Hedevik Henrik, Guorgis Ghassan, Anderson Chris D, Falk Magnus
Statistician, Department of Medical and Health Sciences, Division of Physiotherapy, Linköping University, Linköping, Sweden.
Doctoral Student, Department of Medical and Health Sciences, Division of Community Medicine, Primary Care, Linköping University, Linköping, Sweden.
BJGP Open. 2019 Oct 29;3(3). doi: 10.3399/bjgpopen19X101653. Print 2019 Oct.
In the light of increasing skin cancer incidences worldwide, preventive measures to promote sun protection in individuals with risky sun habits have continued relevance and importance.
To report the long-term effect of individualised sun protection advice given in primary health care (PHC), on sun habits and sun protection behaviour.
DESIGN & SETTING: In 2005, 309 PHC patients were enrolled in a randomised controlled study performed in a Swedish PHC setting.
At baseline, the study participants completed a Likert scale-based questionnaire, mapping sun habits, propensity to increase sun protection, and attitudes towards sun exposure, followed by randomisation into three intervention groups, all receiving individualised sun protection advice: in Group 1 ( = 116) by means of a letter, and in Group 2 ( = 97) and 3 ( = 96) communicated personally by a GP. In Group 3, participants also underwent a skin ultraviolet-sensitivity phototest, with adjusted sun protection advice based on the result. A repeated questionnaire was administered after 3 and 10 years.
Statistically significant declines were observed in all groups for sun exposure mean scores over time. When using a cumulative score, according to the Sun Exposure and Protection Index (SEPI), significantly greater decrease in SEPI mean score was observed in Groups 2 and 3 (GP), compared to Group 1 (letter); <0.01. The addition of a phototest did not enhance the effect of the intervention.
Individualised sun protection advice mediated verbally by the GP can lead to sustained improvement of sun protective behaviour.
鉴于全球皮肤癌发病率不断上升，针对有不良日晒习惯人群推广防晒的预防措施仍具有持续的相关性和重要性。
报告初级卫生保健（PHC）中提供的个性化防晒建议对日晒习惯和防晒行为的长期影响。
2005年，309名初级卫生保健患者参与了在瑞典初级卫生保健机构进行的一项随机对照研究。
在基线时，研究参与者完成了一份基于李克特量表的问卷，该问卷用于描绘日晒习惯、增加防晒的倾向以及对日晒的态度，随后被随机分为三个干预组，所有组均接受个性化防晒建议：第1组（n = 116）通过信件方式，第2组（n = 97）和第3组（n = 96）由全科医生亲自沟通。在第3组中，参与者还接受了皮肤紫外线敏感性光测试，并根据测试结果调整防晒建议。在3年和10年后进行了重复问卷调查。
随着时间推移，所有组的日晒平均得分在统计学上均有显著下降。根据日晒与防护指数（SEPI）使用累积得分时，与第1组（信件方式）相比，第2组和第3组（全科医生）的SEPI平均得分下降更为显著，P < 0.01。增加光测试并未增强干预效果。
由全科医生口头提供的个性化防晒建议可导致防晒行为持续改善。
