Racial disparities in fifth‐grade sun protection: Evidence from the Healthy Passages study

Correnti, Christina M.; Klein, David J.; Elliott, Marc N.; Veledar, Emir; Saraiya, Mona; Chien, Alyna T.; Schwebel, David C.; Mrug, Sylvie; Tortolero, Susan R.; Cuccaro, Paula; Schuster, Mark A.; Chen, Shuo

doi:10.1111/pde.13550

Cited by 4 publications

(3 citation statements)

References 22 publications

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“…Prevention of melanoma relies heavily on sun protection, especially in childhood [9,10]. However, there is a lack of sun protection in primary school children [11,12].…”

Section: Background and Rationalementioning

confidence: 99%

PRESOLRE: Study protocol for a primary school-based, cluster randomised controlled trial of three sun exposure risk prevention strategies on Reunion Island

Dugast,

Bruneau,

Fianu

et al. 2023

Preprint

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Introduction: Reunion Island, a French overseas department, is located in the southern hemisphere, close to the Capricorn tropic in the same range of latitudes as Australia. This island has a multi-cultural and multi-ethnicpopulation of 860,000 inhabitants, a quarter of whom are at high risk of developing skin cancer due to intense ultraviolet radiation. Melanoma is responsible for the majority of skin cancer deaths. The early prevention of melanoma is based on sun protection in childhood, but Reunion Island complies with the regulations of mainland France, which are not adapted to the environmental conditions of this tropical region. Objective: The main objective of our study is to evaluate the effectiveness of three sun protection programs conducted in Reunionese primary schools through a pupil knowledge questionnaire. Trial design: PRESOLRE is an interventional, open-label, cluster-randomised controlled trial, in 4 parallel arms, that is being conducted throughout 2022-2023 on Reunion Island. The trial design assumes an escalation interventional effect using: first, a control arm without proposed intervention (arm 1); second, an arm whose classes of pupils are encouraged to use the validated educational program ‘Living with the sun’ (arm 2); third, an arm whose classes of pupils are encouraged to use both ‘Living with the sun’ combined with MiSolRé's sun protection awareness program (arm 3); fourth, an arm whose classes of pupils are encouraged to use ‘Living with the sun’ combined with MiSolRé's sun protection awareness program, and who receive a distribution of hats, sunglasses and sun creams (arm 4). In all, 1,780 pupils from eighty classes of 20 pupils, on average, will be included. Randomisation applies to the classes of pupils (so defined as clusters). The analysis of the primary outcome is based on the proportion of correct answers to the knowledge questions after the awareness program, compared between the 4 arms using a linear mixed model with random intercept. Implications for public health: The public health perspective of this interventional research protocol is to scale up the best sun protection programs for both the entire Reunion Island territory and the other tropical French overseas departments. Trial registration number: ID: NCT05367180

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“…Prevention of melanoma relies heavily on sun protection, especially in childhood [9,10]. However, there is a lack of sun protection in primary school children [11,12].…”

Section: Background and Rationalementioning

confidence: 99%

PRESOLRE: Study protocol for a primary school-based, cluster randomised controlled trial of three sun exposure risk prevention strategies on Reunion Island

Dugast,

Bruneau,

Fianu

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…Studies that assessed knowledge and behaviors found that racial minorities, particularly Hispanics and Blacks, have lower knowledge and practice less effective sun protection behaviors. [31][32][33][34][35] Bandi et al 36 found race and ethnicity are significantly associated with the frequency of sun protection counseling by providers. Non-White, non-Hispanic, and Hispanic patients of any race are less likely to receive sun protection counseling (OR = 0.58) compared with White, non-Hispanic counterparts.…”

Section: Acnementioning

confidence: 99%

A systematic scoping review of racial, ethnic, and socioeconomic health disparities in pediatric dermatology

Kuo

Silverberg

Faith

et al. 2021

Pediatric Dermatology

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Health disparities encompass a wide range of personal, societal, environmental, and system-based factors that contribute to inequitable health and health outcomes in vulnerable patient populations.These factors interact with the biologic and genetic elements of disease, becoming difficult to isolate when researching disease and outcomes. However, addressing the non-biologic determinants of health that contribute to patient outcomes is integral to practicing effective and equitable medicine.

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“…In the school setting, a study by Correnti et al showed inadequate youth sun-protective behavior (eg, sunscreen use) despite rising skin cancer rates in children. 6 Pollitt et al further explored sun-protective behavior specifically in low socioeconomic (SES) status population. The study focused on the association of low socioeconomic status with more advanced melanoma at diagnosis and decreased survival.…”

Section: Thementioning

confidence: 99%

Survey of Sun Protection Policies in Juvenile Detention Centers in Pennsylvania: Are we also Protecting Vulnerable Communities?

Samaan

2019

J of Skin

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The incidence rate of skin cancer is increasing in the United States and blistering sunburns during childhood or adolescence is a major risk factor. The Center for Disease Control and Prevention (CDC) developed a set of guidelines to provide schools with a comprehensive approach to preventing skin cancer among adolescents and young people. The objective of this study was to determine the prevalence of sun protection policies, environmental features, and attitudes in institutions responsible for school-aged populations, such as children in juvenile detention centers. Surveys were sent to all (n = 19) public juvenile detention centers in Pennsylvania .Overall, 63.2% (n=12) of the juvenile detention centers in Pennsylvania responded to the survey. Of the 12 centers, 50% (n=6) allow residents to wear hats, 25% (n=3) allow residents to wear sunglasses, 66.7% (n=8) allow residents to wear sunscreen without a provider’s note, and 25% (n=3) provide sun protection education. All the facilities (100%) reported shade-producing structures, but 83.3% (n=10) cover less than 25% of the outdoor activity areas. The CDC’s guidelines include recommendations for schools to encourage skin cancer prevention on school property and elsewhere. Among public juvenile detention centers in PA, we found an absence of policies to reduce sun exposure and a lack of knowledge about the CDC guidelines to prevent skin cancer. Despite these results, administrators are largely in favor of stronger policies and believe sun exposure is an important health issue.

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Racial disparities in fifth‐grade sun protection: Evidence from the Healthy Passages study

Cited by 4 publications

References 22 publications

PRESOLRE: Study protocol for a primary school-based, cluster randomised controlled trial of three sun exposure risk prevention strategies on Reunion Island

PRESOLRE: Study protocol for a primary school-based, cluster randomised controlled trial of three sun exposure risk prevention strategies on Reunion Island

A systematic scoping review of racial, ethnic, and socioeconomic health disparities in pediatric dermatology

Survey of Sun Protection Policies in Juvenile Detention Centers in Pennsylvania: Are we also Protecting Vulnerable Communities?

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