Parental sun-protective regimens and prevalence of common melanocytic naevi among 7-year-old children in Sweden: changes over a 5-year period
Parental sun-protective regimens and prevalence of common melanocytic naevi among 7-year-old children in Sweden: changes over a 5-year period
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DOI：
10.1111/j.1365-2133.2011.10214.x
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发表时间：
2011-04-11
影响因子：
10.3
通讯作者：
Rodvall, Y.
中科院分区：
文献类型：
--
作者：
Karlsson, M. A.;Wahlgren, C. F.;Rodvall, Y.
普通黑素细胞痣和皮肤恶性黑色素瘤具有共同的风险特征，受紫外线照射的影响。高密度的普通黑素细胞痣与发生皮肤恶性黑色素瘤的终生风险增加相关。有效的防晒策略，从幼儿期开始，被认为是非常重要的，以减少稳步上升的黑色素瘤trade.ObjectivesTo调查5年的变化，在阳光晒黑的习惯，防晒方案和两个年龄标准化儿童人群之间常见黑色素细胞痣的密度。2002年和2007年在瑞典南部的老年儿童。父母回答了问卷调查，所有的孩子都进行了检查，由同一个，训练有素的研究nurs.ResultsIn，共1190名儿童参加：681在2002年和509在2007年。结果显示，防晒方案，如使用防晒霜（+29%），衣服（+30%），在阳光高峰期呆在阴凉处（+123%）或室内（+136%），都显着增加（P < 0中心点0001）。2岁之前到国外阳光明媚的海滨度假胜地旅行的人数几乎翻了一番（P < 0，中点0001）。校正后的平均每平方米体表痣数显著高于对照组（P <0.05）。（P < 0中心点0001）2007年较低：6中心点6 [95%置信区间（CI）5中心点6-7中心点6]，与11个中心点相比，（95%CI 10中心点0-12中心点0）。结论本研究表明，据报道，近年来，瑞典幼儿的防晒父母的行动;一致的是，观察到较低数量的常见黑色素细胞痣。结果支持使用常见的黑色素细胞痣作为一个客观的措施，阳光照射的儿童。
P>BackgroundCommon melanocytic naevi and cutaneous malignant melanoma share a common risk profile, influenced by ultraviolet radiation exposure. A high density of common melanocytic naevi correlates with an increased lifetime risk of developing cutaneous malignant melanoma. Effective strategies for sun protection, starting in early childhood, are considered of great importance to reduce the steadily rising melanoma trend.ObjectivesTo investigate the 5-year changes in sun tanning habits, sun-protective regimens and density of common melanocytic naevi between two age-standardized populations of children.MethodsPopulation-based cross-sectional study performed among 7-year-old children in southern Sweden in 2002 and 2007. The parents answered a questionnaire and all children were examined by the same, trained research nurse.ResultsIn total, 1190 children were enrolled: 681 in 2002 and 509 in 2007. The results showed that sun-protective regimens, such as use of sunscreen (+29%), clothing (+30%), staying in the shade (+123%) or indoors (+136%) during peak sun hours, had all increased significantly (P < 0 center dot 0001). Travelling to sunny seaside holiday resorts abroad before the age of 2 years had almost doubled (P < 0 center dot 0001). The adjusted mean number of naevi per square metre body surface was significantly (P < 0 center dot 0001) lower in 2007: 6 center dot 6 [95% confidence interval (CI) 5 center dot 6-7 center dot 6], compared with 11 center dot 0 (95% CI 10 center dot 0-12 center dot 0) in 2002.ConclusionsThis study demonstrates increased self-reported parental actions for sun protection of young Swedish children in recent years; in consistency, lower numbers of common melanocytic naevi were observed. Results support the use of common melanocytic naevi as an objective measure of sun exposure in children.