Practice of Skin Cancer Prevention among Road Traffic Police Officers in Malaysia

  • Al-Naggar, Redhwan Ahmed (Population Health and Preventive Medicine, Faculty of Medicine, UiTM)
  • Published : 2013.08.30


Background: The objective of this study was to determine the practice of skin cancer prevention among Malaysian road traffic police officers. Materials and Methods: This cross-sectional study involved 202 Malaysian Road Police Traffic officers. Inclusion criteria were those officers who work wearing white uniform regulating traffic. The survey took place at the Police Traffic Station, Jln Tun H.S. Lee, Kuala Lumpur, the main Head Quarters of Malaysian's Traffic Department where almost 600 police traffic officers are employed. The police traffic officers are given the task to take care of the traffic from the main office of the police station, then, according to the task, the officers drive to their given location for their duty. Each task is approved by the Chief Traffic Inspector of Kuala Lumpur. Data collected in this study were analyzed using SPSS 13, with the T-test for univariate analysis and multiple linear regression for multivariate analysis. Results: A total of 202 road traffic police officers participated. The majority were older than 30 years of age, male, Malay, married, with secondary education, with monthly income more than 2000 Ringgit Malaysia (66.3%, 91.1%, 86.6%, 84.7%, 96%, 66.3%; respectively). Regarding the practice of skin cancer prevention, 84.6% of the study participants were found to wear hats, 68.9% sunglasses and 85.6% clothing that covering most of the body but only 16.9% used a sunscreen when they were outdoors. When analysis of the factors that influenced the practice of skin cancer prevention was performed, univariate analysis revealed that gender, age and monthly income significantly influenced the practice of skin cancer prevention. For multivariate analysis, gender, monthly income and race significantly influenced the practice of using sunscreen among road traffic police officers (p<0.001, p=0.019, p=0.027; respectively). Conclusions: The practice of skin cancer prevention among the traffic police officers showed good practices in terms of wearinga hat, sun glasses and clothing that covers most of the body. However, the study revealed a poor practice of the use of sunscreen. The factors that influence the practice of sunscreen use were found to be gender, income, and race. The study suggests that more awareness campaign among traffic police officers is needed. Providing sunscreen for free for police traffic officers should be considered by the Police authorities.


Skin cancer prevention;road traffic police officers;Malaysia;sunscreen


  1. Al-Naggar RA, Bobryshev YV (2012). Practice of Skin Cancer Prevention among Young Malaysian. J Community Med Health Edu, 2, 129.
  2. Al-Naggar1 RA, Al-Naggar TH, Bobryshev YV (2011). Perceptions and Opinions towards Skin Cancer Prevention in Malaysia: A Qualitative Approach Asian Pacific J Cancer Prev, 12, 1-5.
  3. American Cancer Society (2008). Cancer Facts and Figures. http://www.
  4. Amir Z, Wright A, Kernohan EE, Hart G (2000). Attitudes, beliefs and behaviour regarding the use of sunbeds among healthcare workers in Bradford. Eur J Care, 9, 76-9.
  5. Aquilina S, Gauci AA, Ellul M, Scerri L (2004). Sun awareness in Maltese secondary school students. J Eur Acad Dermatol Venereol, 18, 670-5.
  6. Aynur U, Suheyla AO, Safak E (2004). Evaluating the skin cancer risks and sun-protection practices of students. Ege Med J, 43, 95-9.
  7. Barankin B, Liu K, Howard J, Guenther L (2001). Effects of a sun protection program targeting elementary school children and their parents. J Cutan Med Surg, 5, 2-7.
  8. Berwick M, Fine JA, Bolognia JL (1992). Sun exposure and sunscreen use a community skin cancer screening. Prev Med, 21, 302-10.
  9. Boldeman C, Branstrom R, Dal H, et al (2001). Tanning habits and sunburn in a Swedish population age 13-50 years. Eur J Cancer, 37, 2441-8.
  10. Boldeman C, Jansson B, Nilsson B, Ullen H (1997). Sunbed use in Swedish urban adolescents related to behavioral characteristics. Prev Med, 26, 114-9.
  11. Campbell HS, Birdsell JM (1994). Knowledge, beliefs and sun protection behaviors of Alberta adults. Prev Med, 23, 160-6.
  12. Cinar ND, Cinar S, Karakoc A, Ucar F (2009). Knowledge, attitudes and behaviors concerning sun protection/skin cancer among adults in Turkey. Pak J Med Sci, 25, 108-12.
  13. Cody R, Lee C (1990). Behaviours, beliefs, and intentions in skin cancer prevention. J Behav Med, 13, 373-89.
  14. Dixon H, Borland R, Hill D (1999). Sun protection and sunburn in primary school children: the influence of age, gender, and coloring. Prev Med, 28, 119-30.
  15. Ekici M, Acar Y (2010) UV-B Radiation and Effect; Turkish Meteorology: Istanbul, Turkey, 2010. Available online:
  16. Ergin A, Ali I, Mehmet B (2011). Assessment of knowledge and behaviors of mothers with small children on the effects of the sun on health. Pam Med J, 4, 72-78.
  17. Ermertcan AT, Ozturkcan S, Dinc G, Yurtman D (2005). Sunscreen use and sun protection practices in students and peronel of Celal Bayar University. Photo dermatology, Photoimmunology and Photomedicine, 26, 191-7.
  18. Fauci ET (2008). Harrison's Principles of Internal Medicine. 17th edition.
  19. Fisher KJ, Lowe JB, Gillespie AM (1996) The relationship between Australian students’ perceptions of behaviour, school policies and sun protection behaviors. J Health Educ, 27, 242-7.
  20. Green A, Williams G, Neale R (2000). Does daily use of sunscreen or betacarotene supplements prevent skin cancer in healthy adults? West J Med, 173, 332.
  21. Haktar N, Yazıcı S (2008). Ebeveynlerin sosyal, ekonomik ve kulturel duzeylerinin cocuklari zararli etkilerinden koruma uzerine etkileri. Cocuk Dergisi, 8, 160-5.
  22. Hall HI (1999). Sun protection behaviors among African-Americans. Ethn Dis, 9, 126-31.
  23. Horsley L, Chralton A ,Waterman C (2002). Current action for skin cancer risk reduction in English schools: pupils' behaviour in relation to sunburn. Health Educ Res, 17, 715-31.
  24. Kaymak Y, Tekbas OF, Isil S (2007) Knowledge, attitudes and behaviours of university students related to sun protection. Turk Derm, 41, 81-5.
  25. Kristjansson S, Ullen H, Helgason AR (2004). The importance of assessing the readiness to change sun-protection behaviors: a population-based study. European J Cancer, 40, 2773-80.
  26. Livingston PM, White VM, Borland R (2001). Knowledge, attitudes and self-care practices related to sun protection among secondary students in Australia. Health Educ Res, 16, 269-78.
  27. Lowe JB, Borland R, Stanton WR, et al. (2000) Sun-safe behavior among secondary school students in Australia. Hlth Educ Res, 15, 271-81.
  28. MacKie RM, Bray CA, Hole DJ (2002) Incidence of survival from malignant melanoma in Scotland: an epidemiological study. Lancet, 360, 587-91.
  29. Miller DL, Weinstock MA (1994). Nonmelanoma skin cancer in the United States: incidence. J Am Acad Dermatol, 30, 774-8.
  30. Naylor MF, Boyd A, Smith DW, et al (1995). High sun protection factor sunscreens in the suppression of actinic neoplasia. Arch Dermatol, 131, 170-5.
  31. O’Riordan DL, Geller AC, Brooks DR, Zhang Z, Miller DR (2003). Sunburn reduction through parental role modeling and sunscreen vigilance. J Pediatr, 142, 67-72.
  32. Parkin DM, Muir C (1992). Cancer Incidence in Five Continents, vol. VI. Lyon, IARC Sci Publ, 120, 871-1011.
  33. Parkin DM, Whelan SL, Ferlay J, Young J (1997). Cancer Incidence in Five Continents, vol. VII. Lyon, IARC Sci Publ, 143, 1-1240.
  34. Pruim B, Wright L, Green A (1999). Do people who apply sunscreens, re-apply them? Australas J Dermatol, 40, 79-82.
  35. Rademaker M, Wyllie K, Collins M, Wetton N (1996). Primary school children’s perceptions of the effects of sun on skin. Australas J Dermatol, 37, 30-6.
  36. Remontet L, Este've J, Bouvier AM (2003). Cancer incidence and mortality in France over the period 1978-2000. Rev Epidemiol Sante Publique, 51, 3-3.
  37. Rigel DS, Carucci JA (2000). Malignant melanoma: prevention, early detection, and treatment in the 21st century. Ca-Cancer J Clin, 50, 215-36.
  38. Saridi M, Pappa V, Kyriazis I, et al (2009). Knowledge and attitudes to sun exposure among adolescents in Korinthos, Greece. Rural Remote Hlth, 9, 1162.
  39. Sendur N (2005). Nonmelanoma skin cancer epidemiology and prevention. Turk Klinikleri J Int Med Sci, 1, 80-4.
  40. SkinCancerNet (2012). A comprehensive skin cancer information resource 9.
  41. Stankevici.te V, Zaborskis A, Petrauskiene A, Valiukeviciene S (2004). Skin cancer prevention: children’s health education on protection from sun exposure and assessment of its efficiency. Medicina (Kaunas), 40, 386-93.
  42. Stanton WR, Chakma B, O'Riordan DL, Eyeson-Annan M (2000). Sun exposure and primary prevention of skin cancer for infants and young children during autumn/winter. Aust N Z J Public Health, 24, 178-84.
  43. Stott MA (1999). Tanning and sunburn: knowledge, attitudes and behavior of people in Great Britain. J Public Health Med, 21, 377-84.
  44. Thompson SC, Jolley D, Marks R (1993). Reduction of solar keratoses by regular sunscreen use. N Engl J Med, 329, 1147-51.
  45. Uslu M, Goksun K, Ekin S (2006). Investigation of knowledge about sun effects, skin cancer and sun protection behaviour among doctors in Adnan Menderes Hospital. ADU Med J, 7, 5-10.
  46. Vainio H, Bianchini F (2000). Cancer-preventive effects of sunscreens are uncertain. Scand J Work Environ Health, 26, 529-31.
  47. Wang SQ, Setlow R, Berwick M, et al (2003). Ultraviolet A and melanoma. J Am Acad Dermatol, 48, 464-5.
  48. Weinstock MA (1999). Do sunscreens increase or decrease melanoma risk: an epidemiologic evaluation. J Investig Dermatol Symp Proc, 4, 97-100.
  49. WHO (2010). Ultraviolet radiation and the INTERSUN Programme

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