School-based interventions to improve sun-safe knowledge, attitudes and behaviors in childhood and adolescence: A systematic review

Reyes-Marcelino, Gillian; Wang, Rhona; Gultekin, Sinem; Humphreys, Lauren; Smit, Amelia K.; Sharman, Ashleigh R.; Laurent, Andrea G. St; Evaquarta, Rosa; Dobbinson, Suzanne

doi:10.1016/j.ypmed.2021.106459

Cited by 19 publications

(17 citation statements)

References 87 publications

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“…Protective methods were higher in one study located in a cloudy environment with 66% utilizing sunscreen sometimes or more, 82% wearing sunglasses, and 80% wearing long-sleeved shirts [ 11 ]. Sun protective behaviors may be an appropriate avenue to address the high levels of sunburn in this population as a systematic review of school-based sun safety interventions found that most interventions improved sun protection behaviors but few were able to reduce the time students were spending in the sun [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

Association of Sun Safety Behaviors and Barriers with Sunburn History in College Students in a Region with High UV Exposure

2022

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Over five million cases of skin cancer are diagnosed each year in the United States with melanoma the third most common cancer in young adults. While publications have shown that sunburns increase the risk of developing melanoma throughout the lifetime including in adolescence and adulthood showing the importance of altering sun exposing behaviors throughout the lifetime, use of sun protection in college students remails low. In Fall 2019, an online survey of undergraduate students living on campus at a large southwestern university was conducted to determine the frequency of recent sunburns as well as sun protective behaviors and perceived knowledge of and barriers to sun protection. Associations between knowledge, behaviors, and barriers with self-reported sunburn were evaluated using logistic regression. Over 46% of 458 students reported at least one sunburn in the past three months and 21% reported having multiple sunburns in that period. Furthermore, 53% reported that they intentionally tanned their skin outdoors occasionally or more frequently, while 6.4% reported using an indoor tanning bed occasionally or more. Adjusted for skin sensitivity, recent sunburn history was associated with higher tanning activity scores and with high agreement that tanning was attractive (p < 0.01). This information can inform a more targeted series of intervention programming on the university campus.

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Section: Discussionmentioning

confidence: 99%

Association of Sun Safety Behaviors and Barriers with Sunburn History in College Students in a Region with High UV Exposure

2022

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“…Almost every study which correlated self-reported sun behavioral changes, after indicating intent to change, showed no actual behavioral changes were made two to four weeks after the surveys were taken. A total of 87% of studies reporting effectiveness of increasing knowledge of sun exposure indicated participants effectively increased knowledge about sun safety [2].…”

Section: Child Adolescent and Young Adult Uv Exposure Attitudes And B...mentioning

confidence: 99%

“…It is estimated that 25-50% of ultraviolet (UV) exposure up until age 60 occurs during childhood It is also estimated that 25-50% of UV exposure up until age 60 occurs during childhood. Furthermore, it is estimated that a child receives three times the amount of UV exposure that adults do, annually [2]. Therefore, protecting children and adolescents is paramount to potentially lowering the incidence of skin cancer from exposure to UV light as a child.…”

Section: Introductionmentioning

confidence: 99%

“…The best results from educating children about sun safety occur during grade school [3]. Reducing the incidence of skin cancer may be obtainable through behavioral changes in childhood, but designing strategies is difficult since most data regarding UV exposure in children is limited and mostly from interviews and surveys [2,4]. It has been suggested that schools are the best resource to implement changes and educate children about UV exposure [2].…”

Section: Introductionmentioning

confidence: 99%

“…Reducing the incidence of skin cancer may be obtainable through behavioral changes in childhood, but designing strategies is difficult since most data regarding UV exposure in children is limited and mostly from interviews and surveys [2,4]. It has been suggested that schools are the best resource to implement changes and educate children about UV exposure [2]. A common theme is participants may be educated about the drawbacks of UV exposure, but knowledge alone is not enough to change sun protective behaviors.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Attitudes, Behaviors, and Risks of Sun Protection to Prevent Skin Cancer Amongst Children, Adolescents, and Adults

Raymond-Lezman¹,

Riskin²

2023

Cureus

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Skin cancer is the most common cancer diagnosis worldwide. Many factors are involved in the development of skin cancers, but ultraviolet (UV) light exposure is the most modifiable. Our lifetime cumulative UV exposure may be a result of poor sun protection practices in childhood and adolescence. Modifying the attitudes and behaviors of children can be done in the classroom, at recreational activities, and at home. A review of the literature was conducted using Embase and PubMed to examine the relationship between attitudes and behaviors as they relate to sun protection strategies. Well-developed, standardized sun protection educational programs are needed to instruct children and adolescents. Individualized counseling from physicians or online programs is needed to help parents increase sun-safe standards for their children. Many young women utilize indoor tanning beds frequently, but many instructional programs increased their tanning bed usage. Time should be allotted at schools, sports practices, camps, and other outdoor activities for sunscreen reapplication. Many parents and children report the media is their primary source of information about sun safety. Media outlets may positively change attitudes and behaviors when reporting about sun safety. Parents and children need individualized programs or counseling to reduce ultraviolet (UV) exposure and increase sun protection. At-risk populations need tailored instruction, but few strategies have worked to decrease UV exposure.

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The formative evaluation and pre‐testing of a SunSmart policy implementation support toolkit targeting sun safe hat‐wearing in NSW primary schools

Russo

King

Elliott

2023

Health Prom J of Aust

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Issue AddressedStrategies that support the implementation of the SunSmart program in primary schools are essential to optimising policy uptake. Evidence outlining the type of support required, however, is lacking. This project explored the usefulness of an implementation support approach to sun safe hat‐wearing in schools.MethodsFormative research was undertaken with 16 primary schools in Greater Western Sydney to explore current sun protection behaviours and practices, perceived barriers and motivators of sun safe hat‐wearing, and resource needs. Based on these insights, a resource toolkit was developed and tested in 14 demonstration sites. Follow‐up interviews evaluated the usefulness of the toolkit and implementation support approach.ResultsSun safe hat‐wearing practices varied among schools. Commonly reported motivators included school policies, role modelling, incentives and knowledge. Commonly reported barriers included negative social norms, forgetfulness, cost and lack of understanding. Formative insights informed the development of the ‘Motivation, Access, Triggers’ Model and a 23‐resource toolkit. Following toolkit rollout, champions reported that the ability to select resources according to local needs was useful, and most found that the toolkit supported their school with sun safe hat‐wearing.ConclusionsA toolkit with local champions and leadership buy‐in has the potential to improve policy implementation. The opportunity to prioritise resource selection enables schools to address their specific needs in line with their sun protection policy.So What?The provision of policy implementation support can help schools overcome the challenges of transforming a written SunSmart policy into practice.

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School-based interventions to improve sun-safe knowledge, attitudes and behaviors in childhood and adolescence: A systematic review

Cited by 19 publications

References 87 publications

Association of Sun Safety Behaviors and Barriers with Sunburn History in College Students in a Region with High UV Exposure

Association of Sun Safety Behaviors and Barriers with Sunburn History in College Students in a Region with High UV Exposure

Attitudes, Behaviors, and Risks of Sun Protection to Prevent Skin Cancer Amongst Children, Adolescents, and Adults

The formative evaluation and pre‐testing of a SunSmart policy implementation support toolkit targeting sun safe hat‐wearing in NSW primary schools

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