ObjectiveTo understand rural older farmers’ perspectives and attitudes toward skin cancer risk and prevention.Design and sampleThis study used a grounded theory approach and semi‐structured interviews with 12 rural older farmers (farm owners, farmworkers ages 50 years or older) in Washington. Participants’ perspectives were explored relative to Health Belief Model constructs. Inductive and deductive analyses were used to generate relevant themes. COREQ guidelines were followed.ResultsThe findings fit well and extended the Health Belief Model, which was used to arrange key themes identified in relation to skin cancer risk and prevention, specifically participants’ perceived barriers to accessing primary care and protection when outdoors, perceived benefits of sun‐protective behaviors, perceived hereditary susceptibility to skin cancer, perceived severity of the increased skin cancer risk, and cues to action for skin checks. A new construct of hope was identified to emphasize the importance of establishing emotional, instrumental, and informational support systems for promoting skin cancer prevention. Participants also indicated their hope of raising awareness of skin cancer prevention among all ages.ConclusionsFindings highlighted the importance of integrating skin cancer prevention services for rural older farmers and across the lifespan. Public health approaches are needed to enhance the awareness of and access to preventive care in these underserved populations.

中文翻译：

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这不仅仅是阳光的事，更是生计的事：农村老年农民皮肤癌风险和预防的经验


目的了解农村老年农民对皮肤癌风险和预防的看法和态度。设计和样本本研究采用扎根理论方法和半结构化访谈，对华盛顿州 12 名农村老年农民（农场主、50 岁或以上的农场工人）进行访谈。探讨了参与者相对于健康信念模型构建的观点。使用归纳和演绎分析来生成相关主题。遵循 COREQ 指南。结果结果非常吻合，并扩展了健康信念模型，该模型用于安排与皮肤癌风险和预防相关的关键主题，特别是参与者在户外时获得初级护理和保护的感知障碍、感知的好处防晒行为、对皮肤癌的遗传易感性、皮肤癌风险增加的严重程度以及采取皮肤检查行动的提示。确定了一种新的希望结构，强调建立情感、工具和信息支持系统对于促进皮肤癌预防的重要性。参与者还表示希望提高所有年龄段的皮肤癌预防意识。结论调查结果强调了为农村老年农民和整个生命周期整合皮肤癌预防服务的重要性。需要采取公共卫生措施来提高这些服务不足的人群的预防保健意识和获得预防保健的机会。