Knowledge, Attitude, and Practices of Bikers on Ultraviolet Index in Relation to Sun Protection: Development of a Validated Questionnaire and Cross-sectional Study

Background: Skin cancer is the most common cancer in fair-skinned populations. Ultraviolet (UV) radiation exposure is the most common and important modifiable risk factor. It is the target of most prevention strategies for cutaneous malignancies. Currently, data on knowledge, attitude, and practices (KAPs) of bikers on UV index in relation to sun protection are unavailable. Objectives: The objectives of this study were to develop a validated questionnaire, determine the demographic characteristics of bikers, and describe their KAPs on UV index in relation to sun protection. Methodology: The study was conducted among bikers at the outpatient department of a tertiary hospital, through a self-administered questionnaire. Patients included were occupational and/or recreational bikers, aged 18 years old and above, belonging to both sexes, biking at least 15 min per day, who were able to understand written English or Filipino. Exclusion criteria included bikers who have skin cancer. Results: One hundred and twenty-eight bikers were able to answer the validated questionnaire, with mostly male respondents, college graduates, with internet or social media as the source of information for knowledge on sun exposure and sun protection. One hundred and two of them know that forecasts of UV index from weather app on the phone are free and readily available. However, only 59 of them check the UV index regularly as a guide for sun protection. Conclusion: Forecasts of UV index raise the awareness and alert the public to the need for sun protection to reduce skin cancer risk and modify health promotion and primary prevention strategies.