Department of Medicine, Health and Caring Sciences, Linköping University, SE-581 83 Linköping, Sweden.
Association of Dermatological Prevention [ADP], 20457 Hamburg, Germany.
Int J Environ Res Public Health. 2020 Aug 25;17(17):6172. doi: 10.3390/ijerph17176172.
The Sun Exposure and Protection Index (SEPI) is a brief instrument for scoring of sun exposure habits and propensity to increase sun protection, previously validated in English and in Swedish, as well as in two different outdoor sun intensity environments (Australia and Northern Europe). The aim of the present study was to study reliability and validity of a German translated version of the SEPI to be used in German-speaking populations. Data was collected at University of Flensburg and at Hamburg University of Applied Sciences from November 2018 to April 2019. Participants (n = 205) filled out the SEPI and also a selection of corresponding questions from the Austrian Vienna UV Questionnaire in German. After three weeks, the participants filled out the SEPI once again in order to assess test-retest stability. Of the 205 participants completing the baseline questionnaire, 135 participants completed it once again after three weeks. Internal consistency, by Cronbach's alpha, for the baseline responses was 0.70 (95% C.I: 0.63-0.76) for SEPI part 1 (sun exposure habits) and 0.72 (95% C.I: 0.66-0.78) for part 2 (propensity to increase sun protection). Test-retest stability was high, with weighted Kappa >0.6 for all items but one, and the instrument correlated well with the previously validated German-language UV Skin Risk Survey Questionnaire. In conclusion, the German version of SEPI can reliably be used for mapping of individual sun exposure patterns.
日光暴露与防护指数（SEPI）是一种用于评估日光暴露习惯和增加防晒措施倾向的简要工具，已在英语和瑞典语中得到验证，并且在两种不同的户外阳光强度环境（澳大利亚和北欧）中得到验证。本研究的目的是研究德国翻译版 SEPI 的可靠性和有效性，以便在德语人群中使用。数据于 2018 年 11 月至 2019 年 4 月在弗伦斯堡大学和汉堡应用科学大学收集。参与者（n=205）填写了 SEPI 以及德国版奥地利维也纳紫外线问卷的一些相应问题。三周后，参与者再次填写 SEPI 以评估测试-重测稳定性。在完成基线问卷的 205 名参与者中，有 135 名参与者在三周后再次完成了问卷。基线反应的内部一致性，用 Cronbach 的 alpha 表示，SEPI 第 1 部分（日光暴露习惯）为 0.70（95%置信区间：0.63-0.76），第 2 部分（增加防晒措施的倾向）为 0.72（95%置信区间：0.66-0.78）。测试-重测稳定性很高，除一项外，所有项目的加权 Kappa 值均>0.6，该工具与之前验证过的德语紫外线皮肤风险调查问卷相关性良好。总之，德国版 SEPI 可以可靠地用于个体日光暴露模式的映射。
