Marcella Ogenchuk, Juanita Graham, Gerry Uswak, Holly Graham, Robert Weiler, Vivian R Ramsden
Pediatric oral health: community-based participatory research
BMC pediatrics
ultraviolet radiation exposure leading cause skin cancer childhood adolescence particularly susceptible life period exposure systematic review assessed whether interventions elementary secondary school settings reduced sun exposure sunburns development melanocytic nevi improved sunsafe knowledge attitudes sun protection behaviors childhood adolescence systematic search june 2020 medline embase cinahl cochrane proquest databases undertaken studies conducted among students elementary secondary school setting compared intervention group preintervention separate control group data summarized using qualitative synthesis pooled effects metaanalysis random effects also reported appropriate sixtyfive studies included 22 randomized 43 nonrandomized studies assessed measures sunsafe behaviors knowledge attitudes 57 48 33 studies respectively observed improved sun protection behaviors sunsafe knowledge whereas studies reduced time sun half improved participants attitudes towards tanning desirability sunburns nevus counts less frequently assessed half studies observed reduction substantial heterogeneity outcomes except attitudes towards desirability tanning pooled odds ratio 6 studies 081 95 confidence interval 070094 key positive intervention features included elementary school settings interactive features multiple components incorporating social norm influences studies classified high risk bias conclusion schoolbased sunrelated interventions positive impacts behaviors attitudes among elementary secondary school children