Evaluation of a Sun Safety Education Program for High School Students in Beijing, China
Volume 6, Issue 2, March 2017, Pages: 94-99
Received: Feb. 8, 2017;
Accepted: Mar. 9, 2017;
Published: Mar. 28, 2017
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Dihui Lai, Department of Dermatology, Beijing Chuiyangliu Hospital, Beijing, China
Jianchun Hao, Department of Dermatology, Beijing Chuiyangliu Hospital, Beijing, China
Yu Fu, Department of Dermatology, Beijing Chuiyangliu Hospital, Beijing, China
Shaowei Cheng, Department of Dermatology, Beijing Chuiyangliu Hospital, Beijing, China
Actions in reducing excessive sun exposure during childhood and adolescence has been a goal of a series of programs. The objective of this study was to evaluate a multi-component high school-based intervention program to increase sun safety knowledge and sun protection behaviors among students in Beijing, China. Volunteers from three high schools in Beijing were randomized to three groups. Group A was given a 2-year intervention program consisting of multi-unit presentations plus a series of educational materials. Group B was given a 1-year intervention program with educational materials only. Group C was served as a control group. Questionnaires were answered by the three groups at baseline, year 1, and year 2. In our study, group A achieved significant improvements in all six questions about the sun and sunscreen knowledge at year 1. Group B achieved significant improvements in two questions. Both groups A and B achieved significant improvements in avoiding sun exposure at noon and seeking shade. Group A achieved improvements in almost all sun knowledge and sun protection behaviors, with the exception of using sunglasses, at year 2 compared with year 1. We conclude that school-based sun protection intervention increases student knowledge and changes student sun protection behaviors. The 2-year program could achieved better results than the 1-year program.
Evaluation of a Sun Safety Education Program for High School Students in Beijing, China, Education Journal.
Vol. 6, No. 2,
2017, pp. 94-99.
Copyright © 2017 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Whiteman DC, Whiteman CA, Green AC. Childhood Sun Exposure as a Risk Factor for Melanoma: A Systematic Review of Epidemiologic Studies. Cancer Causes Control 2001: 12: 69-82.
Corona R, Dogliotti E, D’Errico M, et al. Risk Factors for Basal Cell Carcinoma in a Mediterranean Population: Role of Recreational Sun Exposure Early in Life. Arch Dermatol 2001: 137: 1162-1168.
Truhan AP. Sun protection in childhood. Clin Pediatr 1991: 30: 676-681.
Turner D, Harrison SL, Buettner P, Nowak M. School sun-protection policies-does being SunSmart make a difference? Health Educ Res 2014: 29: 367-377.
Reinau D, Meier CR, Gerber N, Surber C. Evaluation of a sun safety education programme for primary school students in Switzerland. Eur J. Cancer Prev 2014: 23: 303-309.
Reinau D, Meier C, Gerber N, Hofbauer GF, Surber C. Sun protective behaviour of primary and secondary school students in North-Western Switzerland. Swiss Med Wkly 2012: 142: w13520.
Geller AC, Shamban J, O'Riordan DL, Slygh C, Kinney JP, Rosenberg S. Raising sun protection and early detection awareness among Florida high schoolers. Pediatr Dermatol 2005: 22:112-118.
Emmons KM, Geller AC, Viswanath V, et al. The SunWise Policy intervention for school-based sun protection: a pilot study. J. Sch Nurs 2008: 24: 215-221.
Davis R, Loescher LJ, Rogers J, et al. Evaluation of Project Students are Sun Safe (SASS): A. University Student-Delivered Skin Cancer Prevention Program for Schools. J. Cancer Educ 2015: 30: 736-742.
Cheng S, Guan X, Cao M, Liu Y, Zhai S. Randomized trial of the impact of a sun safety program on volunteers in outdoor venues. Photodermatol Photoimmunol Photomed 2011: 27: 75-80.
Sancho-Garnier H, Pereira B, Césarini P. A. cluster randomized trial to evaluate a health education programme "Living with Sun at School". Int J. Environ Res Public Health 2012: 9: 2345-2361.
Dadlani C, Orlow SJ. Planning for a brighter future: A. review of sun protection and barriers to behavioral change in children and adolescents. Dermatol Online J 2008 Sep 15: 14: 1.
Hawkes AL, Hamilton K, White KM, McD Young R. A. randomised controlled trial of a theory-based intervention to improve sun protective behaviour in adolescents (’you can still be HOT in the shade’): study protocol. BMC Cancer 2012 Jan 3: 12: 1.
Buller DB, Borland R. Skin cancer prevention for children: A. critical review. Health Educ Behavior 1999: 26: 317-341.
Girgis A, Sanson-Fisher RW, Tripodi DA, Golding T. Evaluation of interventions to improve solar protection in primary schools. Health Educ Q. 1993: 20: 275-287.
Buller DB, Taylor AM, Buller MK, Powers PJ, Maloy JA, Beach BH. Evaluation of the sunny days, healthy ways sun safety curriculum for children in kindergarten through fifth grade. Pediatr Dermatol 2006: 23: 321–329.
Hunter S1, Love-Jackson K, Abdulla R, et al. Sun protection at elementary schools: a cluster randomized trial. J. Natl Cancer Inst 2010: 102: 484-492.
Olson AL, Gaffney C, Starr P, Gibson JJ, Cole BF, Dietrich AJ. SunSafe in the Middle School Years: a community-wide intervention to change early-adolescent sun protection. Pediatrics 2007: 119: e247-256.
Norman GJ1, Adams MA, Calfas KJ, et al. A randomized trial of a multicomponent intervention for adolescent sun protection behaviors. Arch Pediatr Adolesc Med 2007: 161: 146-152.