Counseling About Skin Cancer Prevention Among Adolescents: What Do Parents Receive From Health Care Providers?

Counseling About Skin Cancer Prevention Among Adolescents: What Do Parents Receive From Health Care Providers?
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关于青少年皮肤癌预防的咨询:父母从医疗保健提供者那里得到什么?

DOI:
10.1016/j.jadohealth.2017.05.006
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发表时间:
2017
期刊:
The Journal of adolescent health : official publication of the Society for Adolescent Medicine
影响因子:
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通讯作者:
Gilkey,MelissaB
Gilkey,MelissaB
中科院分区:
--
文献类型:
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作者:
McRee,Annie-Laurie;Mays,Darren;Kornides,MelanieL;Gilkey,MelissaB

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目的青春期是紫外线照射的高危时期,紫外线照射是晚年皮肤癌的主要原因。我们试图描述青少年父母接受医疗服务提供者提供的皮肤癌预防咨询(SCP)的特征。方法2016年,我们对11-17岁青少年的父母(n=1,253)进行了一项在线调查。结果只有一半(49%)的父母回忆起与他们的孩子的提供者讨论过任何关于皮肤癌预防的话题;防晒霜的患病率最高(39%),室内日光浴的患病率最低(3%)。父母接受咨询的几率更大,如果他们的孩子有更多的阳光反应性皮肤(优势比[OR]=1.53),有皮肤癌家族史(OR=1.38),或者与提供者的关系质量更高(OR=1.47;ALP<0.05)。结论需要更多地关注SCP咨询,特别是对于暴露在青少年中仍然普遍但很少在临床接触中解决的暴露。
PurposeAdolescence is a high-risk period for ultraviolet radiation exposure, a primary cause of skin cancer later in life. We sought to characterize receipt of health care provider-delivered counseling about skin cancer prevention (SCP) among parents of adolescents.MethodsIn 2016, we conducted an online survey with a national sample of parents of adolescents aged 11–17 years (n = 1,253). Multivariable logistic regression assessed correlates of receiving counseling from a health care provider about any of the six skin cancer prevention (SCP) topics.ResultsOnly half (49%) of parents recalled discussing any SCP topic with their child's provider; the prevalence was highest for sunscreen (39%) and lowest for indoor tanning (3%). Parents had greater odds of receiving counseling if they had a child with more sun-reactive skin (odds ratio [OR] = 1.53); a family history of skin cancer (OR = 1.38); or a higher quality relationship with the provider (OR = 1.47; allp< .05).ConclusionsGreater attention to SCP counseling is needed, especially for exposures such as indoor tanning that remain prevalent among adolescents but are rarely addressed in clinical encounters.
家长报告从儿科提供者处获得青少年预防性健康咨询服务。
DOI: 10.1016/j.pec.2013.10.003
发表时间: 2014
影响因子: 3.5
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