Changes in the pattern of sun exposure and sun protection in young children from tropical Australia

被引:15
|
作者
Smith, Annika [1 ,2 ]
Harrison, Simone [1 ]
Nowak, Madeleine [1 ]
Buettner, Petra [1 ]
MacLennan, Robert [1 ,3 ]
机构
[1] James Cook Univ, Sch Publ Hlth Trop Med & Rehabil Sci, Skin Canc Res Grp, Townsville, Qld 4811, Australia
[2] Royal N Shore Hosp, Sydney, NSW, Australia
[3] Queensland Inst Med Res, Brisbane, Qld 4006, Australia
基金
英国医学研究理事会;
关键词
early childhood; melanocytic nevi; skin cancer prevention; sun exposure; sun protection; sunburn; trends over time; tropical Australia; MELANOCYTIC NEVI; SKIN-CANCER; PRIMARY PREVENTION; SUNSCREEN USE; RISK-FACTOR; QUEENSLAND; MELANOMA; PREVALENCE; TRIAL;
D O I
10.1016/j.jaad.2012.10.057
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Background: Australia has one of the highest rates of skin cancer globally. Lifetime risk is associated with childhood sun exposure. Objective: We sought to investigate whether skin cancer prevention programs have resulted in improvements in sun-exposure and sun-protection behavior among young children in tropical Australia. Methods: Two cohorts of 12-to 35-month-old children from Townsville, Australia, were compared: cohort 1 was recruited from hospital birth records (1991) and cohort 2 was recruited via local child-care centers (1999-2002). Children's phenotypic characteristics were assessed. Parents completed questionnaires detailing children's demographic characteristics, and sun-exposure and sun-protective practices. Results: Although 1-year-old children from cohort 2 spent more time in the sun than those from cohort 1 (median 2.2 vs 2.8 h/d; P = .002), a higher proportion almost always wore sunscreen and a swim-shirt year round. Although more 1-year-old children in cohort 2 had experienced a sunburn (35.5% vs 51.2%; P = .007), both cohort 2 age groups experienced fewer hours of sun exposure to the back of the trunk (P < .001), were less likely to have been sunburned on the back/shoulders (age 1 year 34.8% vs 10.1% and age 2 years 52% vs 10.1%; P < . 001), and acquired fewer melanocytic nevi at these sites (P < . 001). Limitations: There was potential for socially desirable responses (information bias). Conclusion: Although duration of sun exposure in early childhood did not decrease during an 8-year period, reported use of personal sun protection did. The observed increase in popularity of swim-shirts and sunscreen between cohorts coincided with the development of significantly fewer melanocytic nevi in these children. (J Am Acad Dermatol 2013;68:774-83.)
引用
收藏
页码:774 / 783
页数:10
相关论文
共 50 条
  • [1] Sun exposure and sun protection in young European children:: an EORTC multicentric study
    Severi, G
    Cattaruzza, MS
    Baglietto, L
    Boniol, M
    Doré, JF
    Grivegnée, AR
    Luther, H
    Autier, P
    [J]. EUROPEAN JOURNAL OF CANCER, 2002, 38 (06) : 820 - 826
  • [2] Children's sun exposure and sun protection: Prevalence in Australia and related parental factors
    Dobbinson, Suzanne
    Wakefield, Melanie
    Hill, David
    Girgis, Afaf
    Aitken, Joanne F.
    Beckmann, Kerri
    Reeder, Anthony I.
    Herd, Natalie
    Spittal, Matthew J.
    Fairthorne, Andrew
    Bowles, Kelly-Ann
    [J]. JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 2012, 66 (06) : 938 - 947
  • [3] Melanocytic nevi in very young children: The role of phenotype, sun exposure, and sun protection
    Whiteman, DC
    Brown, RM
    Purdie, DM
    Hughes, MC
    [J]. JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 2005, 52 (01) : 40 - 47
  • [4] Sun exposure and sun protection of children in South of France
    Vergnes, C
    Daures, JP
    Sancho-Garnier, H
    Bousquet, J
    Pourin-Bourdonneau, C
    Grabar, S
    Picot, E
    Meynadier, J
    [J]. ANNALES DE DERMATOLOGIE ET DE VENEREOLOGIE, 1999, 126 (6-7): : 505 - 512
  • [5] SUN EXPOSURE AND SUN PROTECTION
    Wulf, Hans Christian
    [J]. ANTICANCER RESEARCH, 2024, 44 (05)
  • [6] SUN EXPOSURE, SUN PROTECTION, AND SMOKING
    Hunt, Yvonne
    Augustson, Erik
    Yaroch, Amy
    Rutten, Lila
    Moser, Richard
    [J]. ANNALS OF BEHAVIORAL MEDICINE, 2011, 41 : S140 - S140
  • [7] Sun exposure and sun protection behaviours among young adult sport competitors
    Lawler, Sheleigh
    Spathonis, Kym
    Eakin, Elizabeth
    Gallois, Cindy
    Leslie, Eva
    Owen, Neville
    [J]. AUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH, 2007, 31 (03) : 230 - 234
  • [8] Sunburn and sun protection among young children
    McGee, R
    Williams, S
    Glasgow, H
    [J]. JOURNAL OF PAEDIATRICS AND CHILD HEALTH, 1997, 33 (03) : 234 - 237
  • [9] Sun Protection Practices and Sun Exposure among Children with a Parental History of Melanoma
    Glenn, Beth A.
    Lin, Tiffany
    Chang, L. Cindy
    Okada, Ashley
    Wong, Weng Kee
    Glanz, Karen
    Bastani, Roshan
    [J]. CANCER EPIDEMIOLOGY BIOMARKERS & PREVENTION, 2015, 24 (01) : 169 - 177
  • [10] Sun exposure, sun protection, and vitamin D
    Robinson, JK
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2005, 294 (12): : 1541 - 1543