Skin cancer prevention campaign in childhood: survey based on 3676 children in Brazil

Criado, Paulo Ricardo; Ocampo‐Garza, Jorge; Brasil, Anne Lise Dias; Belda, Walter; Chiacchio, Nilton Di; Moraes, A.M. de; M, Parada; Rabay, F.O.; Moraes, Omar Khayyam Duarte do Nascimento; Rios, Rosângela Silqueira Hickson; Silva, C.S. da; Ferreira, Felicia; Mandelbaum, S.H.; Vasconcellos, C Adriana

doi:10.1111/jdv.14740

Cited by 9 publications

(6 citation statements)

References 22 publications

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“…In previous analyses, we revealed that caregivers’ self-perception as a role model is also associated with use of sun protection measures in the child [ 11 ]. This supports the assumption that the caregivers’ attitude as well as their own sun protection behaviors are important for children’s behavior [ 21 , 41 , 42 , 43 ] and deserve particular attention in future prevention campaigns [ 11 ].…”

Section: Discussionsupporting

confidence: 78%

Sun Protection and Tanning Behaviors in Caregivers: Prevalence, Determinants, and Associations with Children’s Behaviors

Diehl

Thoonen

Breitbart³

et al. 2022

IJERPH

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The association between skin cancer and ultraviolet radiation (UVR) is well established, and sun protection behavior represents an important preventative measure. In children, caregivers play a key role in this regard. The subject of this study was threefold: whether caregivers of 1 to 11 year-old children are more likely to use sun protection measures compared to non-caregivers, whether considering oneself a role model is associated with sun protection behaviors, and whether their sun protection and risk behaviors are related to children’s behaviors. We used data from the 2020 wave of the National Cancer Aid Monitoring (NCAM) comprised of 4000 individuals (including 554 caregivers of at least one child aged 1–10 years) aged 16 to 65 years and living in Germany. Data were collected through telephone interviews between October and December 2020. No significant differences between caregivers and non-caregivers regarding sun protection and risk behaviors were identified (except tanning on vacation). In both groups, sun protection behaviors were deficient. Caregivers who considered themselves role models concerning sun safety were more likely to use sun protection measures (e.g., using sunscreen on the face: OR = 5.08, p < 0.001). In addition, caregivers’ sun protection behaviors were positively associated with children’s behaviors. Caregivers being highly protected against UVR were more likely to report the use of different measures by/in the child (mean = 4.03), compared to caregivers with medium (3.41) and low (2.97, p < 0.001) protection levels. However, we also found that caregivers’ risk behavior was associated with children’s reported risk behavior. For future prevention, it might be worth focusing on the aspect of caregivers serving as role models. A comprehensive public-health strategy is needed, including key figures such as pediatricians to prevent today’s children from developing skin cancer in later life.

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Section: Discussionsupporting

confidence: 78%

Sun Protection and Tanning Behaviors in Caregivers: Prevalence, Determinants, and Associations with Children’s Behaviors

Diehl

Thoonen

Breitbart³

et al. 2022

IJERPH

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“…Fourth, especially young children cannot protect themselves and thus depend on their parents [11], who therefore play an important role for sun protection during childhood. Moreover, parents can act as a role model for their children not only with their attitudes towards sun protection but especially with their own sun protection behavior [12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

“…Previous studies exploring sun protective practices of children have mostly reported a positive association with younger age [11,[16][17][18][19] and sensitive fair skin [18][19][20], while mixed results are found for parents' age [15,16] and children's sex [18][19][20]. Although studies on sun protective guidance for children exist, it is often difficult to draw conclusions for nationwide prevention campaigns that target parents because studies have often been conducted in kindergarten [16,21], preschool [20], or school settings [13]. In addition, many studies have been conducted outside Europe [13][14][15]17,18,22], which does not allow the drawing of conclusions for European countries due to the different latitude.…”

Section: Introductionmentioning

confidence: 99%

“…Although studies on sun protective guidance for children exist, it is often difficult to draw conclusions for nationwide prevention campaigns that target parents because studies have often been conducted in kindergarten [16,21], preschool [20], or school settings [13]. In addition, many studies have been conducted outside Europe [13][14][15]17,18,22], which does not allow the drawing of conclusions for European countries due to the different latitude. Studies from Germany comprise regionally limited samples from Bavaria and therefore do not allow for a comprehensive description of use of sun protection measures in children in Germany [16,20,21,23].…”

Section: Introductionmentioning

confidence: 99%

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Sun Protection and Sunburn in Children Aged 1–10 Years in Germany: Prevalence and Determinants

et al. 2021

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Seeking shade, the use of textile sun protection and sunscreen, and protecting one’s eyes by wearing sunglasses are recommended sun protection measures in children. We aimed to quantify the use of these measures as well as the prevalence of sunburn in children aged 1 to 10 years in Germany and to identify their determinants. Data collected via telephone interviews in a nationwide sample of 554 parents or caregivers in family were analyzed. Use of sunscreen was the most common measure applied (77.8%), while sunglasses were least frequently used (12.5%). The prevalence of sunburn during the past year was 21.8%, and it was positively associated with children’s age. The use of sun protection measures was significantly associated with the age and skin color of the child, while characteristics and tanning behaviors of the caregivers only played a minor role. The use of sun protection measures was higher when caregivers perceived themselves as a role model (Odds Ratio (OR) = 4.33, p < 0.001). Our nationwide data show that there remains a need for the improved use of sun protection measures, especially in children aged 7 to 10 years. In educational material, parents should be encouraged to become positive role models for their children regarding sun protection.

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“…Today, as social media and apps are widely used, their application in primary prevention campaigns may increase campaign efficacy, although this has yet to be investigated. These channels can be used to deliver and promote the most important messages (e.g., self-skin examination method) population-wide and may be prioritized in the near future [42][43][44].…”

Section: Discussionmentioning

confidence: 99%

Results of a Primary Skin-Cancer-Prevention Campaign in Early Childhood on Sun-Related Knowledge and Attitudes in Southern Hungary

Horváth

Evelin

Oláh

et al. 2021

Cancers

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Avoidance of ultraviolet (UV) exposure in early childhood is important for reducing the lifetime risk of developing skin cancer. The goal of the present prospective, multicenter pilot study was to assess the sun-protection practices in kindergartens and daycare centers and to evaluate sun protection knowledge and behavior among caregivers employed in the surveyed facilities. The study consisted of two parts. A baseline questionnaire was completed by the caregivers in relation to knowledge regarding basic sun protection and sun protection practices of the participating facilities. Afterward, a thirty-minute presentation was hosted in reference to this topic. Six months following the presentation, a follow-up questionnaire was distributed among the caregivers, evaluating the attitude-related and behavioral changes towards children. A total of 153 caregivers from five daycare centers (children between 6 months and 3 years of age) and sixteen kindergartens (children between 3 and 7 years of age) willfully participated in our study. According to our results, the main source of information regarding sun protection originated from different types of media. We found that staying in shaded areas and the use of protective clothing were not frequent in the facilities. Following our presentation regarding skin types and sunscreen use, protective measures improved, but not significantly (p = 0.222). The majority (92.31%) of caregivers distributed the information throughout their environment and also to parents. Sun protection knowledge is necessary; however, motivation among caregivers and parents and involvement of children is also relevant. Hence, a continuous, repetitive educational program regarding sun-smart behavior is deemed essential.

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Skin cancer prevention campaign in childhood: survey based on 3676 children in Brazil

Abstract: Educative sun exposure programmes in childhood are a relevant tool to modify the history of life for next generations, to concern the skin cancer and good health practices.

Cited by 9 publications

References 22 publications

Sun Protection and Tanning Behaviors in Caregivers: Prevalence, Determinants, and Associations with Children’s Behaviors

Sun Protection and Tanning Behaviors in Caregivers: Prevalence, Determinants, and Associations with Children’s Behaviors

Sun Protection and Sunburn in Children Aged 1–10 Years in Germany: Prevalence and Determinants

Results of a Primary Skin-Cancer-Prevention Campaign in Early Childhood on Sun-Related Knowledge and Attitudes in Southern Hungary

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