{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:37:11Z","timestamp":1787017031267,"version":"build-2736575974"},"reference-count":25,"publisher":"BMJ","issue":"12","license":[{"start":{"date-parts":[[2025,12,30]],"date-time":"2025-12-30T00:00:00Z","timestamp":1767052800000},"content-version":"unspecified","delay-in-days":29,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004410","name":"T\u00fcrkiye Bilimsel ve Teknolojik Ara\u015ft\u0131rma Kurumu","doi-asserted-by":"publisher","award":["1919B012334409"],"award-info":[{"award-number":["1919B012334409"]}],"id":[{"id":"10.13039\/501100004410","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2025,12,10]]},"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Skin cancer represents one of the most preventable yet rapidly increasing malignancies worldwide, with projected rises associated with climate change. This study aimed to assess medical students\u2019 knowledge, attitudes and practices regarding skin cancer and climate-related dermatological risks, and to identify demographic and educational predictors of awareness and preventive behaviours.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross-sectional survey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Public university medical faculty in Turkey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>A total of 622 medical students enrolled in all six academic years completed the online questionnaire. Inclusion criteria were current enrolment and voluntary participation; incomplete submissions were excluded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Primary and secondary outcome measures<\/jats:title>\n                    <jats:p>Primary outcomes were Skin Cancer Knowledge (SCKS) and Climate Change Knowledge (CCKS) Scores. Secondary outcomes included students\u2019 perceived risk and photoprotective behaviours.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Mean SCKS was 7.81\u00b13.06\u2009and mean CCKS was 12.27\u00b13.67. Female students had significantly higher SCKS (\u03b2=0.58; p&lt;0.001) and CCKS (\u03b2=0.41; p&lt;0.001). Although 92.3% recognised peak ultraviolet hazard hours, only 53.2% avoided midday exposure. A total of 64.1% reported at least one lifetime sunburn. Logistic regression showed that gender (OR=2.56; 95%\u2009CI 1.73 to 3.80), academic year (eg, Yr1 vs Yr6 OR=0.41; 95%\u2009CI 0.22 to 0.78), poor self-assessed knowledge (OR=3.19; 95%\u2009CI 1.33 to 7.64) and CCKS (per-unit increase, OR=0.92; 95%\u2009CI 0.87 to 0.96) significantly predicted perceiving climate change as a health threat.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Medical students demonstrated substantial knowledge gaps and behavioural inconsistencies regarding skin cancer and climate-related dermatologic risks. Findings highlight the urgent need for structured, behaviourally oriented, climate-integrated dermatology education within medical curricula.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2025-110670","type":"journal-article","created":{"date-parts":[[2025,12,30]],"date-time":"2025-12-30T16:10:36Z","timestamp":1767111036000},"page":"e110670","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Medical students\u2019 knowledge and practices regarding skin cancer and climate change-related dermatological risks: a cross-sectional study from Turkey"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4151-1002","authenticated-orcid":false,"given":"Ece","family":"Karaoglu","sequence":"first","affiliation":[{"name":"Gazi University Faculty of Medicine, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5615-264X","authenticated-orcid":false,"given":"Burcu","family":"Kucuk Bicer","sequence":"additional","affiliation":[{"name":"Medical Education and Informatics, Gazi University, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2025,12,30]]},"reference":[{"key":"2026010703491558000_15.12.e110670.1","unstructured":"International Agency for Research on Cancer . Skin cancer. Lyon: IARC, Available: https:\/\/www.iarc.who.int"},{"key":"2026010703491558000_15.12.e110670.2","unstructured":"World Health Organization . Radiation: ultraviolet (UV) radiation and skin cancer. Geneva, Available: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/radiation-ultraviolet-(uv)"},{"key":"2026010703491558000_15.12.e110670.3","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1016\/j.ijwd.2020.07.003","article-title":"The influence of climate change on skin cancer incidence \u2013 A review of the evidence","volume":"7","author":"Parker","year":"2021","journal-title":"Int J Womens Dermatol"},{"key":"2026010703491558000_15.12.e110670.4","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1016\/j.jdin.2020.10.013","article-title":"The global burden of skin cancer: A longitudinal analysis from the Global Burden of Disease Study, 1990-2017","volume":"2","author":"Urban","year":"2021","journal-title":"JAAD Int"},{"key":"2026010703491558000_15.12.e110670.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2014.08.036"},{"key":"2026010703491558000_15.12.e110670.6","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1016\/j.jaad.2021.12.066","article-title":"Skin cancer: Primary, secondary, and tertiary prevention. 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