{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T06:23:54Z","timestamp":1790749434899,"version":"4.1.0"},"reference-count":38,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2023,8,4]],"date-time":"2023-08-04T00:00:00Z","timestamp":1691107200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Patient Centricity department of Pierre Fabre"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,12,19]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Childhood exposure to ultraviolet radiation (UVR) plays an important role in the development of keratinocyte carcinomas and melanomas. Therefore, sun protective measures ought to be implemented during early childhood. Young children are largely dependent upon adult care providers in order to achieve proper sun protection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To develop effective photoprotection in children, it is necessary to understand caregivers\u2019 attitudes and knowledge about UVR exposure. This study aimed to explore the variables associated with sun protective behaviour in parents and grandparents during summer vacations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A multinational, cross-sectional study was conducted using a web-based online survey with a representative sample of parents and grandparents of children aged \u2264 12\u2005years, who cared for their children\/grandchildren for at least 2 weeks during the summer of 2021, in five countries (France, Germany, Spain, Italy and the USA). Multiple correspondence analysis (MCA) was used to explore in an unbiased way the possible relationships among all the variables and to identify specific profiles.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 6190 adult participants responded to the questionnaire: 5104 parents (average age 42.0\u2005years, 54.3% women) and 1086 grandparents (average age 64.2\u2005years, 55.5% women). MCA allowed discrimination of two groups of respondents based on their answers: a profile with \u2018unprotected sun exposure habits\u2019 vs. those with \u2018protective sun exposure habits\u2019. Parents fell in closer proximity to the \u2018unprotected sun exposure habits\u2019, and \u2018sunburn reported in youngest child\u2019. Grandparents adopted more cautious behaviours than parents. Nevertheless, grandparents fell in proximity to \u2018having exposed the grandchild to the sun between 11\u2005h and 17.00 h\u2019, \u2018not using an umbrella\u2019 and \u2018not using sunglasses\u2019.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Although grandparents appear to adopt more cautious behaviours than parents, many gaps in proper sun protection behaviour were observed in both groups of caregivers.<\/jats:p><\/jats:sec>","DOI":"10.1093\/ced\/llad260","type":"journal-article","created":{"date-parts":[[2023,8,4]],"date-time":"2023-08-04T09:59:59Z","timestamp":1691143199000},"page":"26-34","source":"Crossref","is-referenced-by-count":6,"title":["Use of multiple correspondence analysis to explore associations between caregivers and sun protective habits during summer vacations"],"prefix":"10.1093","volume":"49","author":[{"given":"Khaled","family":"Ezzedine","sequence":"first","affiliation":[{"name":"Department of Dermatology, AP-HP, Henri Mondor University Hospital , UPEC, Cr\u00e9teil , France"},{"name":"EA 7379 EpidermE, Universit\u00e9 Paris-Est Cr\u00e9teil (UPEC) , Cr\u00e9teil , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina","family":"Bergqvist","sequence":"additional","affiliation":[{"name":"Department of Dermatology, AP-HP, Henri Mondor University Hospital , UPEC, Cr\u00e9teil , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Baissac","sequence":"additional","affiliation":[{"name":"Patient Centricity Department, Pharma, Dermocosmetics Care & Personal Care , Pierre Fabre, Toulouse , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nuria Perez","family":"Cullell","sequence":"additional","affiliation":[{"name":"Patients & Consumers Division, Dermocosmetics Care & Personal Care , Pierre Fabre, Toulouse , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marketa Saint","family":"Aroman","sequence":"additional","affiliation":[{"name":"Patients & Consumers Division, Dermocosmetics Care & Personal Care , Pierre Fabre, Toulouse , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles","family":"Ta\u00efeb","sequence":"additional","affiliation":[{"name":"Patient Priority Department Emma , , European Market Maintenance Assessment, Fontenay sous-bois , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henry W","family":"Lim","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Henry Ford Health , Detroit, MI , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,8,4]]},"reference":[{"key":"2023122001324843200_llad260-B1","doi-asserted-by":"crossref","first-page":"e791","DOI":"10.1542\/peds.2010-3502","article-title":"Council on Environmental Health, Section on Dermatology. 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