Counseling parents and children on sun protection

A national survey of pediatricians

Sophie J. Balk, Karen G. O'Connor, Mona Saraiya

Research output: Contribution to journalArticle

51 Citations (Scopus)

Abstract

Objective. To describe pediatricians' attitudes toward skin cancer (SC), sun protection (SP) counseling, and the quantity and content of such counseling and to identify barriers to counseling. Methods. An American Academy of Pediatrics Periodic Survey was mailed to 1616 randomly selected US members between October 2001 and February 2002. The response rate was 54.6%. Results. More than 90% of pediatricians agreed that SC is a significant public health problem and that preventing episodic high exposures to the sun during childhood will reduce the risk of adult melanoma. However, only 22.3% of respondents reported counseling most patients in all age groups. Female pediatricians were more likely to counsel most patients; pediatricians located in the South and West and those who practice in hospital/clinic settings were least likely to counsel compared with those in other regions. Approximately half (53%) of pediatricians reported selectively counseling on the basis of patient characteristics The most important SP recommendation named was using a sunscreen with a sun protection factor ≥15. Only 38% of pediatricians rated SP as very important to their patients' health compared with other topics such as use of car seats (86%), nutrition (79%), immunization issues (76%), and smoking/avoidance of environmental tobacco smoke (74%). The most frequently named barrier to SP counseling was lack of time (58% reporting). Conclusions. Although the majority of pediatricians believe that SC prevention is a worthy issue, only a minority reported providing routine SP counseling to most patients in every age group, and most ranked SP lower in importance than other issues. Interventions might include programs and materials to educate patients and pediatricians alike. To have an effect on increasing rates of SC and SC mortality, a broader public health approach is needed as a complement to pediatricians' counseling efforts.

Original languageEnglish (US)
Pages (from-to)1056-1064
Number of pages9
JournalPediatrics
Volume114
Issue number4
DOIs
StatePublished - Oct 2004

Fingerprint

Solar System
Counseling
Parents
Skin Neoplasms
Sun Protection Factor
Public Health
Age Groups
Surveys and Questionnaires
Pediatricians
Sunscreening Agents
Smoke
Tobacco
Melanoma
Immunization
Smoking
Pediatrics
Mortality
Health

Keywords

  • Counseling
  • Melanoma
  • Pediatricians
  • Prevention
  • Skin cancer
  • Sun protection
  • Vitamin D

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Counseling parents and children on sun protection : A national survey of pediatricians. / Balk, Sophie J.; O'Connor, Karen G.; Saraiya, Mona.

In: Pediatrics, Vol. 114, No. 4, 10.2004, p. 1056-1064.

Research output: Contribution to journalArticle

Balk, Sophie J. ; O'Connor, Karen G. ; Saraiya, Mona. / Counseling parents and children on sun protection : A national survey of pediatricians. In: Pediatrics. 2004 ; Vol. 114, No. 4. pp. 1056-1064.
@article{223783a7e2914bf1a3d5e86632964a8f,
title = "Counseling parents and children on sun protection: A national survey of pediatricians",
abstract = "Objective. To describe pediatricians' attitudes toward skin cancer (SC), sun protection (SP) counseling, and the quantity and content of such counseling and to identify barriers to counseling. Methods. An American Academy of Pediatrics Periodic Survey was mailed to 1616 randomly selected US members between October 2001 and February 2002. The response rate was 54.6{\%}. Results. More than 90{\%} of pediatricians agreed that SC is a significant public health problem and that preventing episodic high exposures to the sun during childhood will reduce the risk of adult melanoma. However, only 22.3{\%} of respondents reported counseling most patients in all age groups. Female pediatricians were more likely to counsel most patients; pediatricians located in the South and West and those who practice in hospital/clinic settings were least likely to counsel compared with those in other regions. Approximately half (53{\%}) of pediatricians reported selectively counseling on the basis of patient characteristics The most important SP recommendation named was using a sunscreen with a sun protection factor ≥15. Only 38{\%} of pediatricians rated SP as very important to their patients' health compared with other topics such as use of car seats (86{\%}), nutrition (79{\%}), immunization issues (76{\%}), and smoking/avoidance of environmental tobacco smoke (74{\%}). The most frequently named barrier to SP counseling was lack of time (58{\%} reporting). Conclusions. Although the majority of pediatricians believe that SC prevention is a worthy issue, only a minority reported providing routine SP counseling to most patients in every age group, and most ranked SP lower in importance than other issues. Interventions might include programs and materials to educate patients and pediatricians alike. To have an effect on increasing rates of SC and SC mortality, a broader public health approach is needed as a complement to pediatricians' counseling efforts.",
keywords = "Counseling, Melanoma, Pediatricians, Prevention, Skin cancer, Sun protection, Vitamin D",
author = "Balk, {Sophie J.} and O'Connor, {Karen G.} and Mona Saraiya",
year = "2004",
month = "10",
doi = "10.1542/peds.2004-1305",
language = "English (US)",
volume = "114",
pages = "1056--1064",
journal = "Pediatrics",
issn = "0031-4005",
publisher = "American Academy of Pediatrics",
number = "4",

}

TY - JOUR

T1 - Counseling parents and children on sun protection

T2 - A national survey of pediatricians

AU - Balk, Sophie J.

AU - O'Connor, Karen G.

AU - Saraiya, Mona

PY - 2004/10

Y1 - 2004/10

N2 - Objective. To describe pediatricians' attitudes toward skin cancer (SC), sun protection (SP) counseling, and the quantity and content of such counseling and to identify barriers to counseling. Methods. An American Academy of Pediatrics Periodic Survey was mailed to 1616 randomly selected US members between October 2001 and February 2002. The response rate was 54.6%. Results. More than 90% of pediatricians agreed that SC is a significant public health problem and that preventing episodic high exposures to the sun during childhood will reduce the risk of adult melanoma. However, only 22.3% of respondents reported counseling most patients in all age groups. Female pediatricians were more likely to counsel most patients; pediatricians located in the South and West and those who practice in hospital/clinic settings were least likely to counsel compared with those in other regions. Approximately half (53%) of pediatricians reported selectively counseling on the basis of patient characteristics The most important SP recommendation named was using a sunscreen with a sun protection factor ≥15. Only 38% of pediatricians rated SP as very important to their patients' health compared with other topics such as use of car seats (86%), nutrition (79%), immunization issues (76%), and smoking/avoidance of environmental tobacco smoke (74%). The most frequently named barrier to SP counseling was lack of time (58% reporting). Conclusions. Although the majority of pediatricians believe that SC prevention is a worthy issue, only a minority reported providing routine SP counseling to most patients in every age group, and most ranked SP lower in importance than other issues. Interventions might include programs and materials to educate patients and pediatricians alike. To have an effect on increasing rates of SC and SC mortality, a broader public health approach is needed as a complement to pediatricians' counseling efforts.

AB - Objective. To describe pediatricians' attitudes toward skin cancer (SC), sun protection (SP) counseling, and the quantity and content of such counseling and to identify barriers to counseling. Methods. An American Academy of Pediatrics Periodic Survey was mailed to 1616 randomly selected US members between October 2001 and February 2002. The response rate was 54.6%. Results. More than 90% of pediatricians agreed that SC is a significant public health problem and that preventing episodic high exposures to the sun during childhood will reduce the risk of adult melanoma. However, only 22.3% of respondents reported counseling most patients in all age groups. Female pediatricians were more likely to counsel most patients; pediatricians located in the South and West and those who practice in hospital/clinic settings were least likely to counsel compared with those in other regions. Approximately half (53%) of pediatricians reported selectively counseling on the basis of patient characteristics The most important SP recommendation named was using a sunscreen with a sun protection factor ≥15. Only 38% of pediatricians rated SP as very important to their patients' health compared with other topics such as use of car seats (86%), nutrition (79%), immunization issues (76%), and smoking/avoidance of environmental tobacco smoke (74%). The most frequently named barrier to SP counseling was lack of time (58% reporting). Conclusions. Although the majority of pediatricians believe that SC prevention is a worthy issue, only a minority reported providing routine SP counseling to most patients in every age group, and most ranked SP lower in importance than other issues. Interventions might include programs and materials to educate patients and pediatricians alike. To have an effect on increasing rates of SC and SC mortality, a broader public health approach is needed as a complement to pediatricians' counseling efforts.

KW - Counseling

KW - Melanoma

KW - Pediatricians

KW - Prevention

KW - Skin cancer

KW - Sun protection

KW - Vitamin D

UR - http://www.scopus.com/inward/record.url?scp=16644403495&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=16644403495&partnerID=8YFLogxK

U2 - 10.1542/peds.2004-1305

DO - 10.1542/peds.2004-1305

M3 - Article

VL - 114

SP - 1056

EP - 1064

JO - Pediatrics

JF - Pediatrics

SN - 0031-4005

IS - 4

ER -