{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T18:49:21Z","timestamp":1792090161524,"version":"4.4.0"},"reference-count":51,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T00:00:00Z","timestamp":1788825600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Public Health in Practice"],"published-print":{"date-parts":[[2026,12]]},"DOI":"10.1016\/j.puhip.2026.100853","type":"journal-article","created":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T10:56:06Z","timestamp":1788951366000},"page":"100853","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Effectiveness of INTI educational program on photoprotection among adolescents in high-altitude rural Andean school: A quasi-experimental study"],"prefix":"10.1016","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-4098-2683","authenticated-orcid":false,"given":"Yadhira Grecia","family":"Otazu Masco","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-9845-6800","authenticated-orcid":false,"given":"Lizbeth","family":"Huarilloclla Ramos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0063-4989","authenticated-orcid":false,"given":"Lucy","family":"Pu\u00f1o-Quispe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.puhip.2026.100853_bib1","first-page":"752","article-title":"Effect of ultraviolet radiation on vertebrate animals: update from ethological and medical perspectives","volume":"19","author":"Vergneau-Grosset","year":"2020"},{"key":"10.1016\/j.puhip.2026.100853_bib2","article-title":"Histopathological effects of ultraviolet radiation exposure on the ocular structures in animal studies \u2013literature review","volume":"22","author":"Hamba","year":"2021"},{"key":"10.1016\/j.puhip.2026.100853_bib3","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1046\/j.1440-1711.2001.01047.x","article-title":"Ultraviolet light-induced injury: immunological and inflammatory effects","volume":"79","author":"Clydesdale","year":"2001","journal-title":"Immunol. Cell Biol."},{"key":"10.1016\/j.puhip.2026.100853_bib4","first-page":"817","article-title":"Photoaging: UV radiation-induced inflammation and immunosuppression accelerate the aging process in the skin","volume":"71","author":"Salminen","year":"2022"},{"key":"10.1016\/j.puhip.2026.100853_bib5","first-page":"1924","article-title":"Ultraviolet radiation biological and medical implications","volume":"46","author":"Al-Sadek","year":"2024"},{"issue":"12","key":"10.1016\/j.puhip.2026.100853_bib6","first-page":"291","article-title":"Efectos de la radiaci\u00f3n ultravioleta en la piel incluyendo envejecimiento prematuro y c\u00e1ncer. Un art\u00edculo de revisi\u00f3n","volume":"9","author":"Cruz Salgado","year":"2024","journal-title":"Polo del Conocimiento"},{"key":"10.1016\/j.puhip.2026.100853_bib7","unstructured":"Cullen AP. Photokeratitis and Other Phototoxic Effects on the Cornea and Conjunctiva."},{"key":"10.1016\/j.puhip.2026.100853_bib8","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1111\/j.1755-148X.2008.00498.x","article-title":"UV and pigmentation: molecular mechanisms and social controversies","volume":"21","author":"Tran","year":"2008","journal-title":"Pigm. Cell Melanoma Res."},{"key":"10.1016\/j.puhip.2026.100853_bib9","article-title":"C\u00e1ncer de Piel Datos y Estad\u00edsticas [Internet]","year":"2025","journal-title":"Estados Unidos de Am\u00e9rica"},{"key":"10.1016\/j.puhip.2026.100853_bib10","series-title":"\u00a1Cuidado Con El Sol!: Minsa Registr\u00f3 M\u00e1s De 3500 Casos De C\u00e1ncer De Piel Del 2021 Al 2023","year":"2024"},{"key":"10.1016\/j.puhip.2026.100853_bib12","series-title":"Altura Y Sol: Una Amenaza Silenciosa Para La Piel En El Per\u00fa [Internet]","author":"Mandujano","year":"2026"},{"key":"10.1016\/j.puhip.2026.100853_bib14","author":"Zuta Davila"},{"key":"10.1016\/j.puhip.2026.100853_bib15","series-title":"NSN: \u00a1Alerta! Se Incrementan a 50 Los Casos De Quemaduras Solares En La Primera Quincena De Enero","author":"Ballona Chambergo","year":"2025"},{"issue":"2","key":"10.1016\/j.puhip.2026.100853_bib16","first-page":"94","article-title":"Evaluation of a sun safety education program for high school students in Beijing, China","volume":"6","author":"Lai","year":"2017","journal-title":"Educat. J."},{"issue":"3","key":"10.1016\/j.puhip.2026.100853_bib17","doi-asserted-by":"crossref","first-page":"5","DOI":"10.5826\/dpc.1403a133","article-title":"Impact of a youth sun safety educational program","volume":"14","author":"Tembunde","year":"2024","journal-title":"Dermatol. Pract. Concept"},{"key":"10.1016\/j.puhip.2026.100853_bib18","article-title":"Efectividad del programa educativo escolar \u00abSolSano\u00bb para la prevenci\u00f3n del c\u00e1ncer de piel [Internet]","volume":"93","author":"Gilaberte","year":"2002","journal-title":"Actas Dermosifiliogr. Espa\u00f1a"},{"key":"10.1016\/j.puhip.2026.100853_bib19","article-title":"Efectos de una intervenci\u00f3n educativa en los conocimientos y comportamientos relacionados con la fotoprotecci\u00f3n durante la pr\u00e1ctica de la actividad f\u00edsica en los estudiantes de un colegio p\u00fablico de Bogot\u00e1 D.C","author":"Charry","year":"2016","journal-title":"Colombiar. Bogot\u00e1"},{"key":"10.1016\/j.puhip.2026.100853_bib20","article-title":"Efectividad de un programa educativo sobre fotoprotecci\u00f3n para la prevenci\u00f3n primaria de c\u00e1ncer de piel en adolescentes del 1.er a\u00f1o de educaci\u00f3n secundaria de la Instituci\u00f3n Educativa \u201cJuan Velasco Alvarado\u201d","author":"Cardenas","year":"2019","journal-title":"Hu\u00e1nuco"},{"key":"10.1016\/j.puhip.2026.100853_bib21","article-title":"Efecto de una intervenci\u00f3n educativa virtual sobre fotoproteccion en adolescentes de una institucion educativa de Chiclayo 2021 [Internet]","author":"Chanam\u00e9","year":"2022","journal-title":"Chiclayo"},{"key":"10.1016\/j.puhip.2026.100853_bib22","series-title":"Mejoramiento De H\u00e1bitos De Protecci\u00f3n Saludable Frente a La Radiaci\u00f3n Ultravioleta En Ni\u00f1os De La Instituci\u00f3n Educativa De La Comunidad De Chuquiaguillo Del Distrito Y Provincia De Huancan\u00e9","author":"Quispe P\u00e9rez","year":"2018"},{"key":"10.1016\/j.puhip.2026.100853_bib23","first-page":"2017","article-title":"Mejoramiento de la pr\u00e1ctica de protecci\u00f3n frente a los efectos da\u00f1inos de la radiaci\u00f3n solar en los ni\u00f1os y ni\u00f1as de la instituci\u00f3n educativa inicial N\u00b0225 de Laraqueri","author":"Figueroa Mendoza","year":"2013","journal-title":"Puno"},{"issue":"2","key":"10.1016\/j.puhip.2026.100853_bib24","article-title":"Lo cuantitativo y cualitativo como sustento metodol\u00f3gico en la investigaci\u00f3n educativa: un an\u00e1lisis epistemol\u00f3gico","volume":"12","author":"Jim\u00e9nez Moreno","year":"2022","journal-title":"Revista Humanidad."},{"key":"10.1016\/j.puhip.2026.100853_bib25","series-title":"Dise\u00f1os De Investigaci\u00f3n Experimental. Dialnet [Internet]","author":"Ramos","year":"2021"},{"issue":"4","key":"10.1016\/j.puhip.2026.100853_bib26","first-page":"931","article-title":"Mi estudio es transversal o longitudinal?","volume":"21","author":"Corona","year":"2023","journal-title":"Scielo"},{"key":"10.1016\/j.puhip.2026.100853_bib27","author":"Hern\u00e1ndez Gonz\u00e1lez"},{"key":"10.1016\/j.puhip.2026.100853_bib28","author":"Dhlakama"},{"key":"10.1016\/j.puhip.2026.100853_bib29","doi-asserted-by":"crossref","first-page":"579","DOI":"10.1016\/j.ad.2020.02.002","article-title":"Validation of a questionnaire for studying habits, attitudes, and knowledge on photoprotection among young adults: \u2018CHACES questionnaire","volume":"111","author":"Bl\u00e1zquez-S\u00e1nchez","year":"2020","journal-title":"Actas Dermosifiliogr."},{"key":"10.1016\/j.puhip.2026.100853_bib30","doi-asserted-by":"crossref","first-page":"77","DOI":"10.4321\/S1139-76322012000200011","article-title":"Metodolog\u00eda de educaci\u00f3n para la salud","volume":"14","author":"Riquelme P\u00e9rez","year":"2012","journal-title":"Pediatr\u00eda Atenci\u00f3n Primaria"},{"key":"10.1016\/j.puhip.2026.100853_bib31","author":"Illescas Ayala"},{"key":"10.1016\/j.puhip.2026.100853_bib32","article-title":"Time to form a habit: a systematic review and meta-analysis of health behavior habit formation and its determinants","volume":"12","author":"Singh","year":"2024"},{"key":"10.1016\/j.puhip.2026.100853_bib33","series-title":"The Effectiveness of Using Excel in Statistics for Data Science via Online Workshop Training Course [Internet]","author":"Apinya","year":"2022"},{"key":"10.1016\/j.puhip.2026.100853_bib35","series-title":"Illustrating Statistical Procedures: Finding Meaning in Quantitative Data [Internet]","first-page":"61","article-title":"Descriptive statistics for summarising data","author":"Cooksey","year":"2020"},{"key":"10.1016\/j.puhip.2026.100853_bib36","author":"De Michele"},{"key":"10.1016\/j.puhip.2026.100853_bib37","doi-asserted-by":"crossref","DOI":"10.3389\/fpsyg.2025.1600764","article-title":"The Ancova model for comparing two groups: a tutorial emphasizing statistical distribution theory","volume":"16","author":"Schwarz","year":"2025","journal-title":"Front. Psychol."},{"key":"10.1016\/j.puhip.2026.100853_bib38","first-page":"506","article-title":"Statistical principles in experimental design","author":"Myers","year":"2019","journal-title":"Res Des Stat Anal"},{"issue":"3","key":"10.1016\/j.puhip.2026.100853_bib39","doi-asserted-by":"crossref","first-page":"3","DOI":"10.5826\/dpc.1403a133","article-title":"Impact of a youth sun safety educational program","volume":"14","author":"Tembunde","year":"2024","journal-title":"Dermatol. Pract. Concept."},{"issue":"3","key":"10.1016\/j.puhip.2026.100853_bib40","doi-asserted-by":"crossref","first-page":"S110","DOI":"10.1016\/j.jaad.2016.09.039","article-title":"Photoprotection in specific populations: children and people of color","volume":"76","author":"Cestari","year":"2017","journal-title":"J. Am. Acad. Dermatol. Int."},{"issue":"5","key":"10.1016\/j.puhip.2026.100853_bib41","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1016\/j.ad.2019.08.002","article-title":"Effectiveness of SolSano program on sun protection habits, knowledge, and attitudes among university students","volume":"111","author":"Sirera Rus","year":"2020","journal-title":"Actas Dermosifiliogr."},{"issue":"3","key":"10.1016\/j.puhip.2026.100853_bib42","doi-asserted-by":"crossref","first-page":"504","DOI":"10.1111\/pde.14141","article-title":"\"Live Sun Smart!\" Testing the effectiveness of a sun safety program for middle schoolers","volume":"37","author":"Steele","year":"2020","journal-title":"Pediatr Dermatol."},{"key":"10.1016\/j.puhip.2026.100853_bib43","article-title":"Intervenci\u00f3n educativa sobre conocimientos, actitudes y pr\u00e1cticas en protecci\u00f3n solar en estudiantes de educaci\u00f3n secundaria","volume":"11","author":"Vera Izaguirre","year":"2013"},{"issue":"4","key":"10.1016\/j.puhip.2026.100853_bib44","first-page":"55","article-title":"Knowledge and frequency of use of sunscreen in medical students from the Peruvian university","volume":"24","author":"Huam\u00e1n-Saavedra","year":"2024","journal-title":"Revista de la Facultad de Medicina Humana"},{"issue":"February","key":"10.1016\/j.puhip.2026.100853_bib45","article-title":"School-based interventions to improve sun-safe knowledge, attitudes, and behaviors in childhood and adolescence: a systematic review","volume":"146","author":"Reyes-Marcelino","year":"2021","journal-title":"Prev. Med."},{"issue":"February","key":"10.1016\/j.puhip.2026.100853_bib46","article-title":"School-based interventions to improve sun-safe knowledge, attitudes, and behaviors in childhood and adolescence: a systematic review","volume":"146","author":"Reyes-Marcelino","year":"2021","journal-title":"Prev. Med."},{"issue":"October 2020","key":"10.1016\/j.puhip.2026.100853_bib47","article-title":"Parents\u2019 knowledge and understanding of skin cancer and skin self-examination and behaviors to protect their children from the sun","volume":"50","author":"Zehra Altunkurek","year":"2021","journal-title":"Eur. J. Oncol. Nurs."},{"issue":"10","key":"10.1016\/j.puhip.2026.100853_bib48","doi-asserted-by":"crossref","first-page":"3808","DOI":"10.18203\/2394-6040.ijcmph20242858","article-title":"The impact of skin cancer education and skin self-examination on mothers' sun protection behaviours: a randomised controlled trial","volume":"11","author":"Ye\u015filyurt","year":"2024","journal-title":"Int. Comm. Med. Publ. Health"},{"key":"10.1016\/j.puhip.2026.100853_bib49","author":"Coscol Perez"},{"issue":"1","key":"10.1016\/j.puhip.2026.100853_bib50","doi-asserted-by":"crossref","DOI":"10.1186\/s12889-024-18241-2","article-title":"Efficacy of a facial-aging web app on sun protection behaviors among primary school students in Iran: a randomized controlled trial","volume":"24","author":"Okati-Aliabad","year":"2024","journal-title":"BMC Public Health"},{"issue":"2","key":"10.1016\/j.puhip.2026.100853_bib51","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1001\/archpedi.161.2.146","article-title":"A randomized trial of a multicomponent intervention for adolescent sun protection behaviors","volume":"161","author":"Norman","year":"2007","journal-title":"Arch. Pediatr. Adolesc. Med."},{"issue":"3","key":"10.1016\/j.puhip.2026.100853_bib52","doi-asserted-by":"crossref","first-page":"403","DOI":"10.18271\/ria.2015.151","article-title":"Pobreza exclusi\u00f3n social y acceso a oportunidades vitales en la Regi\u00f3n Puno","volume":"17","author":"Tumi Quispe","year":"2015","journal-title":"Revista Investigaciones Altoandinas - J. High Andean Investig."},{"key":"10.1016\/j.puhip.2026.100853_bib53","article-title":"Conocimientos, actitudes y pr\u00e1cticas sobre fotoprotecci\u00f3n contra la radiaci\u00f3n ultravioleta [Internet]","author":"Arredondo Garcia","year":"2022","journal-title":"[Queretaro]: Universidad Autonoma de Queretaro"},{"issue":"11","key":"10.1016\/j.puhip.2026.100853_bib54","doi-asserted-by":"crossref","first-page":"1143","DOI":"10.1001\/jama.2017.21630","article-title":"Behavioral counseling for skin cancer prevention: evidence report and systematic review for the US preventive services task force","volume":"319","author":"Henrikson","year":"2018","journal-title":"JAMA, J. Am. Med. Assoc."}],"container-title":["Public Health in Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2666535226001321?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2666535226001321?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T18:02:05Z","timestamp":1792087325000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2666535226001321"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,12]]},"references-count":51,"alternative-id":["S2666535226001321"],"URL":"https:\/\/doi.org\/10.1016\/j.puhip.2026.100853","relation":{},"ISSN":["2666-5352"],"issn-type":[{"value":"2666-5352","type":"print"}],"subject":[],"published":{"date-parts":[[2026,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Effectiveness of INTI educational program on photoprotection among adolescents in high-altitude rural Andean school: A quasi-experimental study","name":"articletitle","label":"Article Title"},{"value":"Public Health in Practice","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.puhip.2026.100853","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier Ltd on behalf of The Royal Society for Public Health.","name":"copyright","label":"Copyright"}],"article-number":"100853"}}