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http://dx.doi.org/10.7314/APJCP.2015.16.4.1529

Sun Burn Incidence and Knowledge of Greek Elementary and High School Children about Sun Protection  

Saridi, Maria Ioannis (Faculty of Social Sciences, University of Peloponnese)
Toska, Aikaterini George (Faculty of Social Sciences, University of Peloponnese)
Rekleiti, Maria Dimitrios (Department of Nursing, University of Peloponnese)
Tsironi, Maria (Department of Nursing, University of Peloponnese)
Geitona, Maria (Faculty of Social Sciences, University of Peloponnese)
Souliotis, Kyriakos (Faculty of Social Sciences, University of Peloponnese)
Publication Information
Asian Pacific Journal of Cancer Prevention / v.16, no.4, 2015 , pp. 1529-1534 More about this Journal
Abstract
Introduction: Overexposure to sun radiation and particularly its accumulation during childhood and adolescence is a significant risk factor for skin cancer development. The sun burn is particularly important. Aim: To estimate sun burn incidence in young pupils in a coastal area of Greece. Materials and Methods: Two surveys were conducted in a school population in the same district in Greece, over different periods of time, in young people 9 to 18 years old (n=2 977). Anonymous questionnaires were completed. Levels of significance were two-tailed and statistical significance was set at p=0.05. SPSS 17.0 software was used for statistical analysis. Results: From the individual characteristics of the participants it was shown that the majority of them had dark hair and fair skin, whereas a significant percentage reported the existence of moles on face and their body (83.4% vs 68.1%). The sun burn incidence was high in adolescents and the younger pupils (41.9% vs 55.6%). The younger aged children who were living in an urban area had significantly higher rates of sun burn than those living in semi-urban areas (33.8% vs 24.8%, p=0.020). As far as the knowledge of pupils about the risks of sun radiation it was shown that the elementary school pupils had better knowledge than those at high school. Finally, those with better knowledge had the fewer sun burns (Mean 2.83 SD 0.87, p<0.001). Conclusions: The contribution of knowledge to the decrease of sun burn incidence is important as long as this is continuous. Therefore, the education should concern not only children but also teachers and parents in the context of continuous and systematic programs of health education.
Keywords
Sunburn; sunscreen; child health; sun exposure; melanoma; Greece;
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1 Aalborg J, Morelli JG, Mokrohisky ST, et al (2009). Tanning increased nevus development in very-light-skinned children without red hair. Arch Dermatol, 5, 989-96.
2 Alberg A J, Herbs RM, Genkinger JM, et al (2002). Knowledge, attitudes, and behaviors toward skin cancer in Maryland youths. J Adolesc Health, 31, 372-7.   DOI
3 Al-Naggar RA, Al-Naggar TH, Bobryshev YV (2011). Perceptions and opinions towards skin cancer prevention in Malaysia: a qualitative approach. Asian Pac Cancer Prev, 12, 995-9.
4 Andsoy II, Gul A, Sahin AO, et al (2013). What Turkish nurses know and do about skin cancer and sun protective behavior. Asian Pac J Cancer Prev, 14, 7663-8.   DOI
5 Livingston PM, White V, Hayman J, et al (2003). Sun exposure and sun protection behaviours among Australian adolescents: trends overtime. Prev Med, 37, 577-84.   DOI
6 Maksymilian Gajda, Grazyna Kaminska-Winciorek (2014). Do not let to be late: overview of reasons for melanoma delayed diagnosis. Asian Pac J Cancer Prev, 15, 3873-7.   DOI
7 Malak AT, Yildirim P, Yildiz Z, et al (2013). Effects of training about skin cancer on farmers' knowledge level and attitudes. Asian Pac J Cancer Prev, 12, 117-20.
8 Mah L, Di Giovine P, Quinn L, et al (2013). Paediatric sunburn: the experience of an Australian paediatric burns unit. J Paediatr Child Health, 49, 654-7.   DOI
9 McLoone JK, Meiser B, Karatas J, et al (2014) .Perceptions of melanoma risk among Australian adolescents: barriers to sun protection and recommendations for improvement. Aust N Z J Public Health, 38, 321-5.   DOI
10 Miles A, Waller J, Hiom S, et al (2005). Sun smart? skin cancer knowledge and preventive behaviour in a British population representative sample. Health Educ Res, 20, 579-85.   DOI   ScienceOn
11 Molgo N M, Castillo A C, Valdes FR, et al (2005). Sun exposure behaviors and knowledge. Revista Medica Chile, 133, 662-6.
12 Nikolaou V, Stratigos AJ, Antoniou C, et al (2009). Sun exposure behavior and protection practices in a Mediterranean population: a questionnaire-based study. Photodermatol Photoimmunol Photomedicine, 25, 132-7.   DOI
13 Patruno C, Scalvenzi M, Megna M,et al (2014). Melanocytic nevi in children of southern Italy: dermoscopic, constitutional, and environmental factors. Pediatr Dermatol, 31, 38-42.   DOI
14 Cafri G, Thompson JK, Roehrig M, et al (2008). Appearance motives to tan and not tan: Evidence for validity and reliability of a new scale. Ann Behav Med, 35, 209-20.   DOI
15 Armstrong BK, Kricker A (2001). The epidemiology of UV induced skin cancer. J Photochem Photobiol B, 63, 8-18.   DOI   ScienceOn
16 Bandura A (1997). Self-efficacy: The exercise of control. W.H. USA: Freeman and Company Pbl.
17 Buller DB, Buller MK, Reynolds KD (2006). A survey of sun protection policy and education in secondary schools. J Am Academy Dermatol, 54, 427-32.   DOI
18 Cheng S, Lian S, Hao Y, et al (2010). Sun-exposure knowledge and protection behavior in a North Chinese population: a questionnaire-based study. Photodermatol Photoimmunol Photomedicine, 26, 177-81.   DOI
19 Cokkinides V, Weinstock M, Glanz K, et al (2006). Trends in sunburns, sun protection practices, and attitudes toward sun exposure protection and tanning among us adolescents, 1998-2004. Pediatrics, 118, 853-64.   DOI   ScienceOn
20 Dalli D, Ogce F, Okcin FA (2004). Knowledge of the effects of sun exposure of Turkish high school students and their sun bathing habits. Asian Pac J Cancer Prev, 5, 366-9.
21 Diaz JH, Diaz JH ( 2013). Updates for responsible sun exposure behavior and photoprotection in the south. J La State Med Soc, 165, 277-82.
22 Duignan M, Signal L, Thomson G (2014). Good intentions, but inadequate practices - sun protection in early childhood centres, a qualitative study from New Zealand. N Z Med J, 127, 40-50.
23 El-Khateeb EA, Lotfi RA, Abd Elaziz KM, et al 2014). Prevalences of skin diseases among primary schoolchildren in Damietta. Egypt, 53, 609-16.
24 Pustisek N, Sikanic-Dugic N, Hirsl-Hecej V, et al (2010). Acute skin sun damage in children and its consequences in adults. Coll Antropol, 34, 233-7.
25 Reynolds KD, Buller DB, Yaroch A L, et al (2006). Mediation of a middle school skin cancer prevention program. Health Psychology, 25, 616-25.   DOI
26 Williams AL, Grogan S, Clark-Carter D, et al (2013). Appearance-based interventions to reduce ultraviolet exposure and/or increase sun protection intentions and behaviours: A systematic review and meta-analyses. Br J Health Psychol, 18, 182-217.   DOI
27 Wright C, Reeder AI, Gray A, et al (2008). Child sun protection: sun-related attitudes mediate the association between children's knowledge and behaviours. J Paediatrics Child Health, 44, 692-8.   DOI
28 Ramazzotti V, Cercato MC, Terrenato I, et al (2011). Skin cancer risk factors in childhood: findings of a survey conducted within Italian areas with a different incidence of melanoma. Epidemiol Prev, 35, 82-8.
29 Reinau D, Meier CR, Gerber N, et al (2014). Evaluation of a sun safety education programme for primary school students in Switzerland. Eur J Cancer Prev, 23, 303-9.   DOI
30 Saraiya M, Glanz K, Briss PA, et al (2004). Interventions to prevent skin cancer by reducing exposure to ultraviolet radiation: a systematic review. Am J Prev Med, 27, 422-6.
31 Saridi M, Toska A, Rekleiti M, et al (2012). Sun-protection habits of primary students in a coastal area of Greece. J Skin Cancer, 2012, 629652.
32 Saridi Ma, Rekleiti M, Toska A, et al (2014). Skin cancer prevention and sun protection habits in children. epidemiology I - Theory, Res Practice, 1st Edition , Concept Press Ltd.
33 Gefeller O, Li J, Uter W, et al B(2014). The impact of parental knowledge and tanning attitudes on sun protection practice for young children in Germany. Int J Environ Res Public Health, 11, 4768-81.   DOI
34 Ergul S, Ozeren E (2011). Sun protection behavior and individual risk factors of Turkish primary school students associated with skin cancer:a questionnaire-based study. Asian Pac J Cancer Prev, 12, 765-70.
35 Everett Jones S, O'Malley Olsen E, Michael SL, et al (2013). Association of UV index and sunscreen use among White high school students in the United States. J Sch Health, 83, 750-6.   DOI
36 Garbe C, Leiter U (2009). Melanoma epidemiology and trends. Clin Dermatol, 27, 3-9.   DOI
37 Gilaberte Y, Alonso JP, Teruel MP, et al (2008). Evaluation of a health promotion intervention for skin cancer prevention is Spain: the SolSano program. Health Promot Intern, 23, 209-19.   DOI
38 Glanz K, McCarty F, Nehl EJ, et al (2009). Validity of selfreported sunscreen use by parents, children, and lifeguards. Am J Prev Med, 36, 63-9.   DOI
39 Gritz ER, Tripp MK, Peterson SK, et al (2013). Randomized controlled trial of a sun protection intervention for children of melanoma survivors. Cancer Epidemiol Biomarkers Prev, 22, 1813-24.   DOI
40 Hall HI, McDavid K, Jorgensen CM, et al (2001). Factors associated with sunburn in white children aged 6 months to 11 years. Am J Prev Med, 20, 9-14.   DOI
41 Hawryluk EB, Liang MG (2014). Pediatric melanoma, moles, and sun safety. Pediatr Clin North Am, 61, 279-91.   DOI
42 Hoang MT, Eichenfield LF (2000). The rising incidence of melanoma in children and adolescents. Dermatol Nursing, 12, 188-92.
43 Suppa M, Cazzaniga S, Fargnoli MC, et al (2013). Knowledge, perceptions and behaviours about skin cancer and sun protection among secondary school students from Central Italy. J Eur Acad Dermatol Venereol, 27, 571-9.   DOI
44 Saridi MIb, Rekleiti MD, Toska AG, et al (2014a). Assessing a sun protection program aimed at Greek elementary school students for malign melanoma prevention. Asian Pac J Cancer Prev, 15, 5009-18.   DOI
45 Saridi Mc, Toska A, Rekleiti M, et al (2014). An educational intervention in primary school students regarding sun protection: a pilot study. Primary Health Care, 4,1.
46 Savona MR, Jacobsen MD, James R, et al (2005). Ultraviolet radiation and the risks of cutaneous malignant melanoma and non-melanoma skin cancer: perceptions and behaviours of Danish and American adolescents. Eur J Cancer Prev, 14, 57-62.   DOI
47 Tripp MK, Vernon SW, Gritz ER, et al (2013). Children's skin cancer prevention: a systematic review of parents' psychosocial measures. Am J Prev Med, 44, 265-73.   DOI
48 Volkov A, Dobbinson S, Wakefield M, et al (2013). Seven-year trends in sun protection and sunburn among Australian adolescents and adults. Aust N Z J Public Health, 37, 63-9.   DOI
49 Wong JR, Harris JK, Rodriguez-Galindo C, et al (2013). Andersson C, Engardt M (2010). European ozone in a future climate: Importance of changes in dry deposition and isoprene emissions. J Geophysical Res: Atmospheres, 115.
50 World Health Organization (2003). Sun protection and schools: how to make a difference. Geneva.
51 Wright C, Reeder AI, Gray A, et al (2008). Child sun protection: sun-related attitudes mediate the association between children's knowledge and behaviours. J Paediatrics Child Health, 44, 692-8.   DOI
52 Kyle RG, Macmillan I, Forbat L, et al (2014). Scottish adolescents' sun-related behaviours, tanning attitudes and associations with skin cancer awareness: a cross-sectional study. MJ Open, 4, 005137.
53 Jones B, Oh C, Corkery E, et al (2007). Attitudes and perceptions regarding skin cancer and sun protection behaviour in an Irish population. J Eur Acad Dermatol Venereol, 21, 1097-101.   DOI   ScienceOn
54 Kanavy HE, Gerstenblith MR (2011). Ultraviolet radiation and melanoma. Semin Cutan Med Surg, 30, 222-8.
55 Kyle RG, Nicoll A, Forbat L, et al (2013). Adolescents' awareness of cancer risk factors and associations with healthrelated behaviours. Health Educ Res, 28, 816-27.   DOI
56 LaBat K, De Long M, Gahring SA(2005). A longitudinal study of sun-protective attitudes and behaviors. Family Consumer Sci Res J, 33, 240-54.   DOI
57 Larsman P, Eklof M, Torner M (2012). Adolescents' risk perceptions in relation to risk behaviour with long-term health consequences; antecedents and outcomes: a literature review. Saf Sci, 50, 1740-8.   DOI
58 Li J, Uter, W, Pfahlberg A, et al (2011). Parental perspective on sun protection for young children in Bavaria. Photodermatol Photoimmunol Photomed, 27, 196-202.   DOI
59 Li J, Uter,W, Pfahlberg A, et al (2012). comparison of patterns of sun protection during beach holidays and everyday outdoor activities in a population sample of young German children. Br J Dermatol, 166, 803-10.   DOI
60 Linabery A M, Ross J A (2008). Trends in childhood cancer incidence in the U.S. (1992-2004). Cancer, 112, 416-32.   DOI
61 Zerefos CS (2002). Long-term ozone and UV variations at Thessaloniki, Greece. Physics Chemistry Earth, 27, 455-60.   DOI