ORIGINAL RESEARCH article
Front. Public Health
Sec. Environmental Health and Exposome
Volume 13 - 2025 | doi: 10.3389/fpubh.2025.1635806
Development of a Transtheoretical Model for the Prevention and Treatment of Skin Disease through Ultraviolet Protection Based on 14681 Samples of Outpatient Clinics and a Cross-Sectional Survey
Provisionally accepted
- 1Department of Dermatology, Shanghai Children's Medical Center, Shanghai, China
- 2Fujian Branch of Shanghai Children's Medical Center, Fuzhou, China
- 3Department of Dermatology, People's Hospital of Ning’er Hani and Yi Autonomous County, Pu’er, China
- 4Department of Clinical Nutrition, Shanghai Children's Medical Center, Shanghai, China
- 5Outpatient Department, People's Hospital of Ning’er Hani and Yi Autonomous County, Pu’er, China
- 6Department of Laboratory Medicine, Shanghai Children's Medical Center, Shanghai, China
- 7Shanghai Children's Medical Center, Shanghai, China
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Background: Little is known about the association between types of skin and subcutaneous diseases and UV protection literacy.Objective: To 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.Methods: Electronic 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).Results: Significant 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.The negative association between UV protection literacy and certain skin disease occurence revealed the essentiality of UV protection dissemination.
Keywords: skin disease, UV radiation, Protection literacy, KAP model, Photoprotection
Received: 27 May 2025; Accepted: 01 Aug 2025.
Copyright: © 2025 Liu, Xu, Yang, Su, Yin, Wan, Deng, Xiang and Hong. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Li Hong, Shanghai Children's Medical Center, Shanghai, China
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