1. SKIN CANCER PREVENTION May 2011

2. Second National Sun Survey (NSS2) PART THREE

3. Second National Sun Survey National Skin Cancer Prevention Committee Conducted across Canada in 2006 A sample of 7,121 adults aged 16+ years were interviewed Response rate was 63% 1,008 participants from Manitoba and Saskatchewan o n=504 in Saskatchewan Weighted estimates and age-standardization were used to compare Saskatchewan with the Canadian population Sun Smart Saskatchewan 3 May 2011

4. Sun Exposure (Ultraviolet Radiation) 4 Adult estimates age-standardized to 2001 Canadian Population May 2011 Sun Smart Saskatchewan

5. Prevention – Sun Safety Sun protection behaviours are important from late spring to early fall between 11 a.m. – 4 p.m., April through September or whenever the UV Index is 3 or higher o Cover up, wear a hat, sunglasses and sunscreen Caution is also recommended near reflective surfaces such as water, snow, sand, concrete and ice Sun Smart Saskatchewan 5 May 2011

6. 6 Seek Suntans May 2011 Sun Smart Saskatchewan

7. 7 Age-standardized to 2001 Canadian Population Canadian adults use of artificial tanning equipment in the past 12 months, by region Use of Artificial Tanning Equipment May 2011 Sun Smart Saskatchewan

8. Prevention – Knowledge Exposure to ultraviolet radiation (UVR), whether from the sun or from tanning devices, increases your risk of melanoma and other skin cancers The risk of melanoma is increased by 75% when the use of tanning devices starts before age 35 Avoid tanning beds, especially youth under the age of 18 Sun Smart Saskatchewan 8 May 2011

9. Sun Protection Behaviors 9 Sun protection behaviors: Always/often seeking shade and avoiding the sun OR wearing protective clothing and a hat OR spending fewer than 30 minutes in the sun OR wearing sunscreen SPF15+ on face and body Adult estimates age-standardized to 2001 Canadian Population May 2011 Sun Smart Saskatchewan

10. Prevention – Sun Protection Seek shade or create your own (e.g., umbrellas, trees, canopies, awnings, gazebos, portable tents) Wear a wide-brimmed hat to shade your face, ears, and neck Wear protective clothing; dark, loose, and closely woven fabrics to cover your arms and legs Wear sunglasses to protect your eyes from sun damage. Choose ones with UVA and UVB protection Sun Smart Saskatchewan 10 May 2011

11. Prevention – Sunscreen Wear a broad spectrum (UVA & UVB) sunscreen Wear a sunscreen with a sun protection factor (SPF) of at least 15 or higher (SPF 30 or higher for outdoor workers and people spending the day outside) o Products carrying the Canadian Dermatology Association’s (CDA) logo have been specially tested to ensure safety and effectiveness Sunscreens should be used in combination with other methods of sun protection such as hats, clothing and shade Sun Smart Saskatchewan 11 May 2011

12. Prevention – Sunscreen Apply generous amounts of sunscreen 15 to 30 minutes before going outdoors whenever the UV Index is 3 or higher and when you are planning to be outside for 30 minutes or more Reapply every few hours and even more frequently when physically active (swimming, sweating) Apply sunscreen on cloudy days and during the winter months if you are involved in outdoor activities Apply a broad spectrum lip balm (SPF 30 or higher) Sun Smart Saskatchewan 12 May 2011

13. Sunburns 13 Adult estimates age-standardized to 2001 Canadian Population May 2011 Sun Smart Saskatchewan

14. Prevention – Knowledge Both a sunburn or a tan are unhealthy; both are signs of skin damage A sunburn as a child increases the risk of developing skin cancer as an adult Learn about the UV Index – the higher the number the stronger the sun’s rays Protect yourself outdoors when the UV Index is 3 or higher – cover up, wear a hat, sunglasses and sunscreen Sun Smart Saskatchewan 14 May 2011

15. 15 Age-standardized to 2001 Canadian Population Canadians aged 16+ years who worked outdoors during the summer, by region Outdoor Workers May 2011 Sun Smart Saskatchewan

16. Outdoor Workers 16 Outdoor workers, by age and region May 2011 Sun Smart Saskatchewan

17. Outdoor Workers – Sun Protection Behaviours 17 Age-standardized to 2001 Canadian Population Sun protection behaviours in outdoor workers aged 16+ years, by region May 2011 Sun Smart Saskatchewan

18. Outdoor Workers – Sunburns 18 Age-standardized to 2001 Canadian Population Canadians aged 16+ years who worked outdoors and got at least one sunburn during the summer, by region May 2011 Sun Smart Saskatchewan

19. National Sun Survey – Key Findings Saskatchewan residents are likely to spend more time in the sun and practice fewer sun protection behaviours in comparison to Canadians Saskatchewan residents are more likely to seek a tan, keep a tan, experience sunburns, and to use artificial tanning equipment in comparison to Canadians Sun Smart Saskatchewan 19 May 2011

20. National Sun Survey – Key Findings Saskatchewan residents are less likely than Canadians to check the UV Index Saskatchewan residents are more likely to take extra efforts to protect themselves when the UV Index is high or very high Saskatchewan children (age one to twelve years) spend less time in the sun, practice fewer sun protection behaviours and have more sunburns in comparison to Canadian children Sun Smart Saskatchewan 20 May 2011

21. National Sun Survey – Key Findings Saskatchewan has more outdoor workers in all age groups in comparison to all Canadian outdoor workers Saskatchewan outdoor workers are more likely to cover their head and wear protective clothing but less likely to wear sunglasses and to use sunscreen on their face than other Canadian outdoor workers Saskatchewan outdoor workers are more likely to have a sunburn in comparison to other Canadian outdoor workers Sun Smart Saskatchewan 21 May 2011

22. Sun Smart Saskatchewan Established in June 2009 Vision – aware and engaged communities throughout Saskatchewan actively preventing skin cancer Create awareness of the risk for skin cancer from ultraviolet radiation exposure Encourage other organizations, groups and individuals to increase skin cancer prevention efforts Sun Smart Saskatchewan 22 May 2011

23. National Strategic Directions for Primary Prevention of Skin Cancer 1. Improve knowledge, attitudes and behaviours of Canadians concerning skin cancer and solar/non solar ultraviolet radiation protection Review and revise messages about health risks from UVR, tailored to population subgroups Include messages about Vitamin D to aid the public in making healthy decisions about sun safety Sun Smart Saskatchewan 23 May 2011

24. National Strategic Directions for Primary Prevention of Skin Cancer 1. Improve knowledge, attitudes and behaviours of Canadians concerning skin cancer and solar/non solar ultraviolet radiation protection … continued Educate those who work outdoors about the risks of high levels of sun exposure Promote “Sun Awareness Week” within particular settings such as, day care centres, schools, workplaces, and recreation centres Sun Smart Saskatchewan 24 May 2011

25. National Strategic Directions for Primary Prevention of Skin Cancer 2. Achieve healthy settings, organizations, products, policies and practices that promote sun protection Enhance organizational and school policy for sun protection in schools (grades K to 12) Encourage workplaces to offer benefits to outdoor workers practicing sun safety Sun Smart Saskatchewan 25 May 2011

26. National Strategic Directions for Primary Prevention of Skin Cancer 2. Achieve healthy settings, organizations, products, policies and practices that promote sun protection … continued Develop shade policies that can be adapted for use by municipal governments, schools, etc., that plan for shade when new facilities for outdoor recreation are being designed or remodeled Sun Smart Saskatchewan 26 May 2011

27. National Strategic Directions for Primary Prevention of Skin Cancer 3. Strengthen the community’s capacity for effective action on skin cancer prevention Educate travel agents and companies promoting holidays to sunny places about the harms of excessive sun exposure and assist them in promoting sun safety to their clients Sun Smart Saskatchewan 27 May 2011

28. National Strategic Directions for Primary Prevention of Skin Cancer 3. Strengthen the community’s capacity for effective action on skin cancer prevention … continued Work with the cosmetics industry to promote sunscreen in their products, encourage customers to purchase these products, and encourage safe alternatives to tanning Educate provincial and municipal tourism departments about the need for sun safe behaviours Sun Smart Saskatchewan 28 May 2011

29. National Strategic Directions for Primary Prevention of Skin Cancer 4. Strengthen informed decision making in the design, implementation and evaluation of skin cancer prevention strategies Identify ways to denormalize tanning and the tanned look Require appropriate evidence to support incorporation of Vitamin D information into sun safety messages Sun Smart Saskatchewan 29 May 2011

30. National Strategic Directions for Primary Prevention of Skin Cancer 4. Strengthen informed decision making in the design, implementation and evaluation of skin cancer prevention strategies … continued Evaluate the significance of the regional differences in UV Index knowledge, attitudes and behaviours, and take action to address these differences Sun Smart Saskatchewan 30 May 2011

31. Questions Sun Smart Saskatchewan 31 May 2011

32. For More Information Contact… Saskatchewan Cancer Agency Prevention Department Population Health Division 400 – 2631 28 th Avenue Regina, SK S4S 6X3 P: 306-359-5877 www.saskcancer.ca Sun Smart Saskatchewan 32 Sun Smart Saskatchewan via: May 2011