Rui Providência, Ghazaleh Aali, Fang Zhu, Thomas Katairo, Mahmood Ahmad, Jonathan J H Bray, Ferruccio Pelone, Mohammed Y Khanji, Eloi Marijon, Miryan Cassandra, David S Celermajer, Farhad Shokraneh
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exposure suns uv radiation leading cause skin cancer positive attitudes beliefs sun safety behavior would make sun protective behavior likely could promoted supported school policies practices identify school characteristics associated adopted practices promote sun safety schoollevel data february 3 july 23 2014 school health policies practices studys healthy safe school environment questionnaire analyzed school health policies practices study uses 2stage sampling design select nationally representative sample schools public stateadministered catholic noncatholic private schools grades kindergarten 12 eligible inclusion analyses conducted using weighted data prevalence sun safety practices nationally representative sample 828 us schools representatives 577 schools 697 responded overall sun safety practices common among schools frequent practice teachers allow time students apply sunscreen school 476 95 ci 424529 schools made sunscreen available students use 133 95 ci 102170 almost always always scheduled outdoor activities avoid times sun peak intensity 150 95 ci 114196 asked parents ensure students applied sunscreen school 164 95 ci 129206 high schools less likely elementary schools middle schools adopt several practices instance 375 high schools 95 ci 297460 516 middle schools 95 ci 433597 495 elementary schools 95 ci 420570 teachers allow time students apply sunscreen school 118 high schools 95 ci 77175 182 middle schools 95 ci 133244 147 elementary schools 95 ci 96218 almost always always scheduled outdoor activities avoid times sun peak intensity school characteristics either significantly associated adoption sun safety school practices studied eg metropolitan status inconsistently associated policies practices eg region percentage students eligible free reducedprice lunch school enrollment school practices could protect children adolescents sun exposure could change norms sun safety common interventions aimed increasing adoption sun safety practices among schools needed regardless level location size poverty concentration school practices would cost little implement would support messages targeted toward children adolescents adults parents aim reduce skin cancer morbidity mortality