Outdoor workers' perceptions of the risks of excess sun-exposure.

OBJECTIVES To describe the pattern of associations with sunscreen use of sun protection attitudes and knowledge in a large sample of New Zealand outdoor workers. We also examined the relationship between perceived skin type and perceived risk of developing skin cancer. METHODS Outdoor workers from nine occupational groups (n=1,131) completed a questionnaire, which included measures of skin cancer related risk perceptions, knowledge and sunscreen use. RESULTS Sunscreen use was associated with perceived prioritization of sun-protection, concern about sun-exposure, knowledge about the effects of sun-exposure and perceived supportive workplace culture. These variables accounted for 37% of the variation in sunscreen use. Maori, younger workers and forestry workers least likely to report sunscreen use and sun-exposure risk perception. CONCLUSIONS Interventions that strengthen knowledge about risks and values of sun protection are likely to increase sun protection efforts. However, interventions for outdoor workers need to take into account potential socio-demographic, personal and workplace influences are required to prevent the risk of developing non-melanoma skin cancers within this population group.