title: Changes in outdoor workers' sun-related attitudes, beliefs, and behaviors: a pre-post workplace intervention.
abstract: OBJECTIVE
  To evaluate changes in outdoor workers' sun-related attitudes, beliefs, and behaviors in response to a health promotion intervention using a participatory action research process.
  
  
  METHODS
  Fourteen workplaces across four outdoor industry types worked collaboratively with the project team to develop tailored sun protection action plans. Workers were assessed before and after the 18-month intervention.
  
  
  RESULTS
  Outdoor workers reported increases in workplace support for sun protection (P < 0.01) and personal use of sun protection (P < 0.01). More workers reported seeking natural shade (+20%) and wearing more personal protective equipment, including broad-brimmed hats (+25%), long-sleeved collared shirts (+19%), and long trousers (+16%). The proportion of workers reporting sunburn over the past 12 months was lower at postintervention (-14%) (P = 0.03); however, the intensity of reported sunburn increased.
  
  
  CONCLUSIONS
  This intervention was successful in increasing workers' sun protective attitudes, beliefs, and behaviors.
authors.affiliation: From the School of Public Health and Social Work (Ms Rye, Dr Janda, Dr Crane, Dr Sendall, Ms Finch, and Dr Kimlin), Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane; Public Health Advocacy Institute of Western Australia (Dr Stoneham), Faculty of Health Sciences, Curtin University, Perth; Cancer Council Queensland (Dr Youl and Ms Baldwin), Brisbane, Australia; School of Occupational and Public Health (Dr Tenkate), Ryerson University, Toronto, Ontario, Canada; Preventive Health Unit (Ms Perina), Queensland Health, Brisbane, Australia.
authors.forename: Sheree
authors.initials: S
authors.lastname: Rye
authors.forename: Monika
authors.initials: M
authors.lastname: Janda
authors.forename: Melissa
authors.initials: M
authors.lastname: Stoneham
authors.forename: Phil
authors.initials: P
authors.lastname: Crane
authors.forename: Marguerite
authors.initials: M
authors.lastname: Sendall
authors.forename: Philippa
authors.initials: P
authors.lastname: Youl
authors.forename: Thomas
authors.initials: T
authors.lastname: Tenkate
authors.forename: Louise
authors.initials: L
authors.lastname: Baldwin
authors.forename: Heather
authors.initials: H
authors.lastname: Perina
authors.forename: Linda
authors.initials: L
authors.lastname: Finch
authors.forename: Michael
authors.initials: M
authors.lastname: Kimlin
mesh_terms: D000328:Adult; D001315:Australia / Q000453:epidemiology; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D016273:Occupational Exposure / Q000517:prevention & control; D009786:Occupational Health Services; D011481:Protective Clothing / Q000706:statistics & numerical data*; D036301:Qualitative Research; D013471:Sunburn / Q000453:epidemiology / Q000517:prevention & control*; D013473:Sunscreening Agents; D017132:Workplace
chemical_list: D013473:Sunscreening Agents