Counselling on sun protection, a survey of French paediatricians

Authors

  • E. Mahé,

    Corresponding author
    1. Department of Dermatology, Ambroise Paré University Hospital, University of Versailles-Saint Quentin en Yvelines, Boulogne-Billancourt, France
    2. Research Unit EA 4339 ‘Skin, cancer, and environment’, Ambroise Paré University Hospital, University of Versailles-Saint Quentin en Yvelines, Boulogne-Billancourt, France
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    • Present address: Service de Dermatologie, Centre Hospitalier Victor Dupouy, 69 rue du Lieutenant Colonel Prud’hon, 95700 Argenteuil, France

  • R. Assathiany,

    1. Association Française de Pédiatrie Ambulatoire, Issy Les Moulineaux, France
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  • F. Fay-Chatelard,

    1. Research Unit EA 4339 ‘Skin, cancer, and environment’, Ambroise Paré University Hospital, University of Versailles-Saint Quentin en Yvelines, Boulogne-Billancourt, France
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  • M. Taylor,

    1. Department of Pediatrics, Ambroise Paré University Hospital, University of Versailles-Saint Quentin en Yvelines, Boulogne-Billancourt, France
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  • S. Bouvresse,

    1. Department of Dermatology, Ambroise Paré University Hospital, University of Versailles-Saint Quentin en Yvelines, Boulogne-Billancourt, France
    2. Research Unit EA 4339 ‘Skin, cancer, and environment’, Ambroise Paré University Hospital, University of Versailles-Saint Quentin en Yvelines, Boulogne-Billancourt, France
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  • M. Navel,

    1. Association Française de Pédiatrie Ambulatoire, Issy Les Moulineaux, France
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  • P. Saiag,

    1. Department of Dermatology, Ambroise Paré University Hospital, University of Versailles-Saint Quentin en Yvelines, Boulogne-Billancourt, France
    2. Research Unit EA 4339 ‘Skin, cancer, and environment’, Ambroise Paré University Hospital, University of Versailles-Saint Quentin en Yvelines, Boulogne-Billancourt, France
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  • B. Chevallier,

    1. Department of Pediatrics, Ambroise Paré University Hospital, University of Versailles-Saint Quentin en Yvelines, Boulogne-Billancourt, France
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  • A. Beauchet

    1. Research Unit EA 4339 ‘Skin, cancer, and environment’, Ambroise Paré University Hospital, University of Versailles-Saint Quentin en Yvelines, Boulogne-Billancourt, France
    2. Public Health Department, Ambroise Paré University Hospital, University of Versailles-Saint Quentin en Yvelines, Boulogne-Billancourt, France
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  • Conflict of interest
    Authors declare no conflict of interest in this study.

  • Funding sources
    This study was supported by a financial grant from the University Versailles-Saint Quentin en Yvelines (BQR2009). For each questionnaire fulfilled, the laboratories La Roche Posay and Novartis gave 5 € to a French humanitarian association, Pédiatres du Monde-AFPA Humanitaire (http://www.pediatres-du-monde.org).

    First results of this study have been presented at the French Society of Paediatric Dermatology (Société Française de Dermatologie Pédiatrique) Meeting, 2010, and at the Congress of the French Society of Paediatrics (Société Française de Pédiatrie), 2011 (Assathiany R, et al. Arch Pediatr 2010; 17: 908–9).

E. Mahé. E-mail:emmanuel.mahe@ch-argenteuil.fr

Abstract

Background  High sun exposure during childhood is an important risk factor for skin cancers at adulthood. Paediatricians are first in line to provide sun protection (SP) information.

Objective  To describe paediatricians’ attitudes towards SP counselling and compare French and American paediatricians’ behaviours.

Methods  Methodology used by the American Academy of Pediatrics in 2001. Validation of the French version of the questionnaire. Survey of all 1108 paediatrician members of the Association Française de Pédiatrie Ambulatoire (AFPA)

Results  More than 90% of paediatricians agreed that skin cancers are a Public Health concern, that preventing episodic high sun exposures during childhood would reduce the risk of adult melanoma, and that it is a paediatrician’s role to educate parents/patients on SP. Three quarters reported counselling all of their patients. The most important SP recommendation was to avoid sun during peak hours, followed by sunscreen use. Only 48.3% of paediatricians rated SP as very important to their patients’ health, at the 8th rank among selected preventive care topics. The most frequently identified barrier to SP counselling was cost of sunscreens followed by lack of sufficient time.

Conclusions  The majority of paediatricians believe that prevention of skin cancers is a worthy issue and it is their role to educate patients, but less than half of them consider SP as an important topic among selected preventive care issues. Although paediatricians seem to know SP measures well, their (counselling?) seems to respond to patients’ preoccupations more than to expert recommendations. French and American behaviours show some major differences.

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