Leruste Sebastien, Marx Mathilde, Ah-Mouck Cassie, Yap-Chim Lindsay, Sultan-Bichat Nathalie, Beylot-Barry Marie, Spodenkiewicz Michel, Dumez Jessica, Bertolotti Antoine
University Department of General Medicine, Saint-Pierre, La Réunion, France.
Dermatology department, CH Ouest Réunion, St Paul, La Réunion, France.
Risk Manag Healthc Policy. 2022 May 4;15:895-900. doi: 10.2147/RMHP.S341565. eCollection 2022.
The incidence of melanoma in Reunion Island is on the rise and is now one of the highest worldwide. Although the main risk factor of melanoma is sun exposure during childhood, sun protection measures remain insufficient in Reunionese schools. From November 2019 to November 2020, we conducted a qualitative study to explore the attitudes, barriers, and motivations to sun protection among the main actors of children's protection in Reunion Island. Individual semi-directive interviews were performed with 14 children aged 6 to 10 years, 13 parents, and 13 teachers. The interviews were recorded and transcribed. Relevant data were coded, triangulated, analyzed, and then modeled following the methodology of grounded theory. Sufficiency of the data was sought. All 40 participants described their sun protection habits. Protection was lower during school activities than during leisure activities. Parents identified several practical and financial barriers to sun protection. Teachers pointed out the lack of adequate infrastructure and sun protection training. Responsibility for children's protection was a point of disagreement between parents and teachers. Children limited their use of protection, mainly for reasons of comfort. Children's sun protection in schools is the responsibility of educational staff, parents, and society at large. Improving communication between these various actors is necessary. Sun safety campaigns and reorganization of the school environment would allow for better protection of the child population.
留尼汪岛黑色素瘤的发病率正在上升，目前是全球发病率最高的地区之一。尽管黑色素瘤的主要风险因素是儿童时期的阳光照射，但留尼汪岛学校的防晒措施仍然不足。2019年11月至2020年11月，我们开展了一项定性研究，以探究留尼汪岛儿童保护主要参与者对防晒的态度、障碍和动机。对14名6至10岁的儿童、13名家长和13名教师进行了个体半指导性访谈。访谈进行了录音和转录。相关数据进行了编码、三角互证、分析，然后按照扎根理论的方法进行建模。力求数据充分。所有40名参与者都描述了他们的防晒习惯。学校活动期间的防护低于休闲活动期间。家长们指出了防晒在实际操作和经济方面的几个障碍。教师们指出缺乏足够的基础设施和防晒培训。儿童保护责任是家长和教师之间存在分歧的一点。儿童主要出于舒适原因而限制使用防护措施。学校里儿童的防晒是教育工作者、家长和整个社会的责任。改善这些不同参与者之间的沟通很有必要。开展阳光安全运动和重新规划学校环境将有助于更好地保护儿童群体。
