Increasing Skin Cancer Awareness in Southeastern North Carolinian Farmers

Abstract

Farmers are at increased risk of occupational disease of skin cancer related to sun exposure and hesitancy to use protective methods. The purpose of this project was to increase skin cancer awareness among the farmers of southeastern NC. A collaborative, interprofessional relationship was formed with the agriculture center to provide preventive education in a community setting. Community settings are less threatening; primary (sun protection) and secondary prevention (early detection) education may be better received by nonhealthcare avenues. The project aimed to train 100% of the agriculture extension farm agents in using the educational session during 80% of meetings with farmers. The health belief model and protection motivation theory guided the methodology. Agriculture agents were trained to use an educational session (ES) which consisted of a voice-over PowerPoint (VOPP), display of sun protection items, poster, and handouts. The agents used the ES in meetings with all types of farmers and farm workers. The agents completed the data collection sheet, which the project lead tallied and reported results. The project educated 337 farmers, 100% of agents were trained, and the ES was used in 80% of the meetings. Barriers included implementation during the fall season and lack of a VOPP in Spanish. The agriculture center was receptive to partnership and assisting farmers to improve healthcare. The project spread to three other counties during implementation. This sustainable, cost-effect project can be replicated to other agriculture centers and translated to other community settings and populations.