Community Educational Interventions: An Effective Means to Improve Photoprotection and Skin Cancer Awareness in Outdoor Occupational Workers

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Ana Preda-Naumescu
Josiah Sowell
Sydney Weir
Siddharth Srikakolapu
Om Patel
Isabella Aldana
Natalie Garcia
Lauren Kole


education, prevention, skin cancer


Introduction: Outdoor workers are at increased risk for developing skin cancer compared to the general population due to environmental conditions at work sites and riskier behavior regarding skin cancer risk factors.  In many populations, sun protection education is associated with increased use of sun protective measures. This study aimed to assess outdoor workers’ knowledge of sun safety and evaluate the impact of educational measures on the awareness of photoprotection practices.

Methods: A group of medical students visited construction sites in Birmingham, AL, to deliver 15-minute presentations on the risks of prolonged UV exposure and the prevention of photodamage. Identical 10-question surveys were given to each participant before and after the presentation. Participants rated their level of agreement with statements on photoprotection and skin cancer.

Results: The survey response rate was 79%. Analysis revealed an average pre-presentation score of 3.01 and a post-presentation score of 3.73. Two-sample paired t-tests for each question yielded statistically significant results (p <0.05).  

Conclusion: Outdoor occupational workers reported a better understanding of the risks of UV exposure and a greater willingness to engage in sun-protective practices following a brief educational intervention. These findings suggest that community-based education may improve awareness regarding photoprotection and skin cancer risk.


1. Zink A, Wurstbauer D, Rotter M, Wildner M, Biedermann T. Do outdoor workers know their risk of NMSC? Perceptions, beliefs and preventive behaviour among farmers, roofers and gardeners. J Eur Acad Dermatol Venereol. 2017;31:1649‐1654.

2. Rocholl, M., Ludewig, M., John, S. M., Bitzer, E. M., & Wilke, A. (2020). Outdoor workers' perceptions of skin cancer risk and attitudes to sun-protective measures: A qualitative study. Journal of occupational health, 62(1), e12083

3. Trakatelli, M., Barkitzi, K., Apap, C., Majewski, S., De Vries, E., & EPIDERM group (2016). Skin cancer risk in outdoor workers: a European multicenter case-control study. Journal of the European Academy of Dermatology and Venereology : JEADV, 30 Suppl 3, 5–11.

4. Sena JS, Girão RJ, Carvalho SM, Tavares RM, Fonseca FL, Silva PB, Barbosa MC. Occupational skin cancer: Systematic review. Rev Assoc Med Bras (1992). 2016 May-Jun;62(3):280-6. doi: 10.1590/1806-9282.62.03.280. PMID: 27310554.

5. Zink A, Schielein M, Wildner M, Rehfuess EA. 'Try to make good hay in the shade – it won't work!' A qualitative interview study on the perspectives of Bavarian farmers regarding primary prevention of skin cancer. Br J Dermatol. 2019;180:1412‐1419.

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