‘My child did not like using sun protection’: practices and perceptions of child sun protection among rural black African mothers

Kunene, Zamantimande; Albers, Patricia N.; Lucas, Robyn; Banwell, Cathy; Mathee, Angela; Wright, Caradee Y.

doi:10.1186/s12889-017-4688-7

Cited by 3 publications

(4 citation statements)

References 26 publications

(34 reference statements)

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“…This pilot study aimed to (1) assess uptake and acceptability of the intervention; (2) assess recruitment, consent and follow‐up; and (3) compare the levels of measles‐specific antibodies between intervention and control clinic children postvaccination. Results for Aim 1 have been reported previously ; here, we present findings for Aims 2 and 3.…”

Section: Introductionsupporting

confidence: 89%

Effect of A Sun Protection Intervention on the Immune Response to Measles Booster Vaccination in Infants in Rural South Africa

Wright

Lucas

DʼEste

et al. 2018

Photochem & Photobiology

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The incidence of many serious childhood infections can be reduced by vaccination. High sun exposure at the time of vaccination has been associated with a reduced antigen-specific immune response. We hypothesized that providing sun protection advice and equipment to mothers of children who were waiting to be vaccinated would result in a more robust immunization response. We conducted a pilot study in 2015/2016 (data analyzed in 2017-2018) among 98 Black African children (~18 months of age) receiving the booster measles vaccination at two clinics in South Africa. Clinics were randomized to receive (or not) sun protection advice and equipment. We recorded demographic information on children and mothers and data on the child's usual sun exposure. At approximately 4 weeks' postmeasles vaccination, we measured measles immunoglobulin G levels in children. All children with blood results (n = 87, 89%) across both groups had antibody titers higher than 200 mIU mL which was considered the protective antibody concentration. There was no statistically significant difference in titers between groups: geometric difference in mean titers 1.13 mIU mL (95% CI 0.85, 1.51; P = 0.39) and 1.38 mIU mL (95% CI 0.90, 2.11, P = 0.14) for unadjusted and adjusted analyses, respectively. This study demonstrated that a sun protection intervention study could be performed in a developing-world pediatric vaccination setting. Although the sun protection intervention around the time of vaccination was not associated with a higher antibody level, given the potential importance of such an effect, a larger study should be considered.

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Section: Introductionsupporting

confidence: 89%

Effect of A Sun Protection Intervention on the Immune Response to Measles Booster Vaccination in Infants in Rural South Africa

Wright

Lucas

DʼEste

et al. 2018

Photochem & Photobiology

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“…A number of studies have been conducted in several countries on the awareness of the effects of solar radiation and the practices in place to protect people from its effects. 2,[16][17][18][19][20][21] Scerri et al evaluated sun protection practices among the Maltese people and assessed their level of knowledge regarding the harmful effects of solar radiation on the skin. 2 Devos et al explored the prevalence and predictors of sunscreen use and skin protection practices among Belgian beachgoers.…”

Section: Introductionmentioning

confidence: 99%

“… 16 Kunene et al analyzed the practices of the use of sun protection equipment by children living in a rural area, and their acceptability to black African mothers. 19 Purdue investigated the predictors of different behavior of Canadian adults in protecting themselves from solar radiation. 22 Halpern and Kopp studied the awareness, knowledge, and attitudes among the general public from seven countries (the UK, Italy, Germany, Spain, France, the USA, and Australia) regarding non-melanoma skin cancer and actinic keratosis.…”

Section: Introductionmentioning

confidence: 99%

<p>Sun Awareness and Sun Protection Practices</p>

Sultana

2020

CCID

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Background: The incidence of skin cancer has increased over the past few years, owing to excessive exposure to ultraviolet (UV) radiation. Over the past decade, protection against solar radiation has been highly encouraged in numerous public health education campaigns. The adopted sun protection practices include avoiding exposure to the sun, using protective clothing, and applying sunscreen. The aim of this paper was to analyze the awareness and attitudes towards sun protection practices in some regions of the Arabian Peninsula. Objective: The main objective of this study is to estimate the level of sun protection practices and determine the factors that have a significant impact on the level of adoption of sun protection practices by residents in the Arabian Peninsula. Methods: A 35-question self-reporting online questionnaire to evaluate the sun protection measures adopted by the residents was distributed in the Kingdom of Saudi Arabia and Kingdom of Bahrain. The survey was conducted from January 2018 to May 2019, and a total 830 responses were collected for analysis. The data were analyzed using the statistical software SPSS. The chi-squared test and Spearman's correlation were performed to determine the association of the sun protection level with factors concerning the socio-demographic characteristics, sun sensitivity, health-conscious lifestyle, adopted sun protection measures, and general awareness about the UV index, skin cancer, and vitamin D. Logistic regression classification was applied in developing the empirical model to predict the sun protection level of the residents. Results: Based on the analysis, only 34% of the total 830 respondents use sunscreen and most of the sunscreen users are female. The three most popular sun protection practices are: 1) avoiding exposure to the sun during peak hours, 2) using protective clothing, and 3) using sunglasses. The results indicate that 22% of respondents use a low level of sun protection, 53% use a medium level of protection, while 25% of respondents use a high level of sun protection. Many of the respondents understand that exposure to the sun can cause skin cancer and skin aging, while 54% of the respondents still believe that a suntan can be healthy if sunburn is avoided. Thirty percent of the participants of this study are aware of the UV index, and only 20% of all respondents know the correct meaning of the UV index. The overall predictive accuracy of the constructed logistic regression model is 67%. Based on the results of the logistic regression model, the five most significant factors of the sun protection level are: 1) perception that the sun can cause skin aging, or not, 2) age, 3) awareness of the dangerous effects of sun exposure, 4) income with respect to expenses, and 5) taking the UV index into consideration during exposure to the sun. Conclusion: Most of the respondents are aware about sun protection. However, the sun protection level of the residents is still inadequate. An efficient strategy of increasing the awareness of the effective u...

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“…Nonetheless, the use of sunscreen was low ( n = 2; 0.9%). It may be that sunscreen is too expensive or that sunscreen is not culturally and socially acceptable among people with dark skin, as was seen in a recent study among mothers and their children [ 12 ]. Therefore, in an effort to protect themselves, several workers provided their own portable shade and wore clothing that protected their arms and legs.…”

Section: Discussionmentioning

confidence: 99%

Sun Exposure, Sun-Related Symptoms, and Sun Protection Practices in an African Informal Traditional Medicines Market

Wright

Reddy

Mathee

et al. 2017

IJERPH

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Informal workers in African market trade have little formal protection against sun exposure. We aimed to examine sun exposure, sun-related symptoms, and sun protection practices in an informal occupational setting. Trained fieldworkers asked 236 workers in the Warwick Junction market about their workplace, skin and eye sensitivity and skin colour, symptoms faced at work during the summer due to heat, and preventive measures. Data were analyzed using univariate logistic regression to assess the effect of gender and the risk of experiencing symptoms to sun exposure in relation to pre-existing diseases and perception of sun exposure as a hazard. Of the 236 participants, 234 were Black African and 141 (59.7%) were female. Portable shade was the most commonly used form of sun protection (69.9%). Glare from the sun (59.7%) and excessive sweating (57.6%) were commonly reported sun-related health symptoms. The use of protective clothing was more prevalent among those who perceived sun exposure as a hazard (p = 0.003). In an informal occupational setting, sun exposure was high. Protective clothing and portable shade to eliminate heat and bright light were self-implemented. Action by local authorities to protect informal workers should consider sun exposure to support workers in their efforts to cope in hot weather.

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‘My child did not like using sun protection’: practices and perceptions of child sun protection among rural black African mothers

Cited by 3 publications

References 26 publications

Effect of A Sun Protection Intervention on the Immune Response to Measles Booster Vaccination in Infants in Rural South Africa

Effect of A Sun Protection Intervention on the Immune Response to Measles Booster Vaccination in Infants in Rural South Africa

<p>Sun Awareness and Sun Protection Practices</p>

Sun Exposure, Sun-Related Symptoms, and Sun Protection Practices in an African Informal Traditional Medicines Market

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