Abstract
Objective: This paper presents the results of the evaluation of measured suntan and parent-reported sun exposure in participating children after 2 years of the Kidskin study, a 5-year school-based sun protection intervention undertaken in Perth, Western Australia (1995–1999).
Methods: The study involves three groups: a control, a “moderate”, and a “high” intervention group. Participants were 5 or 6 years of age at the beginning of the study. Control schools received the standard Health Education curriculum, while intervention schools received a multicomponent intervention including a specially designed curriculum. Children in the high intervention group also received program materials over the summer vacation and were offered sun-protective swimwear at low cost. At the end of the second summer, suntan was measured and parents completed a questionnaire about their child's sun-related behavior.
Results: Children in the intervention groups – especially the high group – were less tanned at the end of the summer; this effect was greater for the back than for the forearms. These children were also reported to have received less sun exposure and made greater use of sun protection measures.
Conclusion: Intensive school-based interventions can reduce tanning and reported sun exposure in children.
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Armstrong BK, Kricker A (1993) How much melanoma is caused by sun exposure? Melanoma Res 3: 395–401.
Armstrong BK, English DR (1996) Cutancous malignant melanoma. In: Schottenfeld D, Fraumeni JF, Jr, eds. Cancer Epidemiology and Prevention. New York: Oxford University Press, pp. 1282–1312.
Giles GG, Marks R, Foley P (1988) Incidence of non-melanocytic skin cancer treated in Australia. BMJ 296: 13–17.
Parkin D, Whelan S, Ferlay J, Raymond L, Young J (1997) Cancer Incidence in Five Continents, Vol. VII: 1996 (IARC Scientific Publications No. 143). Lyon: IARC, 1997.
Buller D, Borland R (1998) Public education projects in skin cancer prevention: child care, school and college-based. Clin Dermatol 16: 447–459.
Borland R, Hill D, Noy S (1990) Being sunsmart: changes in community awareness and reported behaviour following a primary prevention program for skin cancer control. Behaviour Change 7: 126–135.
Girgis A, Sanson-Fisher RW, Tripodi DA, Golding T (1993) Evaluation of interventions to improve solar protection in primary schools. Health Educ Q 20: 275–287.
Schofield JL, Tripodi DA, Girgis A, Sanson-Fisher RW (1991) Solar protection issues for schools: policy, practice and recommendations. Aust J Public Health 15: 135–141.
Bennetts K, Borland R, Swerissen H (1991) Sun protection behaviour of children and their parents at the beach. Psychol Health 5: 279–287.
Dixon H, Borland R, Hill D (1999) Sun protection and sunburn in primary school children: the influence of age, gender and coloring. Prev Med 28: 119–130.
Buller DB, Borland R (1999) Skin cancer prevention for children: a critical review. Health Educ Behav 26: 317–343.
Buller D, Buller M, Beach B, Ertl G (1996) Sunny days, healthy ways: evaluation of a skin cancer prevention curriculum for elementary school-aged children. J Am Acad Dermatol 35: 911–922.
Mayer J, Slymen D, Eckhardt L, et al. (1997) Reducing ultraviolet radiation exposure in children. Prev Med 26: 516–522.
Milne E, English DR, Cross D, Corti B, Costa C, Johnston R (1999) Evaluation of an intervention to reduce sun exposure in children: design and baseline results. Am J Epidemiol 150: 164–173.
Education Department of Western Australia. (1985) Health Education K-10 Syllabus. Perth: William C. Brown.
Janz N, Becker M (1984) The health belief model: A decade later. Health Educ Q 11: 1–47.
Bandura A (1977) Social Learning Theory. Englewood Cliffs: Prentice Hall.
Brown B (1978) Found: Long Term Gains from Early Intervention. Boulder, Co: Westview Press.
Dwyer T, Muller H, Blizzard L, Ashbolt R, Philips G (1998) The use of spectrophotometry to estimate melanin density in Caucasians. Cancer Epidemiol Biomakers Prev 7: 203–206.
Murray DM, Wolfinger RD (1994) Analysis issues in the evaluation of community trials: progress toward solutions in SAS/STAT MIXED. J Commun Psychol 140–154.
Zucker D (1990) An analysis of variance pitfall: the fixed effects analysis in a nested design. Edu Psychol Meas. 50: 731–738.
Roy C, Gies H, Toomey S (1996) Monitoring UV-B at the Earth's surface. Cancer Forum 20: 173–179.
Armstrong BK, White E, Saracci R (1992) Principles of Exposure Measurement in Epidemiology. New York: Oxford University Press.
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Milne, E., English, D.R., Johnston, R. et al. Reduced sun exposure and tanning in children after 2 years of a school-based intervention (Australia). Cancer Causes Control 12, 387–393 (2001). https://doi.org/10.1023/A:1011294023498
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DOI: https://doi.org/10.1023/A:1011294023498