Appendix 2: Priority settings
Australia’s proximity to the equator means that solar UVR levels in NSW are very high.15,16 Within NSW there are physical and social environments that influence exposure to UVR and UVR protection behaviours.
It is important to acknowledge these environments not only influence the structural elements of UVR exposure and protection, such as the provision of shade, but also the social elements such as norms about sun exposure and supports for sun protection behaviours.
These environments are categorised into five priority settings:
Community settings: the built environment has a significant role in community settings as it includes the design of the buildings and streets in which people live.
Education settings: education settings include but are not limited to the institutions in which people study.
Education institutions, including early childhood centres, primary schools, secondary schools and TAFEs and universities, have great potential for influencing UVR exposure and protection behaviours, particularly early in life.
Workplace settings: different industries influence sun exposure and protection behaviours with workers in the construction and farming industries spending signficant times outdoors, particularly during peak UVR hours.
Other industries in which workers spend significant times indoors may influence sun exposure behaviours in non‑working times.
Recreational settings: there are a broad range of recreational settings in which there is potential to influence UVR exposure and protection behaviours.
Parks, sporting grounds, beaches, public swimming pools and tourism destinations are just a few of these settings where UVR protection action should be considered.
Healthcare settings: there are a range of health services including but not limited to general practice, pharmacies, allied health services (eg. physiotherapy and massage therapy), and community and health promotion services which provide opportunities to identify individuals at high risk of developing skin cancer and for educating people about the risk of UVR exposure and ways to minimise that risk through UVR protection behaviours.
High‑risk geographical settings: Within NSW there is considerable regional variation in melanoma rates. For both sexes, higher incidence rates occur along the coast and these rates are generally higher in the north of the State.
In 2008-2012, melanoma incidence was significantly higher amongst residents of Northern Sydney, Central Coast, Hunter New England, Mid North Coast and Northern NSW Local Health Districts.7