title: Reduced sun exposure and tanning in children after 2 years of a school-based intervention (Australia).
abstract: OBJECTIVE
  This paper presents the results of the evaluation of measured suntan and parent-reported sun exposure in participating children after 2 years of the Kidskin study, a 5-year school-based sun protection intervention undertaken in Perth, Western Australia (1995-1999).
  
  
  METHODS
  The study involves three groups: a control, a "moderate", and a "high" intervention group. Participants were 5 or 6 years of age at the beginning of the study. Control schools received the standard Health Education curriculum, while intervention schools received a multicomponent intervention including a specially designed curriculum. Children in the high intervention group also received program materials over the summer vacation and were offered sun-protective swimwear at low cost. At the end of the second summer, suntan was measured and parents completed a questionnaire about their child's sun-related behavior.
  
  
  RESULTS
  Children in the intervention groups--especially the high group--were less tanned at the end of the summer; this effect was greater for the back than for the forearms. These children were also reported to have received less sun exposure and made greater use of sun protection measures.
  
  
  CONCLUSIONS
  Intensive school-based interventions can reduce tanning and reported sun exposure in children.
authors.affiliation: Department of Public Health, University of Western Australia, Nedlands, Australia. lmilne@dph.uwa.edu.au
authors.forename: E
authors.initials: E
authors.lastname: Milne
authors.forename: D R
authors.initials: DR
authors.lastname: English
authors.forename: R
authors.initials: R
authors.lastname: Johnston
authors.forename: D
authors.initials: D
authors.lastname: Cross
authors.forename: R
authors.initials: R
authors.lastname: Borland
authors.forename: B
authors.initials: B
authors.lastname: Giles-Corti
authors.forename: C
authors.initials: C
authors.lastname: Costa
mesh_terms: D002648:Child; D002652:Child Behavior / Q000528:radiation effects; D002675:Child, Preschool; D005260:Female; D006266:Health Education / Q000379:methods*; D006801:Humans; D008297:Male; D009506:Nevus / Q000209:etiology; D017063:Outcome Assessment, Health Care; D015397:Program Evaluation; D012878:Skin Neoplasms / Q000209:etiology; D013471:Sunburn / Q000209:etiology*; D013472:Sunlight / Q000009:adverse effects*; D011795:Surveys and Questionnaires; D014904:Western Australia