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Published in: BMC Dermatology 1/2017

Open Access 01-12-2017 | Research article

Skin cancer knowledge and attitudes in the region of Fez, Morocco: a cross-sectional study

Authors: Awatef kelati, Hanane Baybay, Mariam Atassi, Samira Elfakir, Salim Gallouj, Mariame Meziane, Fatima Zahra Mernissi

Published in: BMC Dermatology | Issue 1/2017

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Abstract

Background

The prevalence of skin cancers is constantly increasing in Morocco, and they have gradually become more aggressive due to a significant delay in the diagnosis. Our aim was to assess the levels of awareness and the influencing factors related to skin cancer knowledge in Morocco.

Methods

This cross-sectional study was carried out in Morocco through the medium of a validated questionnaire, which contained several items – demographics, skin cancer knowledge and attitudes towards skin cancer patients– during a period of 1 year (2014).

Results

Out of the 700 participants enrolled in the study, 17.9% had never heard of skin cancer, 32.5% had a low score of skin cancer knowledge, 66.7% had a moderate score, and only 0.85% had a high score of skin cancer knowledge. Further, 15.1% of the participants were under the assumption that this cancer is contagious. The sun was the most incriminated risk factor in skin cancer occurrence by 74.3% of the participants, and 57.9% of them believed that prevention is important through using various means of photoprotection. After univariate and multivariate analysis, the influencing factors related to the skin cancer knowledge in Morocco were: the socioeconomic status (P = 0.003, OR = 7. 3) and the educational level (p < 0.001, OR = 20. 9).

Conclusions

Due to the lack of knowledge or the underestimation of skin cancer in our study population, efforts are needed to promote skin cancer surveillance behaviors in Morocco.
Literature
1.
go back to reference Cakir BO, Adamson P, Cingi C. Epidemiology and Economic Burden of Nonmelanoma Skin Cancer. Facial Plastic Clinics of North America. 2012;20(4):419–22.CrossRef Cakir BO, Adamson P, Cingi C. Epidemiology and Economic Burden of Nonmelanoma Skin Cancer. Facial Plastic Clinics of North America. 2012;20(4):419–22.CrossRef
2.
go back to reference Benchikhi H, Naciri-Bennani B, Tarwate M, Hali F, Khadir K, Zouhair K, et al. Évolution de la répartition des cancers cutanés vus dans le service de dermatologie de Casablanca entre les périodes 1971–1991 et 1992–2011. Ann Dermatol Vénéréol. 2012;139(12):838–9.CrossRefPubMed Benchikhi H, Naciri-Bennani B, Tarwate M, Hali F, Khadir K, Zouhair K, et al. Évolution de la répartition des cancers cutanés vus dans le service de dermatologie de Casablanca entre les périodes 1971–1991 et 1992–2011. Ann Dermatol Vénéréol. 2012;139(12):838–9.CrossRefPubMed
3.
go back to reference Lakjiri S, Inani K, Gallouj S, Meziane M, Mikou W, Mernissi FZ. Les mélanomes : expérience de CHU Hassan II, Fès. Ann Dermatol Vénéréol. 2013;140(Supplement 1):S106.CrossRef Lakjiri S, Inani K, Gallouj S, Meziane M, Mikou W, Mernissi FZ. Les mélanomes : expérience de CHU Hassan II, Fès. Ann Dermatol Vénéréol. 2013;140(Supplement 1):S106.CrossRef
4.
go back to reference Roebuck H, Moran K, MacDonald DA. PhD, Shumer S, McCune R L. Assessing skin cancer prevention and detection educational needs : an andragogical approach. J Nurs Pract. 2015;11(4):409–16.CrossRef Roebuck H, Moran K, MacDonald DA. PhD, Shumer S, McCune R L. Assessing skin cancer prevention and detection educational needs : an andragogical approach. J Nurs Pract. 2015;11(4):409–16.CrossRef
5.
go back to reference Kyle J, Hammitt J, Lim H, et al. Economic evaluation of the U.S. Environmental Protection Agency’s SunWise program: sun protection education for young children. Am Acad Pediatr. 2008;121:1074–84. Kyle J, Hammitt J, Lim H, et al. Economic evaluation of the U.S. Environmental Protection Agency’s SunWise program: sun protection education for young children. Am Acad Pediatr. 2008;121:1074–84.
6.
go back to reference de Boz J, Fernández-Morano T, Padilla-Espana L, Aguilar-Bernier M, Rivas-Ruiz F, de Troya-Martín M. Skin Cancer Prevention and DetectionCampaignat Golf Courses on Spain’s Costa del Sol. Actas Dermosifiliogr. 2015;106:51–60.CrossRefPubMed de Boz J, Fernández-Morano T, Padilla-Espana L, Aguilar-Bernier M, Rivas-Ruiz F, de Troya-Martín M. Skin Cancer Prevention and DetectionCampaignat Golf Courses on Spain’s Costa del Sol. Actas Dermosifiliogr. 2015;106:51–60.CrossRefPubMed
7.
go back to reference Housman TM, Feldman SR, Williford PM, Feischer AB, Goldman ND, Acostamiedo JM, et al. Skin cancer is among the most costly of all cancers to treat for the Medicare population. J Am Acad Dermatol. 2003;48:425–9.CrossRefPubMed Housman TM, Feldman SR, Williford PM, Feischer AB, Goldman ND, Acostamiedo JM, et al. Skin cancer is among the most costly of all cancers to treat for the Medicare population. J Am Acad Dermatol. 2003;48:425–9.CrossRefPubMed
8.
go back to reference Housman TM, Feldman SR, Williford PM, Feischer AB, Goldman ND, Acostamiedo JM, et al. Skin cancer is among the most costly of all cancers to treat for the Medicare population. J Am AcadDermatol. 2003;48:425–9.8- Montague M, Borland R, Sinclair C. Slip! Slop! Slap! andSunsmart, 1980–2000: Skin Cancer Control and 20 Years of Population-Based Campaigning. Health Educ Behav. 2001;28:290–305.CrossRef Housman TM, Feldman SR, Williford PM, Feischer AB, Goldman ND, Acostamiedo JM, et al. Skin cancer is among the most costly of all cancers to treat for the Medicare population. J Am AcadDermatol. 2003;48:425–9.8- Montague M, Borland R, Sinclair C. Slip! Slop! Slap! andSunsmart, 1980–2000: Skin Cancer Control and 20 Years of Population-Based Campaigning. Health Educ Behav. 2001;28:290–305.CrossRef
9.
go back to reference Aceituno-Madera P, Buendía-Eisman A, Arias-Santiago S, Serrano-Ortega S. Evolución de la incidencia del cáncer de piel en el periodo 1978–2002. Actas Dermosifiliogr. 2010;101:39–46.CrossRefPubMed Aceituno-Madera P, Buendía-Eisman A, Arias-Santiago S, Serrano-Ortega S. Evolución de la incidencia del cáncer de piel en el periodo 1978–2002. Actas Dermosifiliogr. 2010;101:39–46.CrossRefPubMed
10.
go back to reference Van der Leest RJ, de Vries E, Bulliard JL, Paoli J, Peris K, Stratigos AJ, et al. The Euromelanoma skin cancer prevention campaign in Europe: Characteristics and results of2009 and 2010. J Eur Acad Dermatol Venereol. 2011;25:1455–65.CrossRefPubMed Van der Leest RJ, de Vries E, Bulliard JL, Paoli J, Peris K, Stratigos AJ, et al. The Euromelanoma skin cancer prevention campaign in Europe: Characteristics and results of2009 and 2010. J Eur Acad Dermatol Venereol. 2011;25:1455–65.CrossRefPubMed
11.
go back to reference Geller AC, Greinert R, Sinclair C, Weinstock MA, Aitken J, Boniol M, et al. A nationwide population-based skin cancer screening in Germany: Proceedings of the first meeting of the International Task Force on Skin Cancer Screening and Prevention (September 24 and 25, 2009). Cancer Epidemiol. 2010;34:355–8.CrossRefPubMed Geller AC, Greinert R, Sinclair C, Weinstock MA, Aitken J, Boniol M, et al. A nationwide population-based skin cancer screening in Germany: Proceedings of the first meeting of the International Task Force on Skin Cancer Screening and Prevention (September 24 and 25, 2009). Cancer Epidemiol. 2010;34:355–8.CrossRefPubMed
12.
go back to reference Mc Carthy WH. The Australian experience in sun protection and screening for melanoma. J Surg Oncol. 2004;86:236–45.CrossRef Mc Carthy WH. The Australian experience in sun protection and screening for melanoma. J Surg Oncol. 2004;86:236–45.CrossRef
13.
go back to reference Anton WR, Janda M, Baade PD, Anderson P. Primary prevention of skin cancer: A review of sun protection in Australia and internationally. Health Promot Int. 2004;19:369–78.CrossRef Anton WR, Janda M, Baade PD, Anderson P. Primary prevention of skin cancer: A review of sun protection in Australia and internationally. Health Promot Int. 2004;19:369–78.CrossRef
14.
15.
go back to reference Gandhi SA, Kampp J. Skin Cancer Epidemiology, Detection, and Management. Med Clin North Am. 2015;99(6):1323–35.CrossRefPubMed Gandhi SA, Kampp J. Skin Cancer Epidemiology, Detection, and Management. Med Clin North Am. 2015;99(6):1323–35.CrossRefPubMed
16.
go back to reference Bickers DR, Lim HW, Margolis D, et al. The burden of skin diseases: 2004 a jointproject of the American Academy of Dermatology Association and the Society forInvestigative Dermatology. J Am Acad Dermatol. 2006;55(3):490–500.CrossRefPubMed Bickers DR, Lim HW, Margolis D, et al. The burden of skin diseases: 2004 a jointproject of the American Academy of Dermatology Association and the Society forInvestigative Dermatology. J Am Acad Dermatol. 2006;55(3):490–500.CrossRefPubMed
17.
go back to reference Alberg AJ, Herbst RM, Genkinger JM, Duszynski KR. Knowledge,attitudes, and behaviors towards skin cancer Maryland youths. J Adolesc Health. 2002;31(4):372–7.CrossRefPubMed Alberg AJ, Herbst RM, Genkinger JM, Duszynski KR. Knowledge,attitudes, and behaviors towards skin cancer Maryland youths. J Adolesc Health. 2002;31(4):372–7.CrossRefPubMed
18.
go back to reference Kaminska-Winciorek G, Wydmanski J, Gajda M, Tukiendorf A. Melanoma awareness and prevalence of dermoscopic examination among internet users: a cross-sectional survey. Postepy Dermatol Alergol. 2016;33(6):421–8. Kaminska-Winciorek G, Wydmanski J, Gajda M, Tukiendorf A. Melanoma awareness and prevalence of dermoscopic examination among internet users: a cross-sectional survey. Postepy Dermatol Alergol. 2016;33(6):421–8.
19.
go back to reference Korta DZ, Saggar V, Wu TP, Sanchez M. Racial differences in skin cancer awareness and surveillance practices at a public hospital dermatology clinic. JAAD. 2014;70(2):312–7.CrossRef Korta DZ, Saggar V, Wu TP, Sanchez M. Racial differences in skin cancer awareness and surveillance practices at a public hospital dermatology clinic. JAAD. 2014;70(2):312–7.CrossRef
20.
go back to reference Gordon R. Skin cancer: an overview of epidemiology and risk factors. Semin Oncol Nurs. 2013;29(3):160–9.CrossRefPubMed Gordon R. Skin cancer: an overview of epidemiology and risk factors. Semin Oncol Nurs. 2013;29(3):160–9.CrossRefPubMed
21.
go back to reference Harth Y, Schemer A, Friedman-Birnbaum R. Awarness to photodamage versus the actual use of sun protection methods by young adults. J Eur Acad Dermatol Venereol. 1995;4(3):260–6.CrossRef Harth Y, Schemer A, Friedman-Birnbaum R. Awarness to photodamage versus the actual use of sun protection methods by young adults. J Eur Acad Dermatol Venereol. 1995;4(3):260–6.CrossRef
22.
go back to reference Cooley JH, Quale LM. Skin cancer preventive behavior and sun protection recommendations. Semin Oncol Nurs. 2013;29(3):223–6.CrossRefPubMed Cooley JH, Quale LM. Skin cancer preventive behavior and sun protection recommendations. Semin Oncol Nurs. 2013;29(3):223–6.CrossRefPubMed
23.
go back to reference Agbai ON, Buster K, Sanchez M, et al. Skin cancer and photoprotection in people of color: a review and recommendations for physicians and the public. JAAD. 2014;70(4):748–62.CrossRef Agbai ON, Buster K, Sanchez M, et al. Skin cancer and photoprotection in people of color: a review and recommendations for physicians and the public. JAAD. 2014;70(4):748–62.CrossRef
24.
go back to reference Miller KA, Huh J, Unger JB, Richardson JL, Allen MW, Peng DH, Cockburn MG. Patterns of sun protective behaviors among Hispanic children ina skin cancer prevention intrvention. Prev Med. 2015;81:303–8.CrossRefPubMedPubMedCentral Miller KA, Huh J, Unger JB, Richardson JL, Allen MW, Peng DH, Cockburn MG. Patterns of sun protective behaviors among Hispanic children ina skin cancer prevention intrvention. Prev Med. 2015;81:303–8.CrossRefPubMedPubMedCentral
25.
go back to reference Natalie Schuz, MichaelEid. Sun Exposure and Skin Cancer Prevention. International Encyclopedia of the Social & Behavioral Sciences, 2nd edition, Volume 23: 696–700. Natalie Schuz, MichaelEid. Sun Exposure and Skin Cancer Prevention. International Encyclopedia of the Social & Behavioral Sciences, 2nd edition, Volume 23: 696700.
26.
go back to reference E Senel, I Süslü.Knowledge, attitudes, and behaviors regarding sun protection, effects of the sun, and skin cancer among Turkish high school students and teachers. Dermatol Sin. 2015;33(4):187–90. E Senel, I Süslü.Knowledge, attitudes, and behaviors regarding sun protection, effects of the sun, and skin cancer among Turkish high school students and teachers. Dermatol Sin. 2015;33(4):187–90.
28.
go back to reference McGuire S, Secrest A, Andrulonis R, Ferris L. Surveillance of patients for early detection of melanoma: patterns in dermatologist vs. patient discovery. Arch Dermatol. 2011;258(6):673–8.CrossRef McGuire S, Secrest A, Andrulonis R, Ferris L. Surveillance of patients for early detection of melanoma: patterns in dermatologist vs. patient discovery. Arch Dermatol. 2011;258(6):673–8.CrossRef
29.
go back to reference Siegel V. Exploring the role of the nurse in skin cancer prevention. Dermatol Nurs. 2010;4(12):18–22. Siegel V. Exploring the role of the nurse in skin cancer prevention. Dermatol Nurs. 2010;4(12):18–22.
30.
go back to reference Coups EJ, Stapleton JL, Hudson SV, Medina-Forrester A, Rosenberg SA, Gordon M, Natale-Pereira A, Goydos JS. Skin cancer surveillance behaviors among US Hispanic adults. JAAD. 2013;68(4):576–84.CrossRef Coups EJ, Stapleton JL, Hudson SV, Medina-Forrester A, Rosenberg SA, Gordon M, Natale-Pereira A, Goydos JS. Skin cancer surveillance behaviors among US Hispanic adults. JAAD. 2013;68(4):576–84.CrossRef
31.
go back to reference Emmons KM, Geller AC, Puleo E, Savadatti SS, Hu SW, Gorham S, Werchniak AE. Dana-Farber skin cancer screening Group. Skin cancer education and early detection at the beach: a randomized trial of dermatologist examination and biometric feedback. JAAD. 2011;64(2):282–9.CrossRef Emmons KM, Geller AC, Puleo E, Savadatti SS, Hu SW, Gorham S, Werchniak AE. Dana-Farber skin cancer screening Group. Skin cancer education and early detection at the beach: a randomized trial of dermatologist examination and biometric feedback. JAAD. 2011;64(2):282–9.CrossRef
32.
go back to reference Christos PJ, Oliveria SA, Masse LC, McCormick LK, Halpern AC. Skin cancer prevention and detection by nurses: attitudes, perceptions, and barriers. J Cancer Educ. 2004;19(1):50–7.CrossRefPubMed Christos PJ, Oliveria SA, Masse LC, McCormick LK, Halpern AC. Skin cancer prevention and detection by nurses: attitudes, perceptions, and barriers. J Cancer Educ. 2004;19(1):50–7.CrossRefPubMed
33.
go back to reference Heckman C, Darlow S, Munshi T, Caruso C, Ritterband L, Raivitch S, Fleisher L, Manne S. Development of an Internet Intervention to Address Behaviors Associated with Skin Cancer Risk among Young Adults. Internet Interv. 2015;2(3):340–50. Heckman C, Darlow S, Munshi T, Caruso C, Ritterband L, Raivitch S, Fleisher L, Manne S. Development of an Internet Intervention to Address Behaviors Associated with Skin Cancer Risk among Young Adults. Internet Interv. 2015;2(3):340–50.
Metadata
Title
Skin cancer knowledge and attitudes in the region of Fez, Morocco: a cross-sectional study
Authors
Awatef kelati
Hanane Baybay
Mariam Atassi
Samira Elfakir
Salim Gallouj
Mariame Meziane
Fatima Zahra Mernissi
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Dermatology / Issue 1/2017
Electronic ISSN: 1471-5945
DOI
https://doi.org/10.1186/s12895-017-0055-8

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