Counseling parents and children on sun protection: A national survey of pediatricians
Counseling parents and children on sun protection: A national survey of pediatricians
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DOI：
10.1542/peds.2004-1305
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发表时间：
2004-10-01
期刊：
影响因子：
8
通讯作者：
Saraiya, M
中科院分区：
文献类型：
--
作者：
Balk, SJ;O'Connor, KG;Saraiya, M
目标。描述儿科医生对皮肤癌（SC）、防晒（SP）咨询的态度，以及此类咨询的数量和内容，并确定咨询的障碍。2001年10月至2002年2月期间，美国儿科学会定期调查邮寄给1616名随机选择的美国会员。有效率为54.6%。超过90%的儿科医生认为，黑色素瘤是一个重大的公共卫生问题，防止儿童时期间歇性的高日照将降低成人黑色素瘤的风险。然而，只有22.3%的受访者表示对所有年龄组的大多数患者进行了咨询。女儿科医生更有可能为大多数患者提供咨询；与其他地区的儿科医生相比，南部和西部的儿科医生以及在医院/诊所执业的儿科医生提供咨询的可能性最低。大约一半（53%）的儿科医生报告说，他们会根据患者的特征进行选择性咨询，其中最重要的SP建议是使用防晒系数大于或等于15的防晒霜。与使用汽车座椅（86%）、营养（79%）、免疫问题（76%）和吸烟/避免环境烟草烟雾（74%）等其他问题相比，只有38%的儿科医生认为SP对患者的健康非常重要。最常见的障碍是缺乏时间（58%的报告）。尽管大多数儿科医生认为预防SC是一个值得关注的问题，但只有少数儿科医生报告为每个年龄组的大多数患者提供常规SP咨询，大多数儿科医生认为SP的重要性低于其他问题。干预措施可能包括教育病人和儿科医生的项目和材料。为了对增加的SC和SC死亡率产生影响，需要更广泛的公共卫生方法作为儿科医生咨询工作的补充。
Objective. To describe pediatricians' attitudes toward skin cancer (SC), sun protection (SP) counseling, and the quantity and content of such counseling and to identify barriers to counseling.Methods. An American Academy of Pediatrics Periodic Survey was mailed to 1616 randomly selected US members between October 2001 and February 2002. The response rate was 54.6%.Results. More than 90% of pediatricians agreed that SC is a significant public health problem and that preventing episodic high exposures to the sun during childhood will reduce the risk of adult melanoma. However, only 22.3% of respondents reported counseling most patients in all age groups. Female pediatricians were more likely to counsel most patients; pediatricians located in the South and West and those who practice in hospital/clinic settings were least likely to counsel compared with those in other regions. Approximately half (53%) of pediatricians reported selectively counseling on the basis of patient characteristics The most important SP recommendation named was using a sunscreen with a sun protection factor greater than or equal to15. Only 38% of pediatricians rated SP as very important to their patients' health compared with other topics such as use of car seats (86%), nutrition (79%), immunization issues (76%), and smoking/avoidance of environmental tobacco smoke (74%). The most frequently named barrier to SP counseling was lack of time (58% reporting).Conclusions. Although the majority of pediatricians believe that SC prevention is a worthy issue, only a minority reported providing routine SP counseling to most patients in every age group, and most ranked SP lower in importance than other issues. Interventions might include programs and materials to educate patients and pediatricians alike. To have an effect on increasing rates of SC and SC mortality, a broader public health approach is needed as a complement to pediatricians' counseling efforts.