Public Knowledge and Practices Toward Sun Exposure and Use of Sun Protection in Sibu Municipal Council Area, Sarawak, Malaysia

Authors

  • Nay Lwin Faculty of Medicine, Nursing and Health Sciences, SEGi University, Malaysia
  • Hlaing Thaw Dar School of Medicine, IMU University, Malaysia
  • Soe Min Htut Faculty of Medicine, Nursing and Health Sciences, SEGi University, Malaysia

DOI:

https://doi.org/10.26911/jepublichealth.2025.10.05.10

Abstract

Background: Understanding the risks and benefits of sun exposure promotes overall health and well-being by encouraging safe sun practices. The study aims to assess the knowledge and practice of sun protection in the public towards the harmful effects of prolonged sun exposure.
Subjects and Method: A cross-sectional study was conducted in Sibu, Sarawak, Malaysia among 302 respondents, from October to November 2023. The respondents were recruited by a convenience sampling method. Research team members interviewed the respondents by using questionnaires with the study variables were age, gender, ethnicity, education and occupations of respondence, knowledge, practice and the reasons to use sunscreen protection. The data were analyzed descriptively using frequency tables and inferential statistics with p-value.
Results: More than half of the participants (56%) had average knowledge about the harmful effects of prolonged sun exposure, and 83.1% had moderate levels of sun protection practice. Most participants wore long-sleeved clothing for sun protection and practice for physical appearance, sense of vulnerability or fear, and peer pressure. The statistical results showed no significant difference in practice between different age groups, ethnic groups, education levels, or occupations, and a significant difference was found between genders.
Conclusion: Targeted interventions are needed to improve sun protection practices and reduce skin damage and cancer.

Keywords:

Sun exposure, sun protection, skin damage

Correspondence

Nay Lwin. Faculty of Medicine, Nursing and Health Sciences, SEGi University. Jalan Ulu Oya, 96000 Sibu, Sarawak, Malaysia. Mobile: +601116305870. Email: naylwin@gmail.com

References

Affandi AM (2018). Skin Cancer: 13-Year Experience at the Department of Dermatology, Hospital Kuala Lumpur, Malaysia. JGO. 4: 79s–79s. doi: 10.1200/jgo.18.26600.

Al-Atif HM (2021). A Cross-Sectional Survey of Knowledge of Skin Cancer in Saudi Arabia. Dermatol Pract Concept. 11: e2021076. doi: 10.5826/dpc.1103a76.

AlGhamdi KM, AlAklabi AS, AlQahtani AZ (2015). Knowledge, attitudes and practices of the general public toward sun exposure and protection: A national survey in Saudi Arabia. Saudi Pharm J. 24:652. doi:10.1016/j.jsps.2015.04.002.

Almuqati RR, Alamri AS, Almuqati NR (2019). Knowledge, attitude, and practices toward sun exposure and use of sun protection among non-medical, female, university students in Saudi Arabia: A cross-sectional study. Int J Womens Dermatol. 5: 105–109. doi: 10.1016/j.ijwd.2018.11.005.

Al-Naggar RA (2013). Practice of skin cancer prevention among road traffic police officers in Malaysia. Asian Pac J Cancer Prev. 14: 4577–4581. doi: 10.7314/apjcp.2013.14.8.4577.

Al-Naggar RA, Bobryshev YV (2012). Practice Of Skin Cancer Prevention Among Young Malaysian. J Community Med Health Edu. 2: 1–7. doi: 10.4172/2161 0711.1000129.

Buchanan-Lunsford N, Berktold J, Holman DM, Stein K, Prempeh A, Yerkes A (2018). Skin cancer knowledge, awareness, beliefs and preventive behaviors among black and hispanic men and women. Prev Med Rep. 12: 203–209. doi: 10.1016/j.pmedr.2018.09.017.

Buller DB, Walkosz BJ, Buller MK, Wallis A, Andersen PA, Scott MD, Meenan RT, et al. (2018). Implementation of Occupational Sun Safety at a Two-year Follow-up in a Randomized Trial: Comparison of Sun Safe Workplaces Policy Intervention to Attention Control. Am J Health Promot. 33: 683. doi: 10.1177/0890117118814398.

El-Shafei DA, Said RM (2023). Sun Safety: Knowledge and Behavior among Egyptian Farmers Multicomponent Inter-vention Study. J Cancer Educ. 38: 1042–1049. doi: 10.1007/s13187-022-02230-3.

Fadzilah HN, Binti H, Yea LH, Hewage MTJD, Azme FSM, Soe et al. (2023). Knowledge of Sunscreen Usage and Skin Cancer Among Malaysian Medical Students – A cross-sectional study. doi: 10.1101/2023.01.28.23285149.

Glanz K, Buller DB, Saraiya M (2007). Reducing ultraviolet radiation exposure among outdoor workers: state of the evidence and recommendations. Environ Health. 6: 22. doi: 10.1186/1476-069X-622.

Harth Y, Schemer A, Friedman-Birnbaum R (1995). Awareness to photodamage versus the actual use of sun protection methods by young adults. J Eur Acad Dermatol Venereol. 4: 260–266. doi: 10.1016/0926-9959(95)00025-9.

Masterson KN, Leigh K (2015). Using an m-Health Application in a Private Dermatology Practice to Improve Sun Protection Behavior in Adolescents and Young Adults. J Dermatol Nurses Assoc. 7: 76–86. doi: 10.1097/JDN.0000000000000112.

Nouri N, Iravani P, Abtahi‐Naeini B (2023). Sun protection behaviors among children aged 6−18 years old, the role of socioeconomic factors: A cross-sectional study. Health Sci Reports. 6: e1727. doi: 10.1002/hsr2.1727.

Paul C, Tzelepis F, Parfitt N, Girgis A (2008). How to improve adolescents’ sun protection behavior? Age and gender issues. Am J Health Behav. 32: 387–398. doi: 10.5555/ajhb.2008.32.4.387.

Ragan KR, Buchanan-Lunsford N, Thomas CC, Tai EW, Sussell A, Holman DM (2019). Skin Cancer Prevention Behaviors Among Agricultural and Construction Workers in the United States, 2015. Prev Chronic Dis. 16: E15. doi: /10.5888/pcd16.180446.

Scott JJ, Johnston RS, Darby J, Blane S, Strickland M, McNoe BM (2023). A novel skin cancer prevention strategy: Preservice teachers’ perceptions of a sun safety intervention and experiences in schools. Health Promot J Austr. 34: 255–263. doi: 10.1002/hpja.638.

Selcuk L, Arica D, Ateş E, Yayli S, Bahadir S (2019). Sun-protective behaviours of Turkish young adults. Photodermatol Photoimmunol Photomed. 35. doi: 10.1111/phpp.12450.

Vu LH, van der Pols JC, Whiteman DC, Kimlin MG, Neale RE (2010). Knowledge and attitudes about Vita-min D and impact on sun protection practices among urban office workers in Brisbane, Australia. Cancer Epidemiol Biomarkers Prev. 19: 1784–1789. doi: 10.1158/1055-9965.EPI-100127.

Walkosz BJ, Buller DB, Buller MK, Wallis A, Liu X (2019). Senior managers’ awareness of sun protection policy predicts implementation of worksite sun safety in a randomized trial. Am J Ind Med. 62:893–900. doi: 10.1002/ajim.23033.

Yan S, Xu F, Yang C, Li F, Fan J, Wang L, Cai M, et al. (2015). Demographic differences in sun protection beliefs and behavior: a community-based study in Shanghai, China. Int J Environ Res Public Health. 12: 3232–3245. doi: 10.3390/ijerph120303232..

Downloads

Published
2025-01-16

Issue
Vol. 10 No. 1 (2025)

Section
flow-chart-line Articles

How to Cite
Lwin, N., Dar, H. T., & Htut, S. M. (2025). Public Knowledge and Practices Toward Sun Exposure and Use of Sun Protection in Sibu Municipal Council Area, Sarawak, Malaysia. Journal of Epidemiology and Public Health, 10(1), 106–114. https://doi.org/10.26911/jepublichealth.2025.10.05.10