Abstract
High skin cancer incidence and mortality rates have created a need for skin cancer prevention education. Children are an important target for this education, as overexposure to sun and sunburns at an early age have been linked to the development of skin cancer.
This study identified the prevalence of skin cancer prevention education and the need for this education at YMCA swim classes. This study also assessed the feasibility of implementing Project SUNWISE, an existing skin cancer prevention curriculum, developed for YMCA swim classes. A 51-item survey was mailed to Aquatics Directors at all YMCAs with outdoor pools.
Based on a 63% response rate (N = 208), only 28% of YMCAs thought the children in their swim classes were adequately protected from the sun, and only 28% offered skin protection or sun safety education in swim classes. Only 50% of YMCAs trained their swim instructors on skin cancer prevention. While 91% of YMCAs had one or more sun protection items near the pool (e.g., sunscreen, umbrella, covered area), 93% of YMCAs saw the need for additional protection. The majority of YMCAs (95%) were willing to incorporate a skin cancer prevention education curriculum, similar to Project SUNWISE, into their swim classes. This study emphasized the need for more skin cancer prevention education programs targeting children and examined the correlates of skin cancer prevention education at YMCAs. Geographic region, percent of possible sunshine, and ultraviolet radiation were significantly associated with the skin cancer prevention education program status at the YMCAs.
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REFERENCES
MacKie RM & Guerry D.IV. Melanoma and other skin neoplasms. Curr Opin Oncol 1994; 6:177–178.
Marks R. An overview of skin cancers. Cancer Suppl 1995; 75:607–612.
Shenefelt PD. Skin cancer prevention and screening. Cancer Epidemiol Prev Screen 1992; 19:557–574.
Ramsdell WM, Kelly P, Coody D, & Dany M. The Texas skin cancer/melanoma project. J Texas Med 1991; 87:70–73.
Koh HK & Geller AC. Melanoma control in the United States: Current status. Recent Results Cancer Res 1995; 139:215–223.
American Cancer Society. Cancer facts and figures—1995. Georgia: American Cancer Society, 1995.
American Academy of Dermatology. Fact Sheets. Illinois: American Academy of Dermatology, 1992.
Robinson WA. Malignant melanoma as a model for cancer education and prevention. J Cancer Educ 1990; 5:85–89.
Grin CM, Pennoyer JW, Lehrich DA, & Grant-Kels JM. Sun exposure of young children while at day care. Pediart Dermatol 1994; 11:304–309.
Westerdahl J, Olson H, & Ingvar C. At what age do sunburn episodes play a crucial role for the development of malignant melanoma? Eur J Cancer 1994; 30A:1647–1654.
Arthey S, & Clarke VA. Suntanning and sun protection: A review of the psychological literature. Soc Sci Med 1995; 40:265–174.
Elwood JM & Koh HK. Etiology, epidemiology, risk factors, and public health issues of melanoma. Curr Opin Oncol 1994; 6:179–187.
Melia J, Ellman R, & Chamberlain J. Meeting the health of the nation target for skin cancer: problems with tackling prevention and monitoring trends. J Public Health Med 1994; 16:225–232.
Rhodes AR. Public education and cancer of the skin. Cancer Suppl 1995; 75:616–636.
Rivers JK & Gallagher RP. Public education projects in skin cancer: experiences of the Canadian Dermatology Association. Cancer Suppl 1994; 75:661–666.
Kamin CS, O'Neill PN, & Ahearn MJ. Developing and evaluating a cancer prevention teaching module for secondary education: Project SAFETY (Sun Awareness for Educating Today's Youth). J Cancer Educ 1993; 8:313–318.
Austoker J. Melanoma: Prevention and early diagnosis. BMJ 1994; 308:1682–1686.
Elwood JM. Recent developments in melanoma epidemiology. Melanoma Res 1993; 3:149–156.
Kelly PP. Skin cancer and melanoma awareness campaign. Oncol Nurs Forum 1991; 18:927–931.
Boldeman C, Jansson B, & Holm L. Primary prevention of malignant melanoma in a Swedish urban preschool sector. J Cancer Educ 1991; 6:247–253.
Maducdoc LR, Wagner RF, & Wagner KD. Parents' use of sunscreen on beach-going children. Arch Dermatol 1992; 182:628–629.
Banks BA, Silverman RA, Schwartz RH, & Tunnessen WW. Attitudes of teenagers toward sun exposure and sunscreen use. Pediatrics 1992; 89:40–42.
Loescher LJ, Buller MK, Buller DB, Emerson JE, & Taylor AM. Public education projects in skin cancer. Cancer Suppl 1995; 75:651–656.
Buller MK, Loescher LJ, & Buller DB. Sunshine and skin health. J Cancer Educ 1994; 9:155–162.
American Academy of Dermatology and Centers for Disease Control and Prevention. National Conference to Develop a National Skin Cancer Agenda, Executive Summary and Proceedings, 1995, Washington, DC. Washington, DC, 1995.
Mayer JA, Slymen D, Eckhardt L, et al. Reducing ultraviolet radiation exposure in children. Prev Med 1997; 26:516–522.
National Weather Service and Environmental Protection Agency. Experimental Ultraviolet (UV) Index. 1995, [Online]. Available HTTP: http://nic.fb4.noaa.gov
National Oceanic and Atmospheric Association and National Climatic Data Center. United States Historical Climatology Network. 1995, [Online]. Available HTTP: http://www.ncdc.noaa.gov
YMCA of the USA. Recommendations—YMCA of the USA Medical Advisory Committee, 1996. Illinois: YMCA of the USA, 1996.
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Rosenberg, C., Mayer, J.A. & Eckhardt, L. Skin Cancer Prevention Education: A National Survey of YMCAs. Journal of Community Health 22, 373–385 (1997). https://doi.org/10.1023/A:1025179604952
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DOI: https://doi.org/10.1023/A:1025179604952