Original Articles

Preventive Behaviors of Nursing Students Toward Skin Cancer: A Cross-Sectional Study

Abstract

Skin cancer is an emerging public health challenge worldwide, and nurses are pivotal in preventing and detecting this disease. It is crucial to evaluate the skin cancer knowledge and preventive behavior of nursing students. This study aimed to determine the level of knowledge and prevention behaviors on skin cancer among nursing students and to determine the relationship between the variables of knowledge, prevention behaviors, and selected demographic variables. Cross-sectional descriptive research was carried out from November 2024 to April 2025 among undergraduate nursing students at the College of Nursing, University of Karbala, Iraq. Sixty undergraduate nursing students constituted the purposive sample. The data were collected using a structured 20-item questionnaire consisting of 8 preventive behaviors and 12 knowledge questions, scored on a uniform five-point Likert scale. The content validity was assessed through expert review, and good reliability was confirmed by high Cronbach’s alpha (α=0.87). Data analysis was performed using SPSS version 27. Non-normality of distribution was determined via the Kolmogorov-Smirnov test, which led to employing the Spearman correlation and multiple linear regression. Most of the participants had moderate levels of preventive practices (98.3%) and knowledge (95%). There was no statistically significant relationship between the participants’ knowledge and their preventive practices (r=0.044, P=0.737). There were no statistically significant effects of demographic factors on preventive practices (P>0.05). Nursing students demonstrated moderate levels of knowledge and preventative practice; however, there are still deficiencies in terms of early detection techniques. There is need to reinforce structured education and training approaches in nursing courses.

1. A-Sadek T, Yusuf N. Ultraviolet radiation biological and medical implications. Curr Issues Mol Biol 2024;46:1924-42.
2. Anderson R, Mkhize NM, Kgokolo MM, Steel HC, Rossouw TM, Anderson L, et al. Current and emerging insights into the causes, immunopathogenesis, and treatment of cutaneous squamous cell carcinoma. Cancers (Basel) 2025;17:1702.
3. Imani S, Roozitalab G, Emadi M, Moradi A, Behzadi P, Jabbarzadeh Kaboli P. The evolution of BRAF-targeted therapies in melanoma: overcoming hurdles and unleashing novel strategies. Front Oncol 2024;14:1504142.
4. International Agency for Research on Cancer. Skin cancer: overview and fact sheets [Internet]. Lyon: IARC; 2024 [cited 2025 Jan 15]. Available from: https://www.iarc.who.int.
5. Qin Z, Zheng M. Advances in targeted therapy and immunotherapy for melanoma. Exp Ther Med 2023;26:416.
6. Siegel V, Eckardt P. A prospective observational cross-sectional study examining the effect of using human simulation and moulages to assist in skin cancer education of nursing students. J Dermatol Nurses Assoc 2017;9:296-300.
7. George A. Middle school students’ knowledge of skin cancer, sun protective behaviors, and perceptions of acquiring skin cancer [dissertation on the Internet]. Rockville Centre (NY): Molloy College; 2017 [cited 2026 Aug 26]. Available from: https://digitalcommons.molloy.edu/etd/62/
8. Çelik S, Ilçe A, Andsoy II. Knowledge and protective behaviors about skin cancer among nursing students in the west Black Sea region of Turkey. J Cancer Educ 2018;33:885-92.
9. Anshasi H, Almazrouei H, Rashed N, Salem R, Suhail M, Abdulla A. Sun protection behaviors and knowledge of skin cancer and sun exposure among Emirati undergraduate students. BMC Public Health 2025;25:3801.
10. Kıskaç N. Determination of skin cancer and sun knowledge status of nursing students. Istanbul Gelisim Univ Saglik Bilim Derg. 2024; 23:854-64.
11. Taheri Hatkehlouei SA, Nezhadahmad N, Sandanasamy S, Yildirim N, McFarlane P, Jaafari B. Nursing students’ knowledge and related factors towards skin cancer: a systematic review. J Nurs Rep Clin Pract 2024;34:375-82.
Files
IssueVol 64 No 8 (2026) QRcode
SectionOriginal Articles
Keywords
Skin cancer Preventive behaviors Nursing students

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Khudhair SS, Qahtan Abadi H, Hashim AM, Abed MY, Hussien Z, Ali N. Preventive Behaviors of Nursing Students Toward Skin Cancer: A Cross-Sectional Study. Acta Med Iran. 2026;64(8):482-488.