Sun protection practices in New Zealand secondary schools: a 2014 baseline study

Guided by the established primary school SunSmart programme, a survey of secondary schools' sun protection policies, planning, behavioural expectations, curriculum content and environment was undertaken in order to establish a baseline to inform advocacy and secondary level programme developmen...

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Published in:Preventive medicine reports Vol. 3; pp. 257 - 263
Main Authors: Reeder, A.I., McNoe, B.M., Iosua, E.E.
Format: Journal Article
Language:English
Published: United States Elsevier Inc 01.06.2016
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Abstract Guided by the established primary school SunSmart programme, a survey of secondary schools' sun protection policies, planning, behavioural expectations, curriculum content and environment was undertaken in order to establish a baseline to inform advocacy and secondary level programme development. All 448 principals of state or state integrated public secondary schools identified from the Ministry of Education database were mailed a hard copy questionnaire. School sun protection practices were assessed and a summative, non-weighted, 11-item Total Sun Protection Score (TSPS) was created. Associations between TSPS and socio-demographic factors, as well as school sun protection policy, were investigated using unadjusted and multiple linear regressions. Usable responses received from 211 of the 448 schools (47% participation) indicated reasonable representativeness of eligible schools, but under-representation of low socioeconomic decile institutions (p=0.003) and those with the smallest roll size (p=0.004). Only 50% of schools reported having a sun protection policy. The least attained TSPS components were outdoor event planning (17.1%), student breaks (16.6%), sun-protective clothing (8.5%) and shade provision (6.2%). The mean (SD) TSPS was 4.58 (2.06). In multivariable analysis, TSPS was statistically significantly positively associated with having a sun protection policy (p<0.001) and the presence of primary level classes (p<0.001) — the latter suggesting a possible influence of programme continuity, but negatively associated with integrated school status (p=0.036). A standard SunSmart programme could be promoted to all schools, irrespective of socioeconomic decile, overall roll size, gender status or regional population density. Low attainment of some TSPS components indicates targeting priorities. •Sun-protection practices of 211 secondary schools were assessed.•Event planning, breaks, clothing and shade criteria were least likely met.•A summative, non-weighted Total Sun Protection (TSP) score was created.•TSP score was associated with having a sun protection policy and primary classes.•A standard SunSmart programme could be promoted irrespective of school demographics.
AbstractList • Sun-protection practices of 211 secondary schools were assessed. • Event planning, breaks, clothing and shade criteria were least likely met. • A summative, non-weighted Total Sun Protection (TSP) score was created. • TSP score was associated with having a sun protection policy and primary classes. • A standard SunSmart programme could be promoted irrespective of school demographics.
Guided by the established primary school SunSmart programme, a survey of secondary schools' sun protection policies, planning, behavioural expectations, curriculum content and environment was undertaken in order to establish a baseline to inform advocacy and secondary level programme development. All 448 principals of state or state integrated public secondary schools identified from the Ministry of Education database were mailed a hard copy questionnaire. School sun protection practices were assessed and a summative, non-weighted, 11-item Total Sun Protection Score (TSPS) was created. Associations between TSPS and socio-demographic factors, as well as school sun protection policy, were investigated using unadjusted and multiple linear regressions. Usable responses received from 211 of the 448 schools (47% participation) indicated reasonable representativeness of eligible schools, but under-representation of low socioeconomic decile institutions (p=0.003) and those with the smallest roll size (p=0.004). Only 50% of schools reported having a sun protection policy. The least attained TSPS components were outdoor event planning (17.1%), student breaks (16.6%), sun-protective clothing (8.5%) and shade provision (6.2%). The mean (SD) TSPS was 4.58 (2.06). In multivariable analysis, TSPS was statistically significantly positively associated with having a sun protection policy (p<0.001) and the presence of primary level classes (p<0.001) — the latter suggesting a possible influence of programme continuity, but negatively associated with integrated school status (p=0.036). A standard SunSmart programme could be promoted to all schools, irrespective of socioeconomic decile, overall roll size, gender status or regional population density. Low attainment of some TSPS components indicates targeting priorities. •Sun-protection practices of 211 secondary schools were assessed.•Event planning, breaks, clothing and shade criteria were least likely met.•A summative, non-weighted Total Sun Protection (TSP) score was created.•TSP score was associated with having a sun protection policy and primary classes.•A standard SunSmart programme could be promoted irrespective of school demographics.
Guided by the established primary school SunSmart programme, a survey of secondary schools' sun protection policies, planning, behavioural expectations, curriculum content and environment was undertaken in order to establish a baseline to inform advocacy and secondary level programme development. All 448 principals of state or state integrated public secondary schools identified from the Ministry of Education database were mailed a hard copy questionnaire. School sun protection practices were assessed and a summative, non-weighted, 11-item Total Sun Protection Score (TSPS) was created. Associations between TSPS and socio-demographic factors, as well as school sun protection policy, were investigated using unadjusted and multiple linear regressions. Usable responses received from 211 of the 448 schools (47% participation) indicated reasonable representativeness of eligible schools, but under-representation of low socioeconomic decile institutions (p = 0.003) and those with the smallest roll size (p = 0.004). Only 50% of schools reported having a sun protection policy. The least attained TSPS components were outdoor event planning (17.1%), student breaks (16.6%), sun-protective clothing (8.5%) and shade provision (6.2%). The mean (SD) TSPS was 4.58 (2.06). In multivariable analysis, TSPS was statistically significantly positively associated with having a sun protection policy (p < 0.001) and the presence of primary level classes (p < 0.001) - the latter suggesting a possible influence of programme continuity, but negatively associated with integrated school status (p = 0.036). A standard SunSmart programme could be promoted to all schools, irrespective of socioeconomic decile, overall roll size, gender status or regional population density. Low attainment of some TSPS components indicates targeting priorities.
Abstract Objective Guided by the established primary school SunSmart programme, a survey of secondary schools' sun protection policies, planning, behavioural expectations, curriculum content and environment was undertaken in order to establish a baseline to inform advocacy and secondary level programme development. Methods All 448 principals of state or state integrated public secondary schools identified from the Ministry of Education database were mailed a hard copy questionnaire. School sun protection practices were assessed and a summative, non-weighted, 11-item Total Sun Protection Score (TSPS) was created. Associations between TSPS and socio-demographic factors, as well as school sun protection policy, were investigated using unadjusted and multiple linear regressions. Results Usable responses received from 211 of the 448 schools (47% participation) indicated reasonable representativeness of eligible schools, but under-representation of low socioeconomic decile institutions ( p = 0.003) and those with the smallest roll size ( p = 0.004). Only 50% of schools reported having a sun protection policy. The least attained TSPS components were outdoor event planning (17.1%), student breaks (16.6%), sun-protective clothing (8.5%) and shade provision (6.2%). The mean (SD) TSPS was 4.58 (2.06). In multivariable analysis, TSPS was statistically significantly positively associated with having a sun protection policy ( p < 0.001) and the presence of primary level classes ( p < 0.001) — the latter suggesting a possible influence of programme continuity, but negatively associated with integrated school status ( p = 0.036). Conclusion A standard SunSmart programme could be promoted to all schools, irrespective of socioeconomic decile, overall roll size, gender status or regional population density. Low attainment of some TSPS components indicates targeting priorities.
Guided by the established primary school SunSmart programme, a survey of secondary schools' sun protection policies, planning, behavioural expectations, curriculum content and environment was undertaken in order to establish a baseline to inform advocacy and secondary level programme development.OBJECTIVEGuided by the established primary school SunSmart programme, a survey of secondary schools' sun protection policies, planning, behavioural expectations, curriculum content and environment was undertaken in order to establish a baseline to inform advocacy and secondary level programme development.All 448 principals of state or state integrated public secondary schools identified from the Ministry of Education database were mailed a hard copy questionnaire. School sun protection practices were assessed and a summative, non-weighted, 11-item Total Sun Protection Score (TSPS) was created. Associations between TSPS and socio-demographic factors, as well as school sun protection policy, were investigated using unadjusted and multiple linear regressions.METHODSAll 448 principals of state or state integrated public secondary schools identified from the Ministry of Education database were mailed a hard copy questionnaire. School sun protection practices were assessed and a summative, non-weighted, 11-item Total Sun Protection Score (TSPS) was created. Associations between TSPS and socio-demographic factors, as well as school sun protection policy, were investigated using unadjusted and multiple linear regressions.Usable responses received from 211 of the 448 schools (47% participation) indicated reasonable representativeness of eligible schools, but under-representation of low socioeconomic decile institutions (p = 0.003) and those with the smallest roll size (p = 0.004). Only 50% of schools reported having a sun protection policy. The least attained TSPS components were outdoor event planning (17.1%), student breaks (16.6%), sun-protective clothing (8.5%) and shade provision (6.2%). The mean (SD) TSPS was 4.58 (2.06). In multivariable analysis, TSPS was statistically significantly positively associated with having a sun protection policy (p < 0.001) and the presence of primary level classes (p < 0.001) - the latter suggesting a possible influence of programme continuity, but negatively associated with integrated school status (p = 0.036).RESULTSUsable responses received from 211 of the 448 schools (47% participation) indicated reasonable representativeness of eligible schools, but under-representation of low socioeconomic decile institutions (p = 0.003) and those with the smallest roll size (p = 0.004). Only 50% of schools reported having a sun protection policy. The least attained TSPS components were outdoor event planning (17.1%), student breaks (16.6%), sun-protective clothing (8.5%) and shade provision (6.2%). The mean (SD) TSPS was 4.58 (2.06). In multivariable analysis, TSPS was statistically significantly positively associated with having a sun protection policy (p < 0.001) and the presence of primary level classes (p < 0.001) - the latter suggesting a possible influence of programme continuity, but negatively associated with integrated school status (p = 0.036).A standard SunSmart programme could be promoted to all schools, irrespective of socioeconomic decile, overall roll size, gender status or regional population density. Low attainment of some TSPS components indicates targeting priorities.CONCLUSIONA standard SunSmart programme could be promoted to all schools, irrespective of socioeconomic decile, overall roll size, gender status or regional population density. Low attainment of some TSPS components indicates targeting priorities.
Author Iosua, E.E.
McNoe, B.M.
Reeder, A.I.
AuthorAffiliation b Department of Preventive and Social Medicine, University of Otago School of Medicine, Dunedin, New Zealand
a Cancer Society of New Zealand Social & Behavioural Research Unit, Department of Preventive & Social Medicine, University of Otago School of Medicine, Dunedin, New Zealand
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/27486557$$D View this record in MEDLINE/PubMed
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Keywords Secondary schools
Survey questionnaire
Sun protection
Skin cancer prevention
Language English
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Snippet Guided by the established primary school SunSmart programme, a survey of secondary schools' sun protection policies, planning, behavioural expectations,...
Abstract Objective Guided by the established primary school SunSmart programme, a survey of secondary schools' sun protection policies, planning, behavioural...
• Sun-protection practices of 211 secondary schools were assessed. • Event planning, breaks, clothing and shade criteria were least likely met. • A summative,...
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StartPage 257
SubjectTerms Internal Medicine
Research paper
Secondary schools
Skin cancer prevention
Sun protection
Survey questionnaire
Title Sun protection practices in New Zealand secondary schools: a 2014 baseline study
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https://dx.doi.org/10.1016/j.pmedr.2016.03.001
https://www.ncbi.nlm.nih.gov/pubmed/27486557
https://www.proquest.com/docview/1809048273
https://pubmed.ncbi.nlm.nih.gov/PMC4962859
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