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Protective Practices to Prevent Sun Damage
Topics
• Beliefs about sun protection
• Sun protection recommendations
• Risk factors
• Skin cancer screening
Beliefs
about Sun
Protection
Knowing what to do ≠ doing
it.
May associate sun exposure
with what we value (work).
Role Models
Sun Protection
Recommendations
3 main areas
•Avoiding the sun
•Protective Clothing
•Sunscreen
Farmers’ Sun
Protection
Farmers fell into 3
groups:
• Many or all sun
protection behaviors
(25%)
• None (45%)
• Just a hat (30%)
All or nothing…or just a
hat.
Avoid the Sun
•Avoid
exposure
between 10
AM and 4 PM
•Seek shade
UVA and
UVB Rays
• UVA rays cause
premature aging, long
term skin damage.
• UVB rays cause
sunburns and most
skin cancers.
Protective
Clothing
• Clothing is the most effective
form of sun protection
• UPF = Ultraviolet Protection
Factor
• UPF 50 blocks 98% of rays
• UPF 30-49 offers “very good”
protection
Protective
Clothing: Hats
Protective Clothing:
Hats with a Wide Brim
At least 3- to 4-inch brim
Sunglasses
100% UV
protection
Factors Affecting Clothing
Protection • Color
• Density
• Fabric content
• Fit
• Activity - Wet
fibers decrease
protection
Up to UPF 1,700 UPF 5 to 7
Sunscreen
• SPF = Sun Protection Factor
• FDA: Minimum SPF 15
• American Academy of Dermatology and
American Cancer Society recommend at
least SPF 30
• Broad-spectrum
Sunscreen
• Apply 15 minutes before
exposure
• Reapply after 80 minutes of
sweating or swimming, or after
towel drying.
• Reapply at least every 2 hours.
Interpreting SPFs
If you usually burn in 10 minutes
without protection, SPF 15 will protect
you 15 times longer.
Sunscreen Use
Most people use 1/2 or 1/3 the
recommended amount.
Higher SPFs may provide better protection by
compensating for underapplication.
Sunscreen Application
1 ounce (2-3
Tablespoons) for
body
1-2 teaspoons for
face and neck
About Aerosol Sunscreens
• Spray until skin glistens. Rub it in.
• Do not spray directly on the face;
spray on hand and apply to face.
• 6 oz bottle = 6 applications
Do not apply in windy conditions.
Do not use presence of flame, spark.
Keep away from sources of ignition.
Shelf Life and Storage
• 3-year shelf life if no
expiration date printed
• Store at room temperature
• Higher temperatures
degrade sunscreen
8 oz bottle = 8
applications
Skin Cancer Risk
Factors
Being a farmer
Naturally light or fair skin
Skin that burns, freckles, or reddens
easily
Blue or green eyes
Blond or red hair
Certain types and a large number of
moles
Family history of skin cancer
Older age
Serious sunburns in the past
Windows
• Skin cancers more common on the left
(driver’s) side.
• Glass windows block UVB rays but not
UVA.
• Laminated glass windshields blocks
more than 90% of UVA rays.
• Untreated side windows and sunroofs
may allow up to 50% of UVA rays
UV-blocking window film or window tint
Skin Screening
• Monthly skin self-check
• Annual skin exam with healthcare
provider
Types of
Skin
Cancer
Non-melanoma
• Basal cell
carcinoma
• Squamous cell
carcinoma
• Usually curable
but can be
disfiguring and
expensive to treat
Melanoma
Melanoma is
most dangerous.
Can spread to
other parts of the
body, including
vital organs
Non-Melanoma:
Signs To Watch For
Basal Cell
• Small raised bump that looks
smooth, shiny and translucent
• Small, pink, crater-like growth
• Scar-like area – white, yellow or
waxy
• Reddish, irritated patches of skin
• A sore that does not heal
Non-Melanoma:
Signs To watch for
Squamous Cell
• Crusty, warty appearance
• Raised grown with depression in
center
• Scaly, red patch
• Sore that does not heal
Melanoma: Signs
To Watch For
• Asymmetry – halves that do not match
• Irregular Borders – uneven, crusty or notches
• Color – not uniform in color
• Diameter – usually larger in diameter than
pencil eraser (1/4 inch)
• Evolving – changes in size, shape, color, starts to
bleed or scab
• Beliefs about sun protection
• Sun protection
recommendations
• Risk factors
• Skin cancer screening
Contact Info
Associate Professor & Community Health Specialist
University of Tennessee Extension
Lwashbu4@utk.edu
Lisa Washburn, DrPH

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Protective Practices to Prevent Sun Damage

  • 1. Protective Practices to Prevent Sun Damage
  • 2. Topics • Beliefs about sun protection • Sun protection recommendations • Risk factors • Skin cancer screening
  • 3. Beliefs about Sun Protection Knowing what to do ≠ doing it. May associate sun exposure with what we value (work).
  • 5. Sun Protection Recommendations 3 main areas •Avoiding the sun •Protective Clothing •Sunscreen
  • 6. Farmers’ Sun Protection Farmers fell into 3 groups: • Many or all sun protection behaviors (25%) • None (45%) • Just a hat (30%) All or nothing…or just a hat.
  • 7. Avoid the Sun •Avoid exposure between 10 AM and 4 PM •Seek shade
  • 8. UVA and UVB Rays • UVA rays cause premature aging, long term skin damage. • UVB rays cause sunburns and most skin cancers.
  • 9. Protective Clothing • Clothing is the most effective form of sun protection • UPF = Ultraviolet Protection Factor • UPF 50 blocks 98% of rays • UPF 30-49 offers “very good” protection
  • 11. Protective Clothing: Hats with a Wide Brim At least 3- to 4-inch brim
  • 13. Factors Affecting Clothing Protection • Color • Density • Fabric content • Fit • Activity - Wet fibers decrease protection Up to UPF 1,700 UPF 5 to 7
  • 14. Sunscreen • SPF = Sun Protection Factor • FDA: Minimum SPF 15 • American Academy of Dermatology and American Cancer Society recommend at least SPF 30 • Broad-spectrum
  • 15. Sunscreen • Apply 15 minutes before exposure • Reapply after 80 minutes of sweating or swimming, or after towel drying. • Reapply at least every 2 hours. Interpreting SPFs If you usually burn in 10 minutes without protection, SPF 15 will protect you 15 times longer.
  • 16. Sunscreen Use Most people use 1/2 or 1/3 the recommended amount. Higher SPFs may provide better protection by compensating for underapplication.
  • 17. Sunscreen Application 1 ounce (2-3 Tablespoons) for body 1-2 teaspoons for face and neck
  • 18. About Aerosol Sunscreens • Spray until skin glistens. Rub it in. • Do not spray directly on the face; spray on hand and apply to face. • 6 oz bottle = 6 applications Do not apply in windy conditions. Do not use presence of flame, spark. Keep away from sources of ignition.
  • 19. Shelf Life and Storage • 3-year shelf life if no expiration date printed • Store at room temperature • Higher temperatures degrade sunscreen 8 oz bottle = 8 applications
  • 20. Skin Cancer Risk Factors Being a farmer Naturally light or fair skin Skin that burns, freckles, or reddens easily Blue or green eyes Blond or red hair Certain types and a large number of moles Family history of skin cancer Older age Serious sunburns in the past
  • 21. Windows • Skin cancers more common on the left (driver’s) side. • Glass windows block UVB rays but not UVA. • Laminated glass windshields blocks more than 90% of UVA rays. • Untreated side windows and sunroofs may allow up to 50% of UVA rays
  • 22. UV-blocking window film or window tint
  • 23. Skin Screening • Monthly skin self-check • Annual skin exam with healthcare provider
  • 24. Types of Skin Cancer Non-melanoma • Basal cell carcinoma • Squamous cell carcinoma • Usually curable but can be disfiguring and expensive to treat Melanoma Melanoma is most dangerous. Can spread to other parts of the body, including vital organs
  • 25. Non-Melanoma: Signs To Watch For Basal Cell • Small raised bump that looks smooth, shiny and translucent • Small, pink, crater-like growth • Scar-like area – white, yellow or waxy • Reddish, irritated patches of skin • A sore that does not heal
  • 26. Non-Melanoma: Signs To watch for Squamous Cell • Crusty, warty appearance • Raised grown with depression in center • Scaly, red patch • Sore that does not heal
  • 27. Melanoma: Signs To Watch For • Asymmetry – halves that do not match • Irregular Borders – uneven, crusty or notches • Color – not uniform in color • Diameter – usually larger in diameter than pencil eraser (1/4 inch) • Evolving – changes in size, shape, color, starts to bleed or scab
  • 28. • Beliefs about sun protection • Sun protection recommendations • Risk factors • Skin cancer screening
  • 29. Contact Info Associate Professor & Community Health Specialist University of Tennessee Extension Lwashbu4@utk.edu Lisa Washburn, DrPH