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Journal of Cancer Survivorship
Published in: Journal of Cancer Survivorship 5/2020

01-10-2020 | Melanoma

The experience of outdoor physical activity for skin cancer survivors: understanding the importance of the built and natural environments

Authors: S. Tabatabaie, J. S. Litt, L. A. Crane

Published in: Journal of Cancer Survivorship | Issue 5/2020

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Abstract

Purpose

Cancer patients are encouraged to do more physical activity (PA). Exercising in outdoor settings, however, may expose people to UV radiation, which is the main risk factor of melanoma. This study aimed to understand how melanoma diagnoses affect people’s perception of the outdoor environment for PA.

Method

In-depth interviews were conducted among 19 individuals (20–85 years) with a history of melanoma at a skin cancer clinic in the Denver metropolitan area. Transcribed interviews were coded for emergent themes. The coding framework included topics related to PA behavior, sun protection, and perceptions of outdoor environment.

Results

Respondents reported no change in their level of outdoor activity after the melanoma diagnosis; they tried to reduce the risk of sun exposure by using sunscreen and sun-protective clothing. They also reported seeking shade, trees, and groundcover along urban corridors, in order to avoid sun exposure, reflective surfaces, and heat while being active outdoors.

Conclusion

Given the public health significance of UV exposure and extreme heat, further investments should be made to craft streetscape design guidelines and implement sun-proof spaces across public facilities, including parks, schools, and sport fields in order to ameliorate environmental risks for skin cancer survivors, to prevent future cancers among those that are vulnerable to the hazards of excessive UV exposure and extreme heat, and to promote outdoor PA.

Implications for Cancer Survivors

Skin cancer survivors and other vulnerable population subgroups will benefit from discussions around neighborhood-based design interventions that promote PA while accounting for sun safety.
Appendix
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Footnotes
1
BCC and SCC are also known as keratinocyte carcinomas.
 
2
The IOC is an instrument that measures the well-being of cancer survivors in long term and their adaptation to change [59].
 
Literature
1.
2.
Irwin ML, Smith AW, McTiernan A, Ballard-Barbash R, Cronin K, Gilliland FD, et al. Influence of pre-and postdiagnosis physical activity on mortality in breast cancer survivors: the health, eating, activity, and lifestyle study. J Clin Oncol American Society of Clinical Oncology. 2008;26:3958.
3.
Vrieling A, Kampman E. The role of body mass index, physical activity, and diet in colorectal cancer recurrence and survival: a review of the literature. Am J Clin Nutr Oxford University Press. 2010;92:471–90.
4.
Cormie P, Zopf EM, Zhang X, Schmitz KH. The impact of exercise on cancer mortality, recurrence, and treatment-related adverse effects. Epidemiol Rev Oxford University Press; 2017;39:71–92.
5.
Mishra SI, Scherer RW, Snyder C, Geigle PM, Berlanstein DR, Topaloglu O. Exercise interventions on health-related quality of life for people with cancer during active treatment. Clin Otolaryngol Wiley Online Library. 2012;37:390–2.
6.
7.
8.
9.
10.
Brobeil A, Rapaport D, Wells K, Cruse CW, Glass F, Fenske N, et al. Multiple primary melanomas: implications for screening and follow-up programs for melanoma. Ann Surg Oncol Springer. 1997;4:19–23.
11.
Giles G, Staples M, McCredie M, Coates M. Multiple primary melanomas: an analysis of cancer registry data from Victoria and New South Wales. Melanoma Res. 1995;5:433–8.PubMed
12.
Bradford PT, Freedman DM, Goldstein AM, Tucker MA. Increased risk of second primary cancers after a diagnosis of melanoma. Arch Dermatol American Medical Association. 2010;146:265–72.
13.
Rhee JS, Davis-Malesevich M, Logan BR, Neuburg M, Burzynski M, Nattinger AB. Behavior modification and risk perception in patients with nonmelanoma skin cancer. WMJ Off Publ State Med Soc Wisconsin. NIH Public Access; 2008;107:62.
14.
Lee TK, Brazier ASA, Shoveller JA, Gallagher RP. Sun-related behavior after a diagnosis of cutaneous malignant melanoma. Melanoma Res. LWW; 2007;17:51–55.
15.
16.
17.
Kricker A, Armstrong BK, Goumas C, Litchfield M, Begg CB, Hummer AJ, et al. Ambient UV, personal sun exposure and risk of multiple primary melanomas. Cancer Causes Control Springer. 2007;18:295–304.
18.
Berwick M, Armstrong BK, Ben-Porat L, Fine J, Kricker A, Eberle C, et al. Sun exposure and mortality from melanoma. J Natl Cancer Inst Oxford University Press. 2005;97:195–9.
19.
Mujumdar UJ, Hay JL, Monroe-Hinds YC, Hummer AJ, Begg CB, Wilcox HB, et al. Sun protection and skin self-examination in melanoma survivors. Psycho-Oncology J Psychol Soc Behav Dimens Cancer Wiley Online Library. 2009;18:1106–15.
20.
Williams K, Steptoe A, Wardle J. Is a cancer diagnosis a trigger for health behaviour change? Findings from a prospective, population-based study. Br J Cancer Nat Publ Group. 2013;108:2407.
21.
Coups EJ, Ostroff JS. A population-based estimate of the prevalence of behavioral risk factors among adult cancer survivors and noncancer controls. Prev Med (Baltim) Elsevier. 2005;40:702–11.
22.
Maddux JE, Rogers RW. Protection motivation and self-efficacy: a revised theory of fear appeals and attitude change. J Exp Soc Psychol Academic Press. 1983;19:469–79.
23.
Vos MS, De Haes J. Denial in cancer patients, an explorative review. Psycho-Oncology J Psychol Soc Behav Dimens Cancer Wiley Online Library. 2007;16:12–25.
24.
Holterhues C, Cornish D, van de Poll-Franse LV, Krekels G, Koedijk F, Kuijpers D, et al. Impact of melanoma on patients’ lives among 562 survivors: a Dutch population-based study. Arch Dermatol American Medical Association. 2011;147:177–85.
25.
Nahar VK, Ford MA, Jacks SK, Thielen SP, Johnson AK, Brodell RT, et al. Sun-related behaviors among individuals previously diagnosed with non-melanoma skin cancer. Indian J Dermatology, Venereol Leprol Medknow Publications. 2015;81:568.
26.
Holterhues C, Cornish D, Van De Pollferanse L V, Krekels G, Koedijk F, Kuijpers D, et al. Burden of Melanoma. Burd Melan Melanoma. 2011;147:8.
27.
Oliveria SA, Shuk E, Hay JL, Heneghan M, Goulart JM, Panageas K, et al. Melanoma survivors: health behaviors, surveillance, psychosocial factors, and family concerns. Psycho-oncology Wiley Online Library. 2013;22:106–16.
28.
Thompson Coon J, Boddy K, Stein K, Whear R, Barton J, Depledge MH. Does participating in physical activity in outdoor natural environments have a greater effect on physical and mental wellbeing than physical activity indoors? A systematic review. Environ Sci Technol ACS Publications. 2011;45:1761–72.
29.
Heath GW, Brownson RC, Kruger J, Miles R, Powell KE, Ramsey LT, et al. The effectiveness of urban design and land use and transport policies and practices to increase physical activity: a systematic review. J Phys Act Health Human Kinetics. 2006;3:S55.
30.
Saelens BE, Sallis JF, Black JB, Chen D. Neighborhood-based differences in physical activity: an environment scale evaluation. Am J Public Health American Public Health Association. 2003;93:1552–8.
31.
Mehta V. Walkable streets: pedestrian behavior, perceptions and attitudes. J Urban Taylor & Francis. 2008;1:217–45.
32.
Ewing R, Hajrasouliha A, Neckerman KM, Purciel-Hill M, Greene W. Streetscape features related to pedestrian activity. J Plan Educ Res Sage Publications Sage CA: Los Angeles, CA. 2016;36:5–15.
33.
Alfonzo MA. To walk or not to walk? The hierarchy of walking needs. Environ Behav Sage Publications Sage CA: Thousand Oaks, CA. 2005;37:808–36.
34.
35.
36.
37.
Armstrong BK, Kricker A. The epidemiology of UV induced skin cancer. J Photochem Photobiol B Biol Elsevier. 2001;63:8–18.
38.
United States Census Bureau. Quick facts, Colorado. 2017.
39.
National Cancer Institute. State Cancer Profiles. 2018.
40.
Nowak DJ, Greenfield EJ. Declining urban and community tree cover in the United States. Urban For Urban Green Elsevier. 2018;32:32–55.
41.
Van Holle V, Van Cauwenberg J, Deforche B, Goubert L, Maes L, Nasar J, et al. Environmental invitingness for transport-related cycling in middle-aged adults: a proof of concept study using photographs. Transp Res Part A Policy Pract Elsevier. 2014;69:432–46.
42.
Tabatabaie S, Litt JS, Muller B. The application of visual landscape assessment in residential settings: understanding the relationship between streetscapes and walking among low-income and minority residents. 2018.
43.
Friedman RJ, Rigel DS, Kopf AW. Early detection of malignant melanoma: the role of physician examination and self-examination of the skin. CA Cancer J Clin Wiley Online Library. 1985;35:130–51.
44.
Bono A, Tomatis S, Bartoli C, Tragni G, Radaelli G, Maurichi A, et al. The ABCD system of melanoma detection: a spectrophotometric analysis of the asymmetry, border, color, and dimension. Cancer Interdiscip Int J Am Cancer Soc Wiley Online Library. 1999;85:72–7.
45.
Buller DB, Cokkinides V, Hall HI, Hartman AM, Saraiya M, Miller E, et al. Prevalence of sunburn, sun protection, and indoor tanning behaviors among Americans: review from national surveys and case studies of 3 states. J Am Acad Dermatol Elsevier. 2011;65:S114–e1.
46.
Diffey B. Sunscreens: expectation and realization. Photodermatol Photoimmunol Photomed Wiley Online Library. 2009;25:233–6.
47.
Dennis LK, Freeman LEB, VanBeek MJ. Sunscreen use and the risk for melanoma: a quantitative review. Ann Intern Med Am Coll Physicians. 2003;139:966–78.
48.
Andersen PA, Buller DB, Walkosz BJ, Scott MD, Maloy JA, Cutter GR, et al. Environmental cues to UV radiation and personal sun protection in outdoor winter recreation. Arch Dermatol American Medical Association. 2010;146:1241–7.
49.
50.
51.
Chadyšiene R, Girgždys A. Ultraviolet radiation albedo of natural surfaces. J Environ Eng Landsc Manag Taylor & Francis. 2008;16:83–8.
52.
53.
54.
Buller DB, English DR, Buller MK, Simmons J, Chamberlain JA, Wakefield M, et al. Shade sails and passive recreation in public parks of Melbourne and Denver: a randomized intervention. Am J Public Health American Public Health Association. 2017;107:1869–75.
55.
56.
57.
Diao DY, Lee TK. Sun-protective behaviors in populations at high risk for skin cancer. Psychol Res Behav Manag Dove Press. 2014;7:9.
58.
Lakhani NA, Saraiya M, Thompson TD, King SC, Guy GP Jr. Total body skin examination for skin cancer screening among US adults from 2000 to 2010. Prev Med (Baltim) Elsevier. 2014;61:75–80.
59.
Zebrack BJ, Ganz PA, Bernaards CA, Petersen L, Abraham L. Assessing the impact of cancer: development of a new instrument for long-term survivors. Psycho-Oncology J Psychol Soc Behav Dimens Cancer Wiley Online Library. 2006;15:407–21.
Metadata
Title
The experience of outdoor physical activity for skin cancer survivors: understanding the importance of the built and natural environments
Authors
S. Tabatabaie
J. S. Litt
L. A. Crane
Publication date
01-10-2020
Publisher
Springer US
Published in
Journal of Cancer Survivorship / Issue 5/2020
Print ISSN: 1932-2259
Electronic ISSN: 1932-2267
DOI
https://doi.org/10.1007/s11764-020-00889-5

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