Resumen de Promoting Sun Safety Among US Postal Service Letter Carriers: Impact of a 2-Year Intervention
Joni A. Mayer, Donald J. Slymen, Elizabeth J. Clapp, Latrice C. Pichon, Laura Eckhardt, Lawrence F. Eichenfield, John P. Elder, James F. Sallis, Martin A. Weinstock, April Achter, Cynthia Balderrama, Gabriel R. Galindo, Sam S. Oh
Objectives. We examined whether US Postal Service letter carriers who received a sun safety intervention would wear wide-brim hats and sunscreen significantly more often than those who did not receive the intervention.Methods. We used a 2-group randomized design with 2662 evaluation cohort participants from 70 US postal stations. Evaluations were conducted at baseline, 3 months, 1 year, and 2 years. Questionnaire items assessed occupational use of sun-screen and wide-brim hats. The 2-year sun safety intervention included the provision of wide-brim hats, accessible sunscreen, reminders, and 6 educational sessions.Results. At the 3-month follow-up evaluations, the odds ratio (OR) for regular sun-screen use was 2.8 times higher among the intervention group than among the control group (95% confidence interval [CI]=2.2, 3.5); at the 2-year follow-up evaluations, the rate was still significantly higher (OR=2.0; 95% CI=1.6, 2.6). Intervention group participants also had significantly higher rates of hat use, with the differences remaining consistent across all follow-ups (OR=2.9; 95% CI=2.3, 3.6).Conclusions. The intervention should be disseminated to postal stations nationwide and possibly to other occupational groups that work outdoors.
