Sun protection in Singapore's schools.
BACKGROUND
The World Health Organisation has identified schools as key players in the global effort to reduce the rising incidence of skin cancer. Singapore lies 70 miles from the Equator, with one of the world's highest ultraviolet (UV) index scores. It is a multi-ethnic society, with many expatriates. Children in Singapore are likely to be exposed to high levels of UV radiation, and represent a variety of skin types. This study aimed to assess sun protection measures in schools, the frequency of reported sunburn in schoolchildren of different ethnic groups, the level of parental and school concern about sun exposure, the sun-protective measures currently in place, and the parental and school support for public education and "sunsmart" school programmes.


METHODS
Questionnaires were sent to principals and parents of primary schoolchildren in 20 local and eight international schools in January 2003.


RESULTS
The majority of children in all ethnic groups in Singapore were reported to suffer to some degree from sunburn during their first ten years. Over 50 percent of parents and head teachers predicted an increased risk of skin cancer in their children. Some protective measures were in place. But teachers and parents were concerned, and most favoured the promotion of more active measures.


CONCLUSIONS
The reported incidence of sunburn among Singaporean school children is higher than expected across all ethnic groups. Given the current level of sun protective measures in place, more could be done to educate parents and schools regarding "sunsmart practice", and reducing their future risk of skin cancer and eye damage.
Nyiri
P
P
National Skin Centre, 1 Mandalay Road, Singapore 308205. pollybrandon@btinternet.com
D000293:Adolescent; D000367:Age Factors; D002648:Child; D004781:Environmental Exposure / Q000009:adverse effects*; D006293:Health Promotion; D006306:Health Surveys; D006801:Humans; D011481:Protective Clothing; D012572:School Health Services; D012846:Singapore / Q000453:epidemiology; D012878:Skin Neoplasms / Q000517:prevention & control*; D040241:Social Marketing; D013334:Students; D013471:Sunburn / Q000150:complications / Q000453:epidemiology; D013472:Sunlight / Q000009:adverse effects*; D013473:Sunscreening Agents; D011795:Surveys and Questionnaires; D014466:Ultraviolet Rays / Q000009:adverse effects*
D013473:Sunscreening Agents