among Australian adolescents and adults. Aust NZ J Public Health 37, 63–9.
| Seven-year trends in sun protection and sunburn among Australian adolescents and adults.Crossref | GoogleScholarGoogle Scholar |
[5] Stanton WR, Janda M, Baade PD, Anderson P (2004) Primary prevention of skin cancer: a review of sun protection in Australia and internationally. Health Promot J Int 19, 369–78.
| Primary prevention of skin cancer: a review of sun protection in Australia and internationally.Crossref | GoogleScholarGoogle Scholar |
[6] Diepgen TL, Fartasch M, Drexler H, Schmitt J (2012) Occupational skin cancer induced by ultraviolet radiation and its prevention. Br J Dermatol 167, 76–84.
| Occupational skin cancer induced by ultraviolet radiation and its prevention.Crossref | GoogleScholarGoogle Scholar | 22881591PubMed |
[7] Stock ML, Gerrard M, Gibbons FX, Dykstra JL, Mahler HIM, Walsh LA, et al (2009) Sun protection intervention for highway workers: long-term efficacy of UV photography and skin cancer information on men’s protective cognitions and behavior. Ann Behav Med 38, 225–36.
| Sun protection intervention for highway workers: long-term efficacy of UV photography and skin cancer information on men’s protective cognitions and behavior.Crossref | GoogleScholarGoogle Scholar | 20049658PubMed |
[8] Woolley T, Buttner PG, Lowe J (2004) Predictors of sun protection in northern Australian men with a history of nonmelanoma skin cancer. Prev Med 39, 300–7.
| Predictors of sun protection in northern Australian men with a history of nonmelanoma skin cancer.Crossref | GoogleScholarGoogle Scholar | 15226038PubMed |
[9] Guide to Community Preventive Services. Preventing skin cancer: multicomponent community-wide interventions Atlanta, GA: Community Guide Branch, Division of Epidemiology, Analysis and Library Services, Center for Surveillance, Epidemiology and Laboratory Services, Office of Public Health Scientific Services, Centers for Disease Control and Prevention (CDC); 2012.
[10] Horsham C, Auster J, Sendall M, Stoneham M, Youl P, Crane P, et al (2014) Interventions to decrease skin cancer risk in outdoor workers: update to a 2007 systematic review. BMC Res Notes 7, 10–18.
| Interventions to decrease skin cancer risk in outdoor workers: update to a 2007 systematic review.Crossref | GoogleScholarGoogle Scholar | 24397996PubMed |
[11] Woolley T, Lowe J, Raasch B, Glasby M, Buettner G (2008) Workplace sun protection policies and employees’ sun-related skin damage. Am J Health Behav 32, 201–8.
| Workplace sun protection policies and employees’ sun-related skin damage.Crossref | GoogleScholarGoogle Scholar | 18052860PubMed |
[12] Janda M, Stoneham M, Youl P, Crane P., Sendall M, Tenkate T, et al (2014) What encourages sun protection among outdoor workers from four industries? J Occup Health 56, 62–72.
| What encourages sun protection among outdoor workers from four industries?Crossref | GoogleScholarGoogle Scholar | 24270927PubMed |
[13] Marrett LD, Pichora EC, Costa ML (2010) Work-time sun behaviours among Canadian outdoor workers: results from the 2006 national sun survey. Can J Public Health 101, 119–22.
[14] McCool JP, Reeder AI, Robinson EM, Petrie KJ, Gorman DF (2009) Outdoor workers’ perceptions of the risks of excess sun-exposure. J Occup Health 51, 404–11.
| Outdoor workers’ perceptions of the risks of excess sun-exposure.Crossref | GoogleScholarGoogle Scholar | 19590155PubMed |
[15] Grossmeier J (2013) The influence of worksite and employee variables on employee engagement in telephonic health coaching programs: a retrospective multivariate analysis. Am J Health Promot 27, e69–80.
| The influence of worksite and employee variables on employee engagement in telephonic health coaching programs: a retrospective multivariate analysis.Crossref | GoogleScholarGoogle Scholar | 23286600PubMed |
[16] Terry PE, Fowles J, Harvey L (2010) Employee engagement factors that affect enrolment compared with retention in two coaching programs—The ACTIVATE Study. Popul Health Manag 13, 115–22.
| Employee engagement factors that affect enrolment compared with retention in two coaching programs—The ACTIVATE Study.Crossref | GoogleScholarGoogle Scholar | 20521904PubMed |
[17] Terry PE, Grossmeier J, Mangen DJ, Gingerich SB (2013) Analyzing best practices in employee health management how age, sex, and program components relate to employee engagement and health outcomes. J Occup Environ Med 55, 378–92.
| Analyzing best practices in employee health management how age, sex, and program components relate to employee engagement and health outcomes.Crossref | GoogleScholarGoogle Scholar | 23532192PubMed |
[18] Linden M, Muschalla B, Hansmeier T, Sandner G (2014) Reduction of sickness absences by an occupational health care management program focusing on self-efficacy and self-management. Work 47, 485–9.
[19] Pai CW, Mullin J, Payne GM, Love J, O’Connell G, Edington DW (2009) Factors associated with incidental sickness absence among employees in one health care system. Am J Health Promot 24, 37–48.
| Factors associated with incidental sickness absence among employees in one health care system.Crossref | GoogleScholarGoogle Scholar | 19750961PubMed |
[20] Glanz K, Rimer B, Viswanath K. Health behavior and health education: theory, research, and practice. San Francisco: Jossey-Bass; 2008.
[21] Prochaska JO, Norcross JC, Diclemente CC. Changing for good. Avon Books: New York; 1994.
[22] Borschmann R, Lines K, Cottrell D (2012) Sun protective behaviour, optimism bias, and the transtheoretical model of behaviour change. Aust J Psychol 64, 181–8.
| Sun protective behaviour, optimism bias, and the transtheoretical model of behaviour change.Crossref | GoogleScholarGoogle Scholar |
[23] Craciun C, Shüz N, Lippke S, Schwarzer R (2012) Enhancing planning strategies for sunscreen use at different stages of change. Health Educ Res 27, 857–67.
| Enhancing planning strategies for sunscreen use at different stages of change.Crossref | GoogleScholarGoogle Scholar | 22907532PubMed |
[24] Santiago-Rivas M, Velicer WF, Redding CA, Prochaska JO, Paiva AL (2013) Outcomes of cluster profiles within stages of change for sun protection behaviour. Psychol Health Med 18, 471–81.
| Outcomes of cluster profiles within stages of change for sun protection behaviour.Crossref | GoogleScholarGoogle Scholar | 23347424PubMed |
[25] Janz NK, Becker MH (1984) The health belief model: a decade later. Health Educ Q 11, 1–47.
| The health belief model: a decade later.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaL2M%2FnvFakuw%3D%3D&md5=d6508b55fd026df3ea46022ae635d439CAS | 6392204PubMed |
[26] Jackson KM, Aiken LS (2000) A psychosocial model of sun protection and sunbathing in young women: the impact of health beliefs, attitudes, norms, and self-efficacy for sun protection. Health Psychol 19, 469–78.
| A psychosocial model of sun protection and sunbathing in young women: the impact of health beliefs, attitudes, norms, and self-efficacy for sun protection.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD3cvltFCltQ%3D%3D&md5=b1d71386bad7973a525000b9de2b9a81CAS | 11007155PubMed |
[27] Nahar V K., Ford MA, Hallam JS, Bass MA, Hutcheson A, Vice MA (2013) Skin cancer knowledge, beliefs, self-efficacy, and preventative behaviors among North Mississippi landscapers. Dermatol Res Pract 496913
| Skin cancer knowledge, beliefs, self-efficacy, and preventative behaviors among North Mississippi landscapers.Crossref | GoogleScholarGoogle Scholar | 24223037PubMed |
[28] The Cancer Council Australia. Skin cancer and outdoor work: a guide for employers; Cancer Council Australia; 2007.
[29] Australian Bureau of Statistics. Australian Health Survey: Users Guide, 2011–13 No. 4363.0.55.001. Canberra: Australian Bureau of Statistics; 2013.
[30] Health Q. Self Reported Health Status 2010: Queensland and HSD Report. Brisbane: Queensland Health; 2010.
[31] Health Q. Self Reported Health Status 2011: Preventive Health Indicators Queensland. Brisbane: Queensland Health; 2011.
[32] World Health Organization. Regional guidelines for the development of healthy workplaces.1999. Available from: http://www.who.int/occupational_health/publications/wproguidelines/en/ [Verified 4 June 2014].
[33] Becker MH (1974) The Health Belief Model and personal health behavior. Health Educ Monogr 2, 324–473.
[34] Glanz K, Lewis FM, Rimer BK. Linking theory, research, and practice. In Glanz K, Lewis FM, Rimer BK, editors. Health behavior and health education: theory, research, and practice. San Francisco: Jossey-Bass; 1997.
[35] Prochaska JO, DiClemente CC (1982) Transtheoretical therapy: toward a more integrative model of change. Psychother 19, 276–88.
| Transtheoretical therapy: toward a more integrative model of change.Crossref | GoogleScholarGoogle Scholar |
[36] Field A. Discovering statistics using SPSS. London: Sage Publications; 2009.