Letter to the Editor
Letter to the Editor
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DOI：
10.1111/j.1440-1754.2009.01636.x
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发表时间：
2009-12
影响因子：
1.7
通讯作者：
Z. Gooi;Raymand Lee;Kenneth K. Y. Wong;P. Tam
中科院分区：
文献类型：
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作者：
Z. Gooi;Raymand Lee;Kenneth K. Y. Wong;P. Tam
我们感谢 de Cock 和同事对我们结果的看法。我们以数据中的关系为指导，其中一些关系可能是偶然的。我们还承认，不同社会的孩子在不同年龄阶段父母对他们行为的影响程度会有所不同。我们现在将解决所提出的具体问题。首先，当我们结合年龄组（8岁和12岁）调查儿童防晒相关知识、态度和日常行为之间的关联时，我们的模型结果表明，知识和行为之间的关系完全由态度调节。当单独考虑年龄组时，情况并非如此。在年龄较大儿童的模型中，从知识到行为的路径不具有统计显着性（路径系数=0.08（0.06），t=1.32）。然而，对于年龄较小的孩子来说，防晒知识和行为之间的关系独立于态度的影响而存在（路径系数=0.19（0.06），t=2.95）。态度部分地调节了知识和行为之间的关系，其中一些知识的影响是由态度解释的，而另一些则独立于态度。这一发现与 de Cock 等人的研究结果相反。预测。就父母的影响而言，随着孩子进入青春期，他们的行为可能不仅会受到父母的影响，正如 de Cock 等人所言。表明，但也更多地受到“有抱负的”同龄人、老年青少年和年轻人提供的亲晒黑模式的影响。这有助于解释为什么他们的态度而不是知识与行为相关，并且与 O’Riordan 等人的研究结果一致。 （2003）正如我们在研究中发现的那样，老年人的保护行为较少。其次，我们同意 de Cock 等人的观点。这种因果关系不能简单地从横断面研究中的统计关联中推断出来。使用纵向研究设计在足够大的儿童样本中测试我们的发现将是理想的。然而，由于我们无法获得此类研究所需的资源，因此假设知识是态度的影响因素。 de Cock 等人指出，除了父母的影响外，肤色和皮肤癌家族史也是影响儿童防晒的可能因素。建议。然而，我们无法获得进行家庭访谈、对儿童肤色进行客观测量以及获取可靠的皮肤癌记录（如果有）所需的大量额外资金。然而，在未来的儿童防晒研究中考虑这些因素并为其制定预算是很有价值的。最后，我们确认，仅靠防晒知识可能不足以影响与阳光相关的行为，但与积极的态度一起可能是行为改变的必要组成部分或调节因素。我们同意进一步的研究将增加对这些关系的理解。
We thank de Cock and colleagues for their perspective on our results. We were guided by the relationships in our data, of which some could have been due to chance. We also acknowledge that the children of different societies will vary in the degree that parents influence their behaviour at different ages. We will now address the specific points raised. First, when we investigated the associations between child sun protection-related knowledge, attitudes and usual behaviours, combining the age groups (age 8 and age 12 years) our model results indicated that the relationship between knowledge and behaviour was fully mediated by attitudes. When age groups were considered in isolation, this was not the case. In the model for the older children, the path from knowledge to behaviour was not statistically significant (path coefficient = 0.08 (0.06), t = 1.32). However, for the younger children, the relationship between sun-protective knowledge and behaviour existed independently of the effect of attitude (path coefficient = 0.19 (0.06), t = 2.95). Attitudes partially mediated the relationship between knowledge and behaviour, where some of the effect of knowledge was explained by attitudes, and some was independent of attitudes. This finding was contrary to what de Cock et al. predicted. With respect to parental influence, as children progress towards adolescence their behaviours are likely not only to become less influenced by their parents, as de Cock et al. suggest, but also more influenced by the pro-tan models that tend to be provided by their ‘aspirational’ peer groups, older adolescents and young adults. This helps to explain why their attitudes rather than knowledge are related to behaviour, and is consistent with the findings by O’Riordan et al. (2003) of less protective behaviours among the older age group, as we found in our study. Second, we agree with de Cock et al. that causality cannot be inferred simply from a statistical association in a cross-sectional study. Testing our findings among a sufficiently large sample of children using a longitudinal study design would be the ideal. However, as the resources necessary for such a study were not available to us, the assumption was made that knowledge was a contributing factor for attitudes. Apart from parental influence, skin colour and family history of skin cancer are plausible factors influencing child sun protection, as de Cock et al. suggest. However, we were unable to obtain the substantial additional funding that would have been required to conduct family interviews, take objective measures of child skin colour and access reliable skin cancer records, if available. However, it would be valuable that these factors be considered and budgeted for in future child sun protection research. Finally, we confirm that sun-protective knowledge alone may not be sufficient to influence sun-related behaviours, but may be a necessary component or moderator, together with positive attitudes, for behavioural change. We agree that further research would increase understanding of these relationships.