Swansea Trials Unit, Medical School, Swansea University, Swansea, Wales, United Kingdom.
Population Data Science, Swansea University, Swansea, United Kingdom.
PLoS One. 2022 May 11;17(5):e0268141. doi: 10.1371/journal.pone.0268141. eCollection 2022.
Skin cancer, including melanoma and non-melanoma (keratinocyte), is increasing in incidence in the UK. Accounting for half of all cancers in England and Wales, the disease significantly impacts overstretched dermatology services. Research suggests that 86% of melanoma is preventable with modified sun exposure. Educating children about sun safety in schools can help prevent skin cancer and is recommended by major health organisations. In England, teaching sun safety in primary schools is compulsory, while in Wales this is left to school discretion.
Understand how primary schools in Wales are responding to growing skin cancer rates and explore the effectiveness of sun safety policies in schools on knowledge and behaviour.
Sunproofed is a mixed-methods scoping study comprising 5 work packages (WP) using survey and routine electronic health record (EHR) data supplemented by qualitative case studies. Objective(s) are to: WP1: Discover if primary schools in Wales have sun safety policies; policy characteristics; determine factors that may influence their presence and identify areas where schools need support. WP2: Determine what EHR data is available regarding the incidence of sunburn in primary school children and the feasibility of using this data to evaluate the impact of sun safety policies. WP3: Understand the impact of sun safety policies on sun-safe knowledge and behaviour amongst children, parents, teachers, and school management; identify barriers and facilitators to schools implementing sun safety policies. WP4: Co-produce guidance regarding sun safety policies and best methods for implementation in schools. WP5: Disseminate guidance and findings widely to ensure impact and uptake.
Skin cancer rates are increasing in the UK, straining limited resources. Sunproofed has the potential to inform the development of future prevention activities, both in Wales and beyond. This could reduce the number of skin cancer cases in the future and keep people healthier for longer.
在英国，皮肤癌（包括黑色素瘤和非黑色素瘤[角质形成细胞癌]）的发病率正在上升。在英格兰和威尔士，这种疾病占所有癌症的一半，严重影响了负担过重的皮肤科服务。研究表明，86%的黑色素瘤可以通过改变阳光暴露来预防。在学校对儿童进行有关防晒的教育可以帮助预防皮肤癌，这也是主要卫生组织所推荐的。在英格兰，小学必须教授防晒知识，而在威尔士，则由学校自行决定是否教授。
了解威尔士的小学如何应对皮肤癌发病率的上升，并探讨学校防晒政策在知识和行为方面的有效性。
Sunproofed 是一项混合方法的范围界定研究，包括 5 个工作包（WP），使用调查和常规电子健康记录（EHR）数据，并辅以定性案例研究。目的是：WP1：发现威尔士的小学是否有防晒政策；政策特点；确定可能影响政策存在的因素，并确定学校需要支持的领域。WP2：确定 EHR 数据中是否有关于小学生晒伤的发生率以及使用这些数据评估防晒政策影响的可行性。WP3：了解防晒政策对儿童、家长、教师和学校管理人员的防晒知识和行为的影响；确定学校实施防晒政策的障碍和促进因素。WP4：共同制定有关防晒政策的指南以及在学校实施的最佳方法。WP5：广泛传播指南和研究结果，以确保产生影响和被采纳。
在英国，皮肤癌发病率正在上升，这给有限的资源带来了压力。Sunproofed 有可能为未来在威尔士及其他地区开展的预防活动提供信息。这可以减少未来皮肤癌病例的数量，并使人们更健康长寿。
