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All questions were developed by the author after carrying out a literature search for sun awareness surveys in other countries. All data were collected using a standardized, pre-coded, and pretested questionnaire with questioning of a closed nature.

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Changes were incorporated into the final questionnaire. The questionnaire included 3 sections. The first section included 10 questions that focused on characteristics of study subject such as sex, age, marital status, education, family income per month used as socioeconomic indicator , home place whether urban or rural, indoor or outdoor occupation, self-reported skin type whether or not skin burns after prolonged exposure to intense sunlight , family history of skin cancer, and the weekly duration of exposure to sun.

The second section of the survey included 20 questions about awareness of participants to hazards of exposure to sun, frequency of exposure to sun, reaction of skin to sun exposure, types and frequency of use of sun protection methods such as clothes and covers, and finally the knowledge of participants about nature and types of sunscreen preparations.

Awareness to sun exposure and use of sunscreen by the general population

The third section included 8 questions devoted basically to the users of sunscreen preparations and inquired about the reason for use, type of sunscreen preparation, frequency and place of application of the sunscreen preparations. Data were entered and analyzed using statistical package of social science software SPSS 11 with check for consistency, and p-values less than 0. Basic descriptive analyses frequency, percentage and mean were performed for all independent variables and personal characteristics of the participants.

Differences between and among the means for quantitative data of the variables were examined by using the t test. Logistic regression was used to examine the independent predictive effects of demographic variables on use of sunscreen. A total of individuals were located and agreed to participate in the study response rate, The participants were diverse in terms of age; the mean age of participants was There was almost an equal gender split, were men Almost two thirds of participants were married Individuals of high social class formed the majority of the study participants All participants were from urban areas.

There was a low reported family history of skin cancer, 73 5. Table 2. Almost half of respondents , The majority of participants , Sun bathing is not a common practice among study participants where only When asked about history of suffering from sunburn, individuals Understandably, little more than half of study participants , History of skin cancer did not show significant difference.

However, there was no statistical difference in knowledge between participants based on their socioeconomic classes. Regarding sun protection behaviour; the women, the singles, the highly educated, indoor workers and those who had positive family history of skin cancer were significantly more prone to protect themselves from the hazards of sun exposure.

On the other hand, persons of the low social class, and those with skin type 4 were less likely to take measures to protect themselves against sun. Only persons 8.


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Table 3 illustrates frequency, formulations, reasons, site and time of application among the users. Most of sunscreen users prefer lotion preparations with sun protection factor greater than 30 and use the preparation mostly in the morning time. Most of users reported that they use sunscreen preparations to avoid hyperpigmentation. On the other hand, the majority of the study participants did not use sunscreen preparations , The non-users explained that they do not use these preparations because they do not have them, or because the preparations are not convenient to use, or these preparations are not important The logistic regression on sunscreen use is summarized in Table 4.

Females, participants from higher social backgrounds, those with higher levels of education, those with type 4 skin and those who are married were significantly more likely to use sunscreen.

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These associations were independent of other social and demographic characteristics. To our knowledge and after an extensive literature review, this is the first population-based study in Saudi Arabia to evaluate the prevalence of sunscreen use and to study the factors associated with sunscreen use among adults in an urban community in Saudi Arabia. Summer and autumn are the seasons with high UV index and people are more likely to engage in outdoor recreational activities. We selected the period between January and March because this period comes shortly after the autumn seasons and the recall period for sunlight exposure and sunscreen use was short.

Non-sur- prisingly, the study showed that males, younger age groups, low social class, low educational level and skin type 4 are associated with significant increase in the duration of exposure to sun. These variables represent social, demographic and cultural milieu that promote exposure to sun and not taking the necessary protective measures against its hazards. These results are consistent with most studies that described the socio-demographics of sun exposures [ 7 - 9 , 19 - 25 ]. Fifty six percent of our study participants demonstrated an awareness of the relationship between sunburns and the risk of skin cancer.

This knowledge rate is low when compared with similar surveys carried out in western communities [ 23 , 24 ].

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The results of our study have emphasized the need for more health orientation and education programs. The present study showed that women were more likely than men to know about the hazards of sun exposure and were more likely to take protective measures including use of sunscreens. However, no gender difference was found in the use of clothes as protective methods.


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The finding that women use sunscreen more frequently than men has been reported by majority of studies on this subject [ 20 - 24 ]. This is likely related to the fact that women generally have more healthy lifestyles than men, and show greater concern towards the ageing of skin. Compared with women, men experience greater social pressure in terms of appearing independent, self-confident, strong, and brave, which frequently leads to the adoption of risk behaviours.

The positive relationship found between sunscreen use and skin type 4 in our study is consistent with results of previous reports. Despite the relatively good knowledge among participants that exposure to sun and sunburns predispose to skin cancer, the rate of sunscreens use is low. Our data indicated that only 8. Knowledge, although necessary, is frequently not enough for a change in attitude, and even less so for a sustained change in behaviour.

To facilitate the transition from knowledge to a change in attitude and then on to a change in behaviour, behaviourally-based intervention strategies are needed. Childhood is an excellent time to form life-long prevention habits as attitudes and lifestyle patterns are still being formed and are most malleable during this period [ 27 ]. Public health interventions need to provide not only the knowledge but also promote the attitude change and preventive behaviour through consistent and repeated sun-education messages.

Planning of education campaigns should consider how the message can support rather than compete with the dominant values and norms held by different population groups. Health education needs to begin early in school period, when students start making independent choices. At these times of year typically you can expect daytime temperatures to reach 20 - 30 o C with night times being surprisingly cool, often in the single digits. Rain is rare although not unheard of!

It may sound obvious but Wild Frontiers tours are not always for everyone and it is important to us that the tour you choose is the most suitable. Please therefore take time to read the itinerary carefully. All our tours are graded to give an overall picture of the trip but these are only guidelines and you should check the daily itinerary. In certain instances we may ask you to complete a travel questionnaire before confirming your booking in order to ensure your suitability. Should you have any concerns about your ability to partake in any aspect of the tour then please contact the office.

Saudi society is going through some major changes at the moment so please bear in mind that any considerations raised here may alter at any time. Ultimately the Kingdom remains a deeply conservative country and is likely to be different from any other destination to which you may have travelled. Tourism other than for religious purposes is a new concept for the Kingdom so come expecting enthusiastic but inexperienced levels of service.

Encouragingly, in contrast to previous edicts, there are no current restrictions placed on adult women travelling solo and while it is expected that foreign visitors will dress conservatively, women will not have to wear an abaya the long black dress covering the body from shoulders to feet and they will not have to cover their hair.

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In conclusion, anyone in a reasonable state of health, with an open mind and a sense of adventure should be perfectly able to cope with this tour, however, please note the tour involves some options for desert walks so to get the most out of the tour you will need to be fit enough to enjoy these aspects of the tour. If you have more time available, why not arrive early to adjust to a new time zone or just to get a feel for the country before your tour starts? Or alternatively you might choose to allow a few extra days after the tour to relax or to undertake some further exploration.

The choice is completely yours and we can usually arrange anything from simply additional accommodation and transfers to full tailor-made itineraries. Below is just a small sample of what you could do. Please contact the office for more details and to discuss your individual requirements.

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Head south to the lush fertile mountains and milder climes of south-western Saudi Arabia to discover a very different side to this vast sprawling Kingdom. Responsible travel and sustainable tourism are fundamental ideas that Wild Frontiers has been committed to since our birth.

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We believe that a successful trip not only delivers a unique and unsurpassable journey for our clients, but that it also benefits the peoples whose lands we are privileged to visit. If you would like us to send you a quote for the suggested tour flights or on any alternative flight that may suit you better, please let us know, noting that for our US clients, we will most likely refer you to one of our preferred partners.

For this trip our suggested flights from the UK subject to change are shown below. If you wish to arrange your own flights you are completely free to do so and in this case we can arrange any transfers or supplementary accommodation that you may require. However please note that if you are planning on making your own flight arrangements, we recommend that you first check with us to see if the trip is guaranteed.

We then suggest that you purchase flights that are flexible and ideally refundable as due to the nature of adventure travel, itineraries and destination accessibility can change at any time. For more information, please refer to our booking conditions. Visas are necessary for many of the destinations we travel to and while we aim to provide you with the most up-to-date information, requirements frequently change and as such for the latest advice we advise that you check with the relevant embassies or contact our recommended visa agency, Travcour www.

Further details will be sent out to you on booking, however ensuring that correct and valid visas are obtained remains the sole responsibility of the client. All our tours are priced on a land-only basis, giving you maximum flexibility when deciding how to get to and from your tour. For the latest prices, please refer to our website or contact the office. Our prices are typically based on twin-share accommodation but single supplements are not compulsory for any Wild Frontiers tour. On this trip, if you do opt to pay for a single supplement then please note that it will cover you for all nights of the tour.

Please note that paying a single supplement entitles you to lone occupancy of a single room.