Attitudes and beliefs of an albino population toward sun avoidance: advice and services provided by an outreach albino clinic in Tanzania.
OBJECTIVE
To determine an albino population's expectations from an outreach albino clinic, understanding of skin cancer risk, and attitudes toward sun protection behavior.


METHODS
Survey, June 1, 1997, to September 30, 1997.


METHODS
Outreach albino clinics in Tanzania.


METHODS
All albinos 13 years and older and accompanying adults of younger children attending clinics. Unaccompanied children younger than 13 years and those too sick to answer questions were excluded. Ninety-four questionnaires were completed in 5 villages, with a 100% response rate.


METHODS
Interview-based questionnaire with scoring system for pictures depicting poorly sun-protected albinos.


RESULTS
The most common reasons for attending the clinic were health education and skin examination. Thirteen respondents (14%) believed albinism was inherited; it was more common to believe in superstitious causes of albinism than inheritance. Seventy-three respondents (78%) believed skin cancer was preventable, and 60 (63%) believed skin cancer was related to the sun. Seventy-two subjects (77%) thought sunscreen provided protection from the sun; 9 (10%) also applied it at night. Reasons for not wearing sun-protective clothing included fashion, culture, and heat. The hats provided were thought to have too soft a brim, to shrink, and to be ridiculed. Suggestions for additional clinic services centered on education and employment. Albinos who had read the educational booklet had no better understanding of sun avoidance than those who had not (P =.49).


CONCLUSIONS
There was a reasonable understanding of risks of skin cancer and sun-avoidance methods. Clinical advice was often not followed for cultural reasons. The hats provided were unsuitable, and there was some confusion about the use of sunscreen. A lack of understanding of the cause of albinism led to many superstitions.
McBride
Sandy R
SR
Regional Dermatology Training Centre, Kilimanjaro, Christian Medical Centre, Moshi, Tanzania. sandymcbride@hotmail.com
Leppard
Barbara J
BJ
D000293:Adolescent; D000328:Adult; D000368:Aged; D016115:Albinism, Oculocutaneous / Q000150:complications* / Q000209:etiology / Q000523:psychology*; D002648:Child; D002675:Child, Preschool; D003153:Community Health Services; D003159:Community-Institutional Relations; D003430:Cross-Sectional Studies; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007223:Infant; D008875:Middle Aged; D010353:Patient Education as Topic; D011481:Protective Clothing; D012307:Risk Factors; D012878:Skin Neoplasms / Q000209:etiology / Q000517:prevention & control*; D013472:Sunlight / Q000009:adverse effects*; D013473:Sunscreening Agents / Q000627:therapeutic use; D013483:Superstitions; D011795:Surveys and Questionnaires; D013636:Tanzania
D013473:Sunscreening Agents