Postal delivery workers are an important population to target for skin cancer prevention efforts. During the official 94-day summer period (21st June to 22nd September 2017) the mean maximum daily score rose to 4.85, during which time it ranged from 1.10 to 8.00, with low exposure on 11.7% of days, moderate exposure on 56.9% of days, high exposure on 27.7% of days, and reaching the very high exposure threshold on a single day. These data show a mean maximum daily index score for 2017 of 2.99. The UK government’s online UV radiation data mapping tool ( ) provides official UVI data gathered from the Reading University monitoring site (located in the south of England). Sun protection is recommended at a score of ≥3. Index values are grouped into exposure categories, with scores of <3 indicating low exposure, 3–5 moderate exposure, 6–7 high exposure, 8–10 very high exposure, and ≥11 extreme exposure. The World Health Organization’s Global Solar UV Index (UVI) describes the level of solar UV radiation at the earth’s surface and facilitates comparisons across locations. Occupational solar UV radiation exposure is estimated to account for 3.2% of cases of cutaneous malignant melanoma in males and 0.9% in females in Britain, amounting to 48 deaths (2012) and 241 new registrations (2011) per annum. In Britain, excess exposure to solar UV radiation accounted for an estimated 90% of cases of malignant melanoma in males and 82% in females in 2010, with registration rates for melanoma skin cancer showing a 56% increase for males in England in the period 2002–2011. Solar ultraviolet (UV) radiation is the primary risk factor for all forms of skin cancer. The SoC-stratified accounts of the influence of TPB components on behavior provide a basis for bespoke interventions that reflect inter-individual and inter-practice differences in their working mechanisms. This study highlights the need for tailored and targeted behavior change interventions. Normative beliefs concerning the views of colleagues and employers towards sunscreen were relatively consistent across the SoC. Behavioral and control beliefs differed by SoC, with those in the earlier stages more likely than those in the latter stages to report negative attitudes to, and difficulty enacting, sun safety practices. For sunscreen use and wearing a wide-brimmed hat, 64% and 3% of participants were in the action or maintenance SoC, respectively. Beliefs underlying current practices were elicited in accordance with the TPB and stratified by the SoC. Thirty-four workers participated in semi-structured interviews that used the SoC to establish current receptiveness to and adoption of two sun safety practices (using sunscreen of at least sun protection factor (SPF) 30 on exposed skin and wearing a wide-brimmed hat when working outdoors in the summer). This study integrated the Theory of Planned Behavior (TPB) and the Transtheoretical Model’s stages of change (SoC) as guiding frameworks to identify underlying beliefs that influence UK postal delivery workers’ uptake of occupational sun safety practices. Studies are needed to identify the underlying factors that contribute to the uptake of occupational sun safety practices that may be targeted during behavior change interventions. This population is at elevated risk for skin cancer, yet uptake of sun safety practices is low. In the United Kingdom (UK) a high proportion of workers possesses a sun sensitive skin type. Postal delivery workers have substantial sun exposure.
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