Manganoni Ausilia Maria, Cainelli Tullio, Zumiani Giuseppe, Bufalino Rosaria, Calzavara-Pinton Piergiacomo, Camerini Tiziana, Tucci Giovanna, Baldi Marzia, Venturini Marina, Marini Giovanni, Cascinelli Natale
Department of Dermatology, University Hospital Spedali Civili, Brescia, Italy.
Tumori. 2005 Mar-Apr;91(2):116-20. doi: 10.1177/030089160509100202.
Sunburn during childhood is associated with an increased risk for developing melanoma in an adult age. The aim of the present study was to define the validity of our educational program in order to teach the positive effects and risks of sun exposure during childhood.
We conducted a population-based, case-control study in primary schools of three towns in Northern Italy (Brescia, Bergamo and Trento) between 2001 and 2002. The study was carried out on 1945 pupils (aged 8-9 years) and included 1309 case children who received an educational program before the summer to increase awareness towards sun exposure and 636 control children who did not. Parents of case and control children were interviewed using a questionnaire about their children's skin characteristics, sun protective behavior and sunburns. The questionnaire was completed twice, before and after the summer, to verify the changes of sun exposure habits.
A significant decrease in sunburns was demonstrated in the group of subjects who received the educational program, indicating the validity of our operative procedure (from 14.6% to 10%, P = 4 x 10(-4).
Our educational melanoma program may be important to disseminate in a wider range of children a correct education on sun exposure during childhood.
儿童期晒伤与成年后患黑色素瘤的风险增加有关。本研究的目的是确定我们的教育项目的有效性，以便传授儿童期阳光暴露的积极影响和风险。
2001年至2002年期间，我们在意大利北部三个城镇（布雷西亚、贝加莫和特伦托）的小学进行了一项基于人群的病例对照研究。该研究对1945名学生（8 - 9岁）进行，其中包括1309名病例儿童，他们在夏季前接受了一项提高对阳光暴露认识的教育项目，以及636名未接受该项目的对照儿童。通过问卷调查对病例组和对照组儿童的家长进行访谈，了解他们孩子的皮肤特征、防晒行为和晒伤情况。该问卷在夏季前后各填写一次，以核实阳光暴露习惯的变化。
接受教育项目的受试者组晒伤情况显著减少，表明我们的操作程序是有效的（从14.6%降至10%，P = 4×10⁻⁴）。
我们的黑色素瘤教育项目对于向更广泛的儿童传播关于儿童期阳光暴露的正确教育可能很重要。
