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Dermatology Research and Practice
Volume 2013 (2013), Article ID 496913, 7 pages
Research Article

Skin Cancer Knowledge, Beliefs, Self-Efficacy, and Preventative Behaviors among North Mississippi Landscapers

1Department of Health, Exercise Science & Recreation Management, University of Mississippi, 215 Turner Center, P.O. Box 1848, Oxford, MS 38677, USA
2Department of Social and Behavioral Sciences, College of Public Health, Kent State University, 750 Hilltop Drive, Kent, OH 44242, USA

Received 9 July 2013; Accepted 25 August 2013

Academic Editor: Ashfaq A. Marghoob

Copyright © 2013 Vinayak K. Nahar et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


There are slightly over one million workers in the landscape service industry in the US. These workers have potential for high levels of solar ultraviolet radiation exposure, increasing their risk of skin cancer. A cross-sectional sample of 109 landscapers completed a self-administered questionnaire based on Health Belief Model (HBM). The participants correctly answered 67.1% of the knowledge questions, 69.7% believed they were more likely than the average person to get skin cancer, and 87.2% perceived skin cancer as a severe disease. Participants believed that the use of wide-brimmed hats, long sleeved shirts/long pants, and sunscreen was beneficial but reported low usage of these and other sun protective strategies. The primary barriers to using sun protection were “I forget to wear it” and “it is too hot to wear.” Of the HBM variables, perceived benefits outweighing perceived barrier ( , ) and self-efficacy ( , ) were correlated with sun protection behaviors. The reasons for absence of the relationship between perceived skin cancer threat and sun protection behaviors could be lack of skin cancer knowledge and low rate of personal skin cancer history.