Lissner Katherine, Stevenson Annabel
Fellow of the Royal Australian College of General Practitioners, The University of Adelaide, Adelaide, Australia.
Fellow of the Australasian College of Dermatology, Dermatologist at the Royal Adelaide Hospital, The Queen Elizabeth Hospital, the Women's and Children's Hospital, Adelaide, Australia.
Australas J Dermatol. 2025 Aug;66(5):268-278. doi: 10.1111/ajd.14461. Epub 2025 Mar 24.
BACKGROUND/OBJECTIVES: Current SunSmart policy in Australia is implemented and reviewed by the Cancer Council using self-reported survey data.
Researchers conducted an external assessment of the implementation of sun safety policies in Australian primary schools by conducting a national survey with questions constructed based on the SunSmart policy. Multivariable binary logistic regressions were performed to understand the relationships between the various sun-safety activities and school characteristics.
We hypothesised that schools with a higher ultraviolet (UV) exposure rating would perform better due to higher perceived risk. This was true for year-round uniform policy and presence of outdoor sails. Use of sunscreen in Australian schools remains inadequate. Students at more advantaged schools were 2.1 times more likely to use sunscreen, potentially demonstrating a relationship between financial access or awareness, providing an avenue for future funding decisions. Use of sun-protective eyewear remains insufficient, with only 11.1% of schools encouraging use, but Catholic school students are twice as likely to wear sunglasses. Schools in extreme UV areas had the lowest odds ratio of sunglasses use, highlighting a clear target for future intervention. Other important differences in school type were found, including that independent school students have a 58% lower likelihood of wearing SunSmart adherent uniforms.
We found statistically significant inequalities in sun safety behaviours in different school types in Australia, providing utility for future funding and policy decisions.
背景/目的：澳大利亚现行的“阳光防护明智”政策由癌症理事会根据自我报告的调查数据来实施和审查。
研究人员通过开展一项全国性调查对澳大利亚小学阳光安全政策的实施情况进行了外部评估，调查问题是根据“阳光防护明智”政策构建的。进行了多变量二元逻辑回归分析以了解各种阳光安全活动与学校特征之间的关系。
我们假设紫外线（UV）暴露评级较高的学校由于感知风险较高会表现得更好。对于全年统一着装政策和设置户外遮阳篷的情况确实如此。澳大利亚学校的防晒霜使用情况仍然不足。条件更优越学校的学生使用防晒霜的可能性高出2.1倍，这可能表明在经济条件或意识方面存在关联，为未来的资金决策提供了一条途径。防晒眼镜的使用仍然不足，只有11.1%的学校鼓励使用，但天主教学校的学生戴太阳镜的可能性是其他学校学生的两倍。紫外线极强地区的学校使用太阳镜的比值比最低，这突出表明了未来干预的一个明确目标。还发现了学校类型方面的其他重要差异，包括独立学校的学生穿着符合“阳光防护明智”标准制服的可能性低58%。
我们发现澳大利亚不同学校类型在阳光安全行为方面存在具有统计学意义的不平等现象，这为未来的资金和政策决策提供了参考依据。
