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Racial Disparities in Fifth-grade Sun Protection: Evidence from the Healthy Passages Study
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9 2018
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Source: Pediatr Dermatol. 35(5):588-596
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Alternative Title:Pediatr Dermatol
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Personal Author:
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Description:BACKGROUND AND OBJECTIVES
Despite rising skin cancer rates among children, multiple studies reveal inadequate youth sun-protective behavior (e.g., sunscreen use). Using Healthy Passages data for fifth-graders, we hypothesized sunscreen adherence is low among these children and investigated factors related to sunscreen performance.
METHODS
Survey data were collected from 5,119 fifth-graders and their primary caregivers. Logistic regression assessed associations between sunscreen adherence and performance of other preventive health behaviors (e.g., flossing, helmet use) and examined predictors of sunscreen adherence. Analyses were repeated in non-Hispanic Black, Hispanic, and non-Hispanic White subgroups.
RESULTS
Sunscreen was almost always used by 23.4% of all students (N=5,119), 5.9% of Non-Hispanic Blacks (N=1,748), 23.7% of Hispanics (N=1,802), and 44.8% of non-Hispanic White students (N= 1,249). Performing other preventive health behaviors was associated with higher odds of sunscreen adherence (all p<0.001), with the highest adjusted odds ratio for flossing teeth (2.41, 95% Confidence Interval 1.86 – 3.13, p<.001). Factors for lower odds of sunscreen adherence include being male, non-Hispanic Black or Hispanic, and having lower socioeconomic status. School-based sun-safety education and involvement in team sports were not significant factors.
CONCLUSIONS
Our data confirm low use of sun protection among fifth-graders. Future research should explore how public health success in increasing prevalence of other preventive health behaviors may be applied to enhance sun protection messages. Identifying risk factors for poor adherence enables providers to target patients who need more education. Improving educational policies and content in schools may be an effective way to address sun-safety.
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Pubmed ID:29962040
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Pubmed Central ID:PMC6168341
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Volume:35
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Issue:5
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