a Clalit Health Services , Southern District, Beer-Sheva , Israel.
b The Department of Family Medicine and Siaal Research Center for Family Practice and Primary Care, Faculty of Health Sciences , Ben-Gurion University of the Negev , Beer-Sheva , Israel.
Postgrad Med. 2018 Jun;130(5):477-480. doi: 10.1080/00325481.2018.1478596. Epub 2018 Jun 1.
Vitamin D is an important component of bone metabolism. Skin cells synthesize vitamin D when exposed to the sun. However, prolonged sun exposure damages the skin and increases the risk for skin cancer. The objective is to evaluate and compare the attitudes and recommendations of family doctors, dermatologists, and endocrinologists on exposure to the sun and vitamin D.
In a cross-sectional study, a questionnaire was completed by personal interview in a study population of 78 family doctors, 21 dermatologists, and 22 endocrinologists.
On a scale of 1-10, the mean score for recommendations to reduce sun exposure was 4.7 for dermatologists, 4.2 for endocrinologists, and 6.4 for family doctors (p < 0.001). Family doctors recommended a mean daily exposure to the sun of 67.4 min compared to 41.4 by dermatologists, and 47.1 by endocrinologists (p = 0.007). Dermatologists and endocrinologists were more likely to recommend protective measures such as hats and long sleeves during sun exposure than family doctors (p < 0.0001). There were no statistically significant differences between male and female doctors for the entire study population.
There is little consensus among these medical practitioners, whether specialists or primary care doctors, concerning sun exposure. Further studies should evaluate the optimal duration and intensity of sun exposure and doctors' recommendations should be based on the findings.
维生素 D 是骨骼代谢的重要组成部分。皮肤细胞在暴露于阳光下时会合成维生素 D。然而，长时间暴露在阳光下会损害皮肤并增加患皮肤癌的风险。目的是评估和比较家庭医生、皮肤科医生和内分泌科医生对阳光照射和维生素 D 的态度和建议。
在一项横断面研究中，通过个人访谈完成了一项针对 78 名家庭医生、21 名皮肤科医生和 22 名内分泌科医生的研究人群的问卷。
在 1-10 的评分尺度上，皮肤科医生建议减少阳光照射的平均得分为 4.7，内分泌科医生为 4.2，家庭医生为 6.4（p<0.001）。家庭医生建议每天平均暴露在阳光下的时间为 67.4 分钟，而皮肤科医生为 41.4 分钟，内分泌科医生为 47.1 分钟（p=0.007）。与家庭医生相比，皮肤科医生和内分泌科医生更倾向于在阳光照射时建议采取保护措施，如戴帽子和穿长袖（p<0.0001）。对于整个研究人群，男女医生之间没有统计学上的显著差异。
这些医疗从业者之间，无论是专家还是初级保健医生，对阳光照射的看法几乎没有共识。应进一步研究评估阳光照射的最佳持续时间和强度，医生的建议应基于研究结果。
