Details:

Alternative Title:
Pediatrics
Personal Author:
Balk, Sophie J. ; Gottschlich, Elizabeth A. ; Holman, Dawn M. ; Watson, Meg
Balk, Sophie J. ; Gottschlich, Elizabeth A. ; Holman, Dawn M. ; Watson, Meg Less -
Description:
BACKGROUND

The US Preventive Services Task Force recommends clinical counseling for individuals ages 10 to 24 years to decrease skin cancer risk.

METHODS

A national, random sample of US American Academy of Pediatrics members practicing primary care in 2002 (response rate 55%) and 2015 (response rate 43%). Surveys explored attitudes and experiences regarding sun protection counseling; indoor tanning questions were added in 2015. χ2 tests compared demographics and counseling responses across years, and multivariable logistic regression models examined counseling predictors.

RESULTS

More pediatricians in 2015 (34%) than in 2002 (23%) reported discussing sun protection during recent summer months with ≥75% of patients. This pattern held across all patient age groups (each P <.001). Female and suburban pediatricians counseled more; those in the South and West counseled less. More pediatricians in 2015 than in 2002 named time as a barrier. Sun protection ranked lowest among preventive topics in both years. In 2015, approximately one-third of pediatricians reported discussing indoor tanning at least once with 10 to 13 year-old patients; approximately half discussed this with older adolescents. Most (70%) did not know if their states had laws on minors’ indoor tanning access; those stating they knew whether a law existed counseled more.

CONCLUSIONS

Although improved, sun protection counseling rates remain low. Indoor tanning counseling can be improved. Because early-life exposure to UV radiation increases risk and clinician counseling can positively impact prevention behaviors, pediatricians have an important role in skin cancer prevention; counseling may save lives. Time constraints remain a barrier.


Subjects:
[+]
Adult Aged Article Counseling Female Follow-Up Studies Humans Incidence Male Middle Aged Retrospective Studies Skin Skin Neoplasms Sunbathing Sunburn Surveys And Questionnaires
Source:
Pediatrics. 140(6).
Pubmed ID:
29127209
Pubmed Central ID:
PMC5892197
Document Type:
Journal Article
Funding:
CC999999/Intramural CDC HHS/United States
Place as Subject:
United States
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:2597034588472a80ef1654944ba94c9064f79bc9bb12a7076b7c65be45429bb2
Download URL:
https://stacks.cdc.gov/view/cdc/53219/cdc_53219_DS1.pdf
File Type:

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