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spacer.gif CDC COMMUNITY GUIDE: Preventing Skin Cancer: Education and Policy Approaches in Outdoor Recreation SettingsCdc spacer.gif
 
Ranking Evidence-Based Practice
Description Interventions in recreational or tourism settings are designed to increase sun-protective knowledge, attitudes, and intentions, and affect behaviors among adults and children. Interventions may include one or more of the following:
• Educational brochures (e.g., culturally-relevant materials, photographs of skin cancer lesions)
• Sun-safety training for, and role-modeling by, lifeguards, aquatic instructors, and recreation staff
• Sun-safety lessons, interactive activities, and incentives for parents and children
• Increasing available shaded areas
• Provision of sunscreen
• Point-of-purchase prompts

The Task Force on Community Preventive Services recommends educational and policy approaches for adults in recreational settings, based on sufficient evidence of effectiveness in improving the sun-protective behavior of covering up. There was insufficient evidence of effectiveness in reducing sunburn due to inconsistent results.
Results / Accomplishments Results from the Systematic Reviews:
Eleven studies qualified for the review.

• Adult sun-protective behavior of wearing protective clothing (hat or shirt): median relative difference of 11.2% (interquartile range 5.1% to 12.9%; 5 study arms)
• Children's sun protective behavior of wearing a hat, wearing a shirt, and seeking shade: inconsistent effects
• Incidence of children's sunburn: 41.2% decrease (2 study arms)
• Incidence of adults' sunburn: inconsistent effects (2 studies)
• Children's sunscreen use: median relative increase of 9.8% (5 study arms)
• Composite sun protective behaviors: median relative increase of 15.4% (5 study arms)
• Available reports found inconsistent effects on the adult outcomes including:
- Information-seeking behavior or follow-up study participation (1 study)
- Knowledge (3 studies)
- Attitudes or beliefs (2 studies)
- Intentions (4 studies)
- Sun-protection measures and environmental supports at outdoor recreational centers or swimming pools (3 studies)
• Most of the interventions contributing to this review:
- Took place in diverse outdoor recreational, tourism and geographical settings
- Included participants with ages ranging from 6.5 years to 79 years
- Were based on studies conducted with a predominantly white population
- Were conducted among predominantly female populations
Categories Health / Cancer
Source Community Guide Branch Epidemiology and Analysis Program Office, Centers for Disease Control and Prevention
Location Country: USA
Primary Contact communityguide@cdc.gov
For more details http://www.thecommunityguide.org/index.html

http://www.thecommunityguide.org/cancer/skin/ed...
Target Audience Children, Adults
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