The impact of education on adolescents’ sun behavior: Experiences from Serbia

Miljkovic, Suzana; Baljozovic, Djordje; Krajnović, Dušanka; Tasić, Ljiljana; Sbutega-Milosevic, Gorica

doi:10.2298/sarh1406330m

Cited by 10 publications

(16 citation statements)

References 11 publications

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“…In fact, only one published educational program was implemented for some high school students in Belgrade from 2007 to 2008. The goal of this program was to increase awareness among students of harmfulness of excessive exposure to UVR and to educate them on sun protection measures (32). After analyzing ASIR of NMSC in our study, noticeable differences between gender were found: they were much higher in men than in women during the whole study period (1999-2015).…”

Section: Discussionmentioning

confidence: 78%

Non-melanoma skin cancer in Serbia (1999-2015) -the need for national prevention and control strategy

Ilić¹,

Videnović²,

Kozomara

et al. 2020

VOJNOSANIT PREGL

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by the Editorial Board of the Vojnosanitetski Pregled. They have not yet been copy edited and/or formatted in the publication house style, and the text could still be changed before final publication. Although accepted manuscripts do not yet have all bibliographic details available, they can already be cited using the year of online publication and the DOI, as follows: article title, the author(s), publication (year), the DOI.

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Section: Discussionmentioning

confidence: 78%

Non-melanoma skin cancer in Serbia (1999-2015) -the need for national prevention and control strategy

Ilić¹,

Videnović²,

Kozomara

et al. 2020

VOJNOSANIT PREGL

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“…Sun protection behaviour did not change and results on tanning behaviour were mixed. These mixed results are typical of the few sun protection education intervention studies that have been conducted with adolescents [31,[60][61][62][63][64][65]. For example, a study that used self-report to measure sun protection behaviours and intentions preand post-the delivery of 36 SMS over 12 weeks found significant changes in some behaviours/intentions e.g., use of sunscreen but not others e.g., seeking shade and intentional tanning [39].…”

Section: Discussionmentioning

confidence: 98%

Sun protection education for adolescents: a feasibility study of a wait-list controlled trial of an intervention involving a presentation, action planning, and SMS messages and using objective measurement of sun exposure

et al. 2020

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Background: People increase their risk of melanoma unless they are protected from the harmful effects of sun exposure during childhood and adolescence. We aimed to assess the feasibility of a three-component sun protection intervention-presentation, action planning, and SMS messages -and trial parameters.Methods: This feasibility wait-list trial was conducted in the United Kingdom in 2018. Students aged 13-15 years were eligible. Feasibility outcomes were collected for recruitment rates; data availability rates for objective measurements of melanin and erythema using a Mexameter and self-reported sunburn occurrences, severity and body location, tanning, sun protection behaviours and Skin Self-Examination (SSE) collected before (baseline) and after the school summer holidays (follow-up); intervention reach, adherence, perceived impact and acceptability. Quantitative data were analysed using descriptive statistics; qualitative data were analysed thematically.Results: Five out of eight schools expressing an interest in participating with four allocated to act as intervention and one control. Four parents/carers opted their child out of the study. Four hundred and eighty-seven out of 724 students on the school register consented to the study at baseline (67%). Three hundred and eighty-five were in intervention group schools. Objective skin measurements were available for 255 (66%) of the intervention group at baseline and 237 (61%) of the group at follow up. Melanin increased; erythema decreased. Complete self-report data were available for 247 (64%) students in the intervention group. The number of students on the school register who attended the presentation and given the booklet was 379 (98%) and gave their mobile phone number was 155 (40%). No intervention component was perceived as more impactful on sun protection behaviours. Adolescents did not see the relevance of sun protection in the UK or for their age group.Conclusions: This is the first study to use a Mexameter to measure skin colour in adolescents. Erythema (visible redness) lasts no more than three days and its measurement before and after a six week summer holiday may not yield relevant or meaningful data. A major challenge is that adolescents do not see the relevance of sun protection and SSE.

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“…These mixed results are typical of the few sun protection education intervention studies that have been conducted with adolescents [32,[54][55][56][57][58][59]. For example, a study that used self-report to measure sun protection behaviours and intentions pre-and post-the delivery of 36 SMS over 12 weeks found significant changes in some behaviours/intentions e.g., use of sunscreen but not others e.g., seeking shade and intentional tanning [40].…”

Section: Discussionmentioning

confidence: 99%

Sun protection education for adolescents: A feasibility study of a wait-list controlled trial of an intervention using objective measurement of sun exposure

Hubbard

Cherrie²,

Gray

et al. 2019

Preprint

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Background People increase their risk of melanoma unless they are protected from the harmful effects of sun exposure during childhood and adolescence. We aimed to assess the feasibility of a three-component sun protection intervention- presentation, booklet, and text messages - and trial parameters. Methods This feasibility wait-list controlled trial was conducted in the United Kingdom in 2018. Students aged 13-15 years were eligible. Feasibility outcomes were collected for recruitment rates; data availability rates for objective measurements of melanin and erythema using a Mexameter and self-reported sunburn occurrences, severity and body location, tanning, sun protection behaviours and SSE collected before (baseline) and after the school summer holidays (follow-up); intervention reach, adherence, perceived impact and acceptability. Quantitative data were analysed using descriptive statistics; qualitative data were analysed thematically. Results Five out of eight schools expressing an interest in participating with four allocated to act as intervention and one control. Four parents/carers opted their child out of the study. 487 out of 724 students on the school register consented to the study at baseline (67%). 385 were in intervention group schools. Objective skin measurements were available for 255 (66%) of the intervention group at baseline and 237 (61%) of the group at follow up. Melanin increased; erythema decreased. Complete self-report data were available for 247 (64%) students in the intervention group. The number of students on the school register who attended the presentation and given the booklet was 379 (98%) and gave their mobile phone number was 155 (40%). No intervention component was perceived as more impactful on sun protection behaviours. Adolescents did not see the relevance of sun protection in the UK or for their age group. Conclusions This is the first study to use a Mexameter to measure skin colour in adolescents. Erythema (visible redness) lasts no more than three days and its measurement before and after a six week summer holiday may not yield relevant or meaningful data. A major challenge is that adolescents do not see the relevance of sun protection and SSE.

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The impact of education on adolescents’ sun behavior: Experiences from Serbia

Abstract: Educational program had an impact, but broader activities involving schools, local communities and media are needed for significant changes in sun behavior and attitude.

Cited by 10 publications

References 11 publications

Non-melanoma skin cancer in Serbia (1999-2015) -the need for national prevention and control strategy

Non-melanoma skin cancer in Serbia (1999-2015) -the need for national prevention and control strategy

Sun protection education for adolescents: a feasibility study of a wait-list controlled trial of an intervention involving a presentation, action planning, and SMS messages and using objective measurement of sun exposure

Sun protection education for adolescents: A feasibility study of a wait-list controlled trial of an intervention using objective measurement of sun exposure

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