Department of Preventive and Social Medicine, University of Otago, Cancer Society of New Zealand Social & Behavioural Research Unit, Dunedin School of Medicine, Dunedin, New Zealand.
Health Educ Res. 2012 Oct;27(5):844-56. doi: 10.1093/her/cys092. Epub 2012 Aug 20.
Before the 2005 launch of the New Zealand SunSmart Schools Accreditation Programme (SSAP), 242 randomly sampled primary schools completed a mail survey about sun protection policies, practices, curriculum and environment. A 2009 follow-up included 189 (78%) and their mean Total Accreditation Score (TAS = total SSAP requirements met, range 0-12), increased by 0.8 (95% CI 0.5-1.2, P < 0.001) from 7.8 (95% CI 7.4-8.1) to 8.6 (95% CI 8.3-8.9) with evidence changes differed between regions (P = 0.024). The 2009 mean TAS varied by region (range 7.9-9.4, unadjusted P = 0.004, adjusted P = 0.013) with no clear pattern, but likely resource allocation association. TAS of schools acknowledging input from Health Promoting Schools demonstrated a tendency towards being statistically significantly higher by 0.5 (95% CI -0.1 to 1.1, P = 0.082), but statistically significantly higher by 1.1 (95% CI 0.5-1.7, P < 0.001) for schools acknowledging Cancer Society input. Lowest attainment was for the clothing (43%), shade (52%) and curriculum (55%) criteria. Key perceived barriers were cost, particularly of shade and limited support by parents and others. Schools which had not applied for accreditation identified lack of programme awareness and 'other priorities' as barriers; further information, better resourcing and training assistance as key needs. Observed positive change justifies increased support to consolidate gains and achieve sustainable universality.
在 2005 年新西兰阳光安全学校认证计划（SSAP）启动之前，242 所随机抽样的小学完成了一项关于防晒政策、实践、课程和环境的邮件调查。2009 年的后续调查包括 189 所（78%）及其平均总认证评分（TAS=SSAP 要求的总分，范围为 0-12），比 2009 年的 7.8（95%CI 7.4-8.1）增加了 0.8（95%CI 0.5-1.2，P<0.001）至 8.6（95%CI 8.3-8.9），并且证据表明地区之间的变化有所不同（P=0.024）。2009 年的平均 TAS 因地区而异（范围为 7.9-9.4，未调整的 P=0.004，调整后的 P=0.013），没有明显的模式，但可能与资源分配有关。承认健康促进学校投入的学校的 TAS 倾向于统计学上显著高 0.5（95%CI-0.1 至 1.1，P=0.082），而承认癌症协会投入的学校的 TAS 统计学上显著高 1.1（95%CI 0.5-1.7，P<0.001）。最低的是服装（43%）、遮荫（52%）和课程（55%）标准。主要的感知障碍是成本，特别是遮荫的成本和家长及其他人的支持有限。未申请认证的学校认为缺乏项目意识和“其他优先事项”是障碍；进一步的信息、更好的资源和培训援助是关键需求。观察到的积极变化证明了增加支持以巩固成果并实现可持续普及的合理性。
