Development of a transtheoretical model for the prevention and treatment of skin disease through ultraviolet protection based on 14,681 samples of outpatient clinics and a cross-sectional survey
BackgroundLittle is known about the association between types of skin and subcutaneous diseases and UV protection literacy.ObjectiveTo assess the burden and treatment of skin diseases in Ninger County, Yunnan Province, and establish a transtheoretical model for optimizing public perceptions and beha...
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Frontiers Media S.A.
2025-08-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1635806/full |
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| author | Xiaoyi Liu Xiaoyi Liu Guiling Xu Weili Yang Danping Su Renlong Yin Pengjie Wan Dan Deng Ying Xiang Li Hong |
| author_facet | Xiaoyi Liu Xiaoyi Liu Guiling Xu Weili Yang Danping Su Renlong Yin Pengjie Wan Dan Deng Ying Xiang Li Hong |
| author_sort | Xiaoyi Liu |
| collection | DOAJ |
| description | BackgroundLittle is known about the association between types of skin and subcutaneous diseases and UV protection literacy.ObjectiveTo assess the burden and treatment of skin diseases in Ninger County, Yunnan Province, and establish a transtheoretical model for optimizing public perceptions and behaviors regarding UV radiation.MethodsElectronic medical records of outpatients from the dermatology department were collected from January 2022 to July 2024, and a self-administered questionnaire assessed the public knowledge about UV exposure risks and behaviors. Multivariable regression models were used to investigate the correlation between UV protection literacy and dermatological situations. Knowledge, Attitude, and Practice (KAP) model was established and re-examined by Structural Equation Modeling (SEM).ResultsSignificant seasonal trends in skin disease incidence were observed. Each unit increase in UV protection knowledge score was associated with a 59.1% lower risk of pigmented skin disease and a 56.1% lower risk of skin tumors. A KAP model was developed with coefficients of 0.264 (p < 0.001), 0.603 (p = 0.041), 0.605 (p < 0.001). The impact of redundant residuals on the evaluation of the model fit cannot be ignored in SEM.ConclusionThe negative association between UV protection literacy and certain skin disease occurence revealed the essentiality of UV protection dissemination. |
| format | Article |
| id | doaj-art-7b883eac0f9d472f9c59c502df07db2f |
| institution | Kabale University |
| issn | 2296-2565 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Public Health |
| spelling | doaj-art-7b883eac0f9d472f9c59c502df07db2f2025-08-20T03:41:40ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-08-011310.3389/fpubh.2025.16358061635806Development of a transtheoretical model for the prevention and treatment of skin disease through ultraviolet protection based on 14,681 samples of outpatient clinics and a cross-sectional surveyXiaoyi Liu0Xiaoyi Liu1Guiling Xu2Weili Yang3Danping Su4Renlong Yin5Pengjie Wan6Dan Deng7Ying Xiang8Li Hong9Department of Dermatology, Shanghai Children’s Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Dermatology, Fujian Children’s Hospital (Fujian Branch of Shanghai Children’s Medical Center), College of Clinical Medicine for Obstetrics and Gynecology and Pediatrics, Fujian Medical University, Fuzhou, ChinaNursing Department, Shanghai Children’s Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Dermatology, People’s Hospital of Ning’er Hani and Yi Autonomous County, Pu’er City, ChinaDepartment of Clinical Nutrition, Shanghai Children’s Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaOutpatient Department, People’s Hospital of Ning’er Hani and Yi Autonomous County, Pu’er City, ChinaDepartment of Dermatology, Shanghai Children’s Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Dermatology, Shanghai Children’s Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Laboratory Medicine, Shanghai Children’s Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Clinical Nutrition, Shanghai Children’s Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaBackgroundLittle is known about the association between types of skin and subcutaneous diseases and UV protection literacy.ObjectiveTo assess the burden and treatment of skin diseases in Ninger County, Yunnan Province, and establish a transtheoretical model for optimizing public perceptions and behaviors regarding UV radiation.MethodsElectronic medical records of outpatients from the dermatology department were collected from January 2022 to July 2024, and a self-administered questionnaire assessed the public knowledge about UV exposure risks and behaviors. Multivariable regression models were used to investigate the correlation between UV protection literacy and dermatological situations. Knowledge, Attitude, and Practice (KAP) model was established and re-examined by Structural Equation Modeling (SEM).ResultsSignificant seasonal trends in skin disease incidence were observed. Each unit increase in UV protection knowledge score was associated with a 59.1% lower risk of pigmented skin disease and a 56.1% lower risk of skin tumors. A KAP model was developed with coefficients of 0.264 (p < 0.001), 0.603 (p = 0.041), 0.605 (p < 0.001). The impact of redundant residuals on the evaluation of the model fit cannot be ignored in SEM.ConclusionThe negative association between UV protection literacy and certain skin disease occurence revealed the essentiality of UV protection dissemination.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1635806/fullskin diseaseUV radiationprotection literacyKAP modelphotoprotection |
| spellingShingle | Xiaoyi Liu Xiaoyi Liu Guiling Xu Weili Yang Danping Su Renlong Yin Pengjie Wan Dan Deng Ying Xiang Li Hong Development of a transtheoretical model for the prevention and treatment of skin disease through ultraviolet protection based on 14,681 samples of outpatient clinics and a cross-sectional survey Frontiers in Public Health skin disease UV radiation protection literacy KAP model photoprotection |
| title | Development of a transtheoretical model for the prevention and treatment of skin disease through ultraviolet protection based on 14,681 samples of outpatient clinics and a cross-sectional survey |
| title_full | Development of a transtheoretical model for the prevention and treatment of skin disease through ultraviolet protection based on 14,681 samples of outpatient clinics and a cross-sectional survey |
| title_fullStr | Development of a transtheoretical model for the prevention and treatment of skin disease through ultraviolet protection based on 14,681 samples of outpatient clinics and a cross-sectional survey |
| title_full_unstemmed | Development of a transtheoretical model for the prevention and treatment of skin disease through ultraviolet protection based on 14,681 samples of outpatient clinics and a cross-sectional survey |
| title_short | Development of a transtheoretical model for the prevention and treatment of skin disease through ultraviolet protection based on 14,681 samples of outpatient clinics and a cross-sectional survey |
| title_sort | development of a transtheoretical model for the prevention and treatment of skin disease through ultraviolet protection based on 14 681 samples of outpatient clinics and a cross sectional survey |
| topic | skin disease UV radiation protection literacy KAP model photoprotection |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1635806/full |
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