Sun protection practices and sun exposure among children with a parental history of melanoma.
Sun protection practices and sun exposure among children with a parental history of melanoma.
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DOI：
10.1158/1055-9965.epi-14-0650
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发表时间：
2015-01
期刊：
影响因子：
--
通讯作者：
Bastani R
中科院分区：
文献类型：
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作者：
Glenn BA;Lin T;Chang LC;Okada A;Wong WK;Glanz K;Bastani R
黑色素瘤幸存者的一级亲属患黑色素瘤的终生风险比没有家族史的个体高得多。暴露于紫外线辐射是该疾病的主要可变风险因素。通过防晒来减少紫外线照射对父母有黑色素瘤病史的儿童尤为重要。尽管如此，有限的先前研究调查了这些儿童的防晒措施和阳光照射。加州癌症登记处被用来确定黑色素瘤幸存者有资格参加一项调查，以评估他们的孩子的防晒措施和阳光照射。该调查通过邮件、电话或网络对至少有一个孩子的拉丁裔和非拉丁裔白色黑素瘤幸存者（0-17岁; N = 324）进行。阳光照射很高，晒伤率相当于或高于平均风险人群的估计值。防晒措施的使用不理想。拉丁裔儿童不太可能戴防晒霜和帽子，更可能戴太阳镜，尽管这些差异在调整后的分析中消失了。儿童年龄的增加与较低的防晒保护和较高的晒伤风险有关，而黑色素瘤的客观风险较高则预示着防晒保护的改善和晒伤的风险较高。高防晒屏障的感知是防晒最强的可改变的相关性。需要采取干预措施，以改善防晒和减少高危儿童的阳光照射和晒伤。对高危人群进行干预可能有助于减轻美国黑色素瘤的负担。
First-degree relatives of melanoma survivors have a substantially higher lifetime risk for melanoma than individuals with no family history. Exposure to ultraviolet radiation is the primary modifiable risk factor for the disease. Reducing UV exposure through sun protection may be particularly important for children with a parental history of melanoma. Nonetheless, limited prior research has investigated sun protection practices and sun exposure among these children. The California Cancer Registry was used to identify melanoma survivors eligible to participate in a survey to assess their children's sun protection practices and sun exposure. The survey was administered by mail, telephone, or web to Latino and non-Latino white melanoma survivors with at least one child (0–17 years; N = 324). Sun exposure was high and the rate of sunburn was equivalent to or higher than estimates from average risk populations. Use of sun protection was suboptimal. Latino children were less likely to wear sunscreen and hats and more likely to wear sunglasses, although these differences disappeared in adjusted analyses. Increasing age of the child was associated with lower sun protection and higher risk for sunburn whereas higher objective risk for melanoma predicted improved sun protection and a higher risk for sunburns. Perception of high barriers to sun protection was the strongest modifiable correlate of sun protection. Interventions to improve sun protection and reduce sun exposure and sunburns in high risk children are needed. Intervening in high risk populations may help reduce the burden of melanoma in the U.S.