Interdisciplinary Perspectives on Sun Safety.

Interdisciplinary Perspectives on Sun Safety.
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DOI:
10.1001/jamadermatol.2017.4201
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发表时间:
2018-01-01
期刊:
影响因子:
10.9
通讯作者:
Suls J
Suls J
中科院分区:
医学1区
文献类型:
--
作者:
Geller AC;Jablonski NG;Pagoto SL;Hay JL;Hillhouse J;Buller DB;Kenney WL;Robinson JK;Weller RB;Moreno MA;Gilchrest BA;Sinclair C;Arndt J;Taber JM;Morris KL;Dwyer LA;Perna FM;Klein WMP;Suls J

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过度暴露在阳光下会增加患黑色素瘤和非黑色素瘤皮肤癌的风险,但防晒行为改善的迹象很少。试图确定皮肤癌控制中的新兴主题在很大程度上是由来自单一领域的专家小组推动的。2016年12月,来自不同学科的19名专家齐聚一堂,参加由美国国家科学院主办的为期两天的皮肤癌跨学科展望会议。该小组讨论了知识差距、对阳光暴露的看法、对皮肤癌风险和其他健康后果的影响,以及新的方向。讨论产生了五个主题:(1)必须扩大风险的定义,必须改进皮肤生理学的类别,以纳入人群的多样性。(2)危险的阳光暴晒往往与其他与健康有关的行为并存。(3)信息必须细致入微,以针对高危人群。(4)必须识别和治疗有晒黑障碍风险的人。(5)Sun安全干预必须是可扩展的。将需要有效利用技术,以便向特定人群传递信息,并将其纳入多层次干预措施。进一步的跨学科研究应该解决这些新出现的主题,以建立有效和可持续的方法来应对大规模的行为变化。
Overexposure to the sun is associated with an increased risk of melanoma and nonmelanoma skin cancer, but indications of improvements in sun protection behavior are poor. Attempts to identify emerging themes in skin cancer control have largely been driven by groups of experts from a single field. In December 2016, 19 experts from various disciplines convened for Interdisciplinary Perspectives on Skin Cancer, a 2-day meeting hosted by the National Academy of Sciences. The group discussed knowledge gaps, perspectives on sun exposure, implications for skin cancer risk and other health outcomes, and new directions. Five themes emerged from the discussion: (1) The definition of risk must be expanded, and categories for skin physiology must be refined to incorporate population diversities. (2) Risky sun exposure often co-occurs with other health-related behaviors. (3) Messages must be nuanced to target at-risk populations. (4) Persons at risk for tanning disorder must be recognized and treated. (5) Sun safety interventions must be scalable. Efficient use of technologies will be required to sharpen messages to specific populations and to integrate them within multilevel interventions. Further interdisciplinary research should address these emerging themes to build effective and sustainable approaches to large-scale behavior change.
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