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Vitamin D knowledge and sun exposure practices among Sri Lankan healthcare undergraduates
Although overexposure to ultraviolet radiation may lead to skin cancer, inadequate exposure results in vitamin D deficiency (VDD). We explored vitamin D-related knowledge and sun exposure practices among Sri Lankan healthcare undergraduates. The sampling frame consisted of medical and allied health...
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Published in: | PloS one 2022-12, Vol.17 (12), p.e0279480-e0279480 |
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description | Although overexposure to ultraviolet radiation may lead to skin cancer, inadequate exposure results in vitamin D deficiency (VDD). We explored vitamin D-related knowledge and sun exposure practices among Sri Lankan healthcare undergraduates.
The sampling frame consisted of medical and allied health undergraduates in a single centre. A newly developed, pre-piloted, self-administered questionnaire collected data on vitamin D knowledge, sun avoidance behaviour and outdoor time. Univariate and multivariate logistic regression analysis examined the factors related to outdoor time.
A total of 482 were included in the analysis. The mean (SD) vitamin D knowledge score (0-100% scale) was 31.3% (18%). Only 17.8% scored ≥50% for knowledge. At least one sun avoidance measure was used by 59.3% of the undergraduates. A lower knowledge score was observed with a higher number of sun-avoidance behaviour (mean difference 0.84, p = 0.03). The majority (66%) spent outdoors |
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The sampling frame consisted of medical and allied health undergraduates in a single centre. A newly developed, pre-piloted, self-administered questionnaire collected data on vitamin D knowledge, sun avoidance behaviour and outdoor time. Univariate and multivariate logistic regression analysis examined the factors related to outdoor time.
A total of 482 were included in the analysis. The mean (SD) vitamin D knowledge score (0-100% scale) was 31.3% (18%). Only 17.8% scored ≥50% for knowledge. At least one sun avoidance measure was used by 59.3% of the undergraduates. A lower knowledge score was observed with a higher number of sun-avoidance behaviour (mean difference 0.84, p = 0.03). The majority (66%) spent outdoors <30 minutes per day between 9 am-3 pm. The odds of having low outdoor time were 1.6 higher for the female sex (OR:1.61, 95%CI:1.039, 2.492, p<0.001) and studying in the final year (OR:1.63, 95%CI:1.020, 2.602, p = 0.04). Medical students had a higher likelihood of low outdoor time (OR:0.55, 95%CI: 0.361, 0.835, p = 0.005).
The healthcare undergraduates had low vitamin D knowledge and outdoor time while having increased sun avoidance. Gender, course of study, and academic year appeared to affect outdoor time. Support and guidance should improve knowledge and sun exposure habits that suit academic work and lifestyle in this population. Also, universities can actively promote positive sun exposure by organizing outdoor events.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0279480</identifier><identifier>PMID: 36574411</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Alfacalcidol ; Auroral kilometric radiation ; Avoidance ; Avoidance behavior ; Behavior ; Biology and life sciences ; Body mass index ; Calcifediol ; Calciferol ; College students ; Colleges & universities ; Coronaviruses ; COVID-19 ; Evaluation ; Exposure ; Female ; Gender ; Health aspects ; Health behavior ; Health care ; Health Knowledge, Attitudes, Practice ; Humans ; Knowledge ; Likert scale ; Medical laboratories ; Medical students ; Medicine and Health Sciences ; Nursing ; Nutrient deficiency ; Outdoor activities ; Overweight ; People and Places ; Pharmacy ; Physical sciences ; Protective clothing ; Questionnaires ; Regression analysis ; Skin cancer ; Skin diseases ; Sri Lanka - epidemiology ; Sun ; Sunlight ; Surveys and Questionnaires ; Ultraviolet radiation ; Ultraviolet Rays ; Variables ; Vitamin D ; Vitamin D Deficiency - epidemiology ; Vitamin D Deficiency - prevention & control ; Vitamin deficiency ; Vitamins</subject><ispartof>PloS one, 2022-12, Vol.17 (12), p.e0279480-e0279480</ispartof><rights>Copyright: © 2022 Liyanage et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</rights><rights>COPYRIGHT 2022 Public Library of Science</rights><rights>2022 Liyanage et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 Liyanage et al 2022 Liyanage et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c626t-4c5173bf1e01ff3075a208083a38c18b37b9b66c49734a5fc6b0eacc8519bb73</citedby><cites>FETCH-LOGICAL-c626t-4c5173bf1e01ff3075a208083a38c18b37b9b66c49734a5fc6b0eacc8519bb73</cites><orcidid>0000-0002-9813-3295</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2758565388/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2758565388?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25751,27922,27923,37010,37011,44588,53789,53791,74896</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36574411$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Tabatabaei-Malazy, Ozra</contributor><creatorcontrib>Liyanage, Guwani</creatorcontrib><creatorcontrib>Jayathunga, Sanjana</creatorcontrib><creatorcontrib>Amarasekara, Thamara</creatorcontrib><title>Vitamin D knowledge and sun exposure practices among Sri Lankan healthcare undergraduates</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Although overexposure to ultraviolet radiation may lead to skin cancer, inadequate exposure results in vitamin D deficiency (VDD). We explored vitamin D-related knowledge and sun exposure practices among Sri Lankan healthcare undergraduates.
The sampling frame consisted of medical and allied health undergraduates in a single centre. A newly developed, pre-piloted, self-administered questionnaire collected data on vitamin D knowledge, sun avoidance behaviour and outdoor time. Univariate and multivariate logistic regression analysis examined the factors related to outdoor time.
A total of 482 were included in the analysis. The mean (SD) vitamin D knowledge score (0-100% scale) was 31.3% (18%). Only 17.8% scored ≥50% for knowledge. At least one sun avoidance measure was used by 59.3% of the undergraduates. A lower knowledge score was observed with a higher number of sun-avoidance behaviour (mean difference 0.84, p = 0.03). The majority (66%) spent outdoors <30 minutes per day between 9 am-3 pm. The odds of having low outdoor time were 1.6 higher for the female sex (OR:1.61, 95%CI:1.039, 2.492, p<0.001) and studying in the final year (OR:1.63, 95%CI:1.020, 2.602, p = 0.04). Medical students had a higher likelihood of low outdoor time (OR:0.55, 95%CI: 0.361, 0.835, p = 0.005).
The healthcare undergraduates had low vitamin D knowledge and outdoor time while having increased sun avoidance. Gender, course of study, and academic year appeared to affect outdoor time. Support and guidance should improve knowledge and sun exposure habits that suit academic work and lifestyle in this population. Also, universities can actively promote positive sun exposure by organizing outdoor events.</description><subject>Alfacalcidol</subject><subject>Auroral kilometric radiation</subject><subject>Avoidance</subject><subject>Avoidance behavior</subject><subject>Behavior</subject><subject>Biology and life sciences</subject><subject>Body mass index</subject><subject>Calcifediol</subject><subject>Calciferol</subject><subject>College students</subject><subject>Colleges & universities</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>Evaluation</subject><subject>Exposure</subject><subject>Female</subject><subject>Gender</subject><subject>Health aspects</subject><subject>Health behavior</subject><subject>Health care</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Humans</subject><subject>Knowledge</subject><subject>Likert scale</subject><subject>Medical laboratories</subject><subject>Medical students</subject><subject>Medicine and Health Sciences</subject><subject>Nursing</subject><subject>Nutrient deficiency</subject><subject>Outdoor activities</subject><subject>Overweight</subject><subject>People and Places</subject><subject>Pharmacy</subject><subject>Physical sciences</subject><subject>Protective clothing</subject><subject>Questionnaires</subject><subject>Regression analysis</subject><subject>Skin cancer</subject><subject>Skin diseases</subject><subject>Sri Lanka - epidemiology</subject><subject>Sun</subject><subject>Sunlight</subject><subject>Surveys and Questionnaires</subject><subject>Ultraviolet radiation</subject><subject>Ultraviolet Rays</subject><subject>Variables</subject><subject>Vitamin D</subject><subject>Vitamin D Deficiency - epidemiology</subject><subject>Vitamin D Deficiency - prevention & control</subject><subject>Vitamin deficiency</subject><subject>Vitamins</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><recordid>eNqNkk1r3DAQhk1padK0_6C0hkJpD7uVLFmyL4WQ9COwEGhCoCcxlsdeJbbkSnaT_vtqWSfslhyKDhLS885oZt4keU3JkjJJP127yVvoloOzuCSZLHlBniSHtGTZQmSEPd05HyQvQrgmJGeFEM-TAyZyyTmlh8nPKzNCb2x6mt5Yd9th3WIKtk7DZFO8G1yYPKaDBz0ajSGF3tk2vfAmXYG9AZuuEbpxrSFSk63Rtx7qCUYML5NnDXQBX837UXL59cvlyffF6vzb2cnxaqFFJsYF1zmVrGooEto0jMgcMlKQggErNC0qJquyEkLzUjIOeaNFRRC0LnJaVpVkR8nbbdihc0HNTQkqk3mRi1hvEYnPMzFVPdYa7eihU4M3Pfg_yoFR-y_WrFXrfqsy9pRwGgN8mAN492vCMKreBI1dBxbdNOeSgpciou_-QR__0Uy10KEytnExr94EVceSUcZzyTaVLR-h4qqxNzpOvTHxfk_wcU8QmRHvxhamENTZxY__Z8-v9tn3O-x24MF102icDfsg34LauxA8Ng9NpkRtTHvfDbUxrZpNG2Vvdgf0ILp3KfsL7nznhg</recordid><startdate>20221227</startdate><enddate>20221227</enddate><creator>Liyanage, Guwani</creator><creator>Jayathunga, Sanjana</creator><creator>Amarasekara, Thamara</creator><general>Public Library of Science</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-9813-3295</orcidid></search><sort><creationdate>20221227</creationdate><title>Vitamin D knowledge and sun exposure practices among Sri Lankan healthcare undergraduates</title><author>Liyanage, Guwani ; Jayathunga, Sanjana ; Amarasekara, Thamara</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c626t-4c5173bf1e01ff3075a208083a38c18b37b9b66c49734a5fc6b0eacc8519bb73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Alfacalcidol</topic><topic>Auroral kilometric radiation</topic><topic>Avoidance</topic><topic>Avoidance behavior</topic><topic>Behavior</topic><topic>Biology and life sciences</topic><topic>Body mass index</topic><topic>Calcifediol</topic><topic>Calciferol</topic><topic>College students</topic><topic>Colleges & universities</topic><topic>Coronaviruses</topic><topic>COVID-19</topic><topic>Evaluation</topic><topic>Exposure</topic><topic>Female</topic><topic>Gender</topic><topic>Health aspects</topic><topic>Health behavior</topic><topic>Health care</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Humans</topic><topic>Knowledge</topic><topic>Likert scale</topic><topic>Medical laboratories</topic><topic>Medical students</topic><topic>Medicine and Health Sciences</topic><topic>Nursing</topic><topic>Nutrient deficiency</topic><topic>Outdoor activities</topic><topic>Overweight</topic><topic>People and Places</topic><topic>Pharmacy</topic><topic>Physical sciences</topic><topic>Protective clothing</topic><topic>Questionnaires</topic><topic>Regression analysis</topic><topic>Skin cancer</topic><topic>Skin diseases</topic><topic>Sri Lanka - epidemiology</topic><topic>Sun</topic><topic>Sunlight</topic><topic>Surveys and Questionnaires</topic><topic>Ultraviolet radiation</topic><topic>Ultraviolet Rays</topic><topic>Variables</topic><topic>Vitamin D</topic><topic>Vitamin D Deficiency - epidemiology</topic><topic>Vitamin D Deficiency - prevention & control</topic><topic>Vitamin deficiency</topic><topic>Vitamins</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Liyanage, Guwani</creatorcontrib><creatorcontrib>Jayathunga, Sanjana</creatorcontrib><creatorcontrib>Amarasekara, Thamara</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Opposing Viewpoints In Context</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological & Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>ProQuest - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Liyanage, Guwani</au><au>Jayathunga, Sanjana</au><au>Amarasekara, Thamara</au><au>Tabatabaei-Malazy, Ozra</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Vitamin D knowledge and sun exposure practices among Sri Lankan healthcare undergraduates</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2022-12-27</date><risdate>2022</risdate><volume>17</volume><issue>12</issue><spage>e0279480</spage><epage>e0279480</epage><pages>e0279480-e0279480</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Although overexposure to ultraviolet radiation may lead to skin cancer, inadequate exposure results in vitamin D deficiency (VDD). We explored vitamin D-related knowledge and sun exposure practices among Sri Lankan healthcare undergraduates.
The sampling frame consisted of medical and allied health undergraduates in a single centre. A newly developed, pre-piloted, self-administered questionnaire collected data on vitamin D knowledge, sun avoidance behaviour and outdoor time. Univariate and multivariate logistic regression analysis examined the factors related to outdoor time.
A total of 482 were included in the analysis. The mean (SD) vitamin D knowledge score (0-100% scale) was 31.3% (18%). Only 17.8% scored ≥50% for knowledge. At least one sun avoidance measure was used by 59.3% of the undergraduates. A lower knowledge score was observed with a higher number of sun-avoidance behaviour (mean difference 0.84, p = 0.03). The majority (66%) spent outdoors <30 minutes per day between 9 am-3 pm. The odds of having low outdoor time were 1.6 higher for the female sex (OR:1.61, 95%CI:1.039, 2.492, p<0.001) and studying in the final year (OR:1.63, 95%CI:1.020, 2.602, p = 0.04). Medical students had a higher likelihood of low outdoor time (OR:0.55, 95%CI: 0.361, 0.835, p = 0.005).
The healthcare undergraduates had low vitamin D knowledge and outdoor time while having increased sun avoidance. Gender, course of study, and academic year appeared to affect outdoor time. Support and guidance should improve knowledge and sun exposure habits that suit academic work and lifestyle in this population. Also, universities can actively promote positive sun exposure by organizing outdoor events.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>36574411</pmid><doi>10.1371/journal.pone.0279480</doi><tpages>e0279480</tpages><orcidid>https://orcid.org/0000-0002-9813-3295</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Alfacalcidol Auroral kilometric radiation Avoidance Avoidance behavior Behavior Biology and life sciences Body mass index Calcifediol Calciferol College students Colleges & universities Coronaviruses COVID-19 Evaluation Exposure Female Gender Health aspects Health behavior Health care Health Knowledge, Attitudes, Practice Humans Knowledge Likert scale Medical laboratories Medical students Medicine and Health Sciences Nursing Nutrient deficiency Outdoor activities Overweight People and Places Pharmacy Physical sciences Protective clothing Questionnaires Regression analysis Skin cancer Skin diseases Sri Lanka - epidemiology Sun Sunlight Surveys and Questionnaires Ultraviolet radiation Ultraviolet Rays Variables Vitamin D Vitamin D Deficiency - epidemiology Vitamin D Deficiency - prevention & control Vitamin deficiency Vitamins |
title | Vitamin D knowledge and sun exposure practices among Sri Lankan healthcare undergraduates |
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