As far as the wellbeing of farmers and farmworkers is concerned, the Cooperative Extension Service is uniquely positioned to leverage its human and professional resources in the prevention and management of skin cancer within the framework of its role as educators and collaborators in chronic disease prevention and management5. The American Academy of Dermatology (AAD) urges Americans to protect themselves from the sun in order to minimize risk of skin cancer6. However, a 2021 study conducted by Tribby and Colleagues concluded that the “general public does not have enough information in deciding key factors to consider in choosing best sunscreen products”7. This is particularly relevant to farmers and farmworkers as skin cancer rates rise among limited-resource, low income and minority farmers3.
Cooperative Extension Agents (CEAs) are expert educators, and trusted sources of research-supported health information. Thus, their role falls within the scope of practice for delivering health programs envisaged by the 2014 Cooperative Extension’s National Framework for Health and Wellness5. This role includes the education of farmers and farmworkers on a) how to protect themselves from the sun and reduce the risk of developing skin cancer, and b) education on selection and proper use of sunscreens.
Therefore, it is important for CEAs to know that the FDA regulates active ingredients in sunscreens as “Over-the Counter” drugs, and identifies those that are “Generally Recognized” as safe and effective photo filters. Secondly, CEAs should be able to provide up-to-date information on sunscreens products, especially those considered to have a high sun protection factor (SPF) and broad-spectrum coverage. Thirdly, CEAs should encourage farmers to seek timely care, and navigate local resources needed if there are any concerning lesions or symptoms for skin cancer. Lastly, they should actively respond to skin cancer myths and misinformation, and help to build trust on professional authorities such as the American Academy of Dermatology and the American Cancer Society.
Cooperative Extension Agents must operate within the guidelines of their profession by providing appropriate information that does not cross the line into medical advice, and should refer farmers to their healthcare providers when personal or out of scope questions are asked about skin cancer.