{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T14:03:06Z","timestamp":1776693786142,"version":"3.51.2"},"reference-count":24,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2021,2,23]],"date-time":"2021-02-23T00:00:00Z","timestamp":1614038400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,7,13]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Scholar photoprotection campaigns are among the most effective strategies for preventing skin cancer. Analysis of the target population constitutes a valuable starting point for the implementation of primary prevention strategies. Our aim is to study photoprotection habits, attitudes and knowledge among a Spanish school community.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Descriptive cross-sectional study targeting schoolchildren, parents and teachers at 20 schools in the area of the Costa del Sol Health Agency in southern Spain. Two population-specific, validated questionnaires were used: the CHRESI (for children aged 0\u201310\u2009years) and CHACES Questionnaire(for adults and adolescents aged\u2009&amp;gt;\u200911\u2009years). We collected demographic data, skin colour, skin phototype, sunburn episodes, sun exposure and photoprotection practices, attitudes and knowledge.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>1728 questionnaires were analyzed (22% parents, 14.5% teachers, 44.8% adolescents and 18.6% children). The average ages were 8\u2009years (children), 16\u2009years (adolescents), 39\u2009years (teachers) and 42\u2009years (parents). Globally, the predominant features were: male sex (52%), Spanish nationality (92%) and phototypes II\u2013III (61%). Children, followed by adolescents, reported the highest exposure to the sun, both in frequency and in duration. Adolescents had the higher rate of sunburn (75%), followed by parents\/teachers (54.1%) and children (44.1%). Children and their parents were the most likely to adopt photoprotection measures, while adolescents presented more risky attitudes. Knowledge regarding photoprotection was acceptable (6.9\/10).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>This study highlights the need to improve photoprotection knowledge, habits and attitudes among our target population. Scholars, parents and teachers in our area should be addressed in campaigns to promote healthy sun exposure habits, thus reducing skin cancer-related morbidity and mortality in this region.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/eurpub\/ckab010","type":"journal-article","created":{"date-parts":[[2021,2,8]],"date-time":"2021-02-08T20:12:13Z","timestamp":1612815133000},"page":"508-514","source":"Crossref","is-referenced-by-count":10,"title":["Photoprotection habits, attitudes and knowledge among school communities in the Costa del sol (Spain)"],"prefix":"10.1093","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4055-4174","authenticated-orcid":false,"given":"N","family":"Bl\u00e1zquez-S\u00e1nchez","sequence":"first","affiliation":[{"name":"Dermatology Department, Hospital Costa del Sol Marbella, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F","family":"Rivas-Ruiz","sequence":"additional","affiliation":[{"name":"Investigation Department, Hospital Costa del Sol, Marbella, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Bueno-Fern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Optometry and Ophthalmology Department, CEU San Pablo University, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.T","family":"Fern\u00e1ndez-Morano","sequence":"additional","affiliation":[{"name":"Dermatology Department, Hospital Costa del Sol Marbella, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Arias-Santiago","sequence":"additional","affiliation":[{"name":"Dermatology Department, Hospital Virgen de las Nieves, Granada University, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Rodr\u00edguez-Mart\u00ednez","sequence":"additional","affiliation":[{"name":"Teacher cener Marbella_Coin, M\u00e1laga, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G","family":"DeCastro-Maqueda","sequence":"additional","affiliation":[{"name":"Department of Didactics of Physical, Plastic and Musical Education, Faculty of Educational Sciences, University of C\u00e1diz, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"DeTroya-Mart\u00edn","sequence":"additional","affiliation":[{"name":"Dermatology Department, Hospital Costa del Sol Marbella, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,2,23]]},"reference":[{"key":"2021071319334105200_ckab010-B1","doi-asserted-by":"crossref","first-page":"1323","DOI":"10.1016\/j.mcna.2015.06.002","article-title":"Skin cancer epidemiology, detection, and management","volume":"99","author":"Gandhi","year":"2015","journal-title":"Med Clin North Am"},{"key":"2021071319334105200_ckab010-B2","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1007\/978-3-030-46227-7_6","article-title":"Epidemiology of skin cancer: update","volume":"1268","author":"Leiter","year":"2020","journal-title":"Adv Exp Med Biol"},{"key":"2021071319334105200_ckab010-B3","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1071\/HE08086","article-title":"Australian primary schools\u2019 sun protection policy and practice: evaluating the impact of the National SunSmart Schools Program","volume":"19","author":"Jones","year":"2008","journal-title":"Health Promot J Aust"},{"key":"2021071319334105200_ckab010-B4","doi-asserted-by":"crossref","first-page":"e1074","DOI":"10.1542\/peds.2007-1400","article-title":"Economic evaluation of the US Environmental Protection Agency\u2019s SunWise Program: sun protection education for young children","volume":"121","author":"Kyle","year":"2008","journal-title":"Pediatrics"},{"key":"2021071319334105200_ckab010-B5","doi-asserted-by":"crossref","first-page":"320","DOI":"10.1111\/jdv.12104","article-title":"Five-year economic evaluation of non-melanoma skin cancer surgery at the Costa del Sol Hospital (2006\u20132010)","volume":"28","author":"Aguilar-Bernier","year":"2014","journal-title":"J Eur Acad Dermatol Venereol"},{"key":"2021071319334105200_ckab010-B6","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1097\/CEJ.0000000000000275","article-title":"Validation of the CHRESI questionnaire on habits related to sun exposure during childhood","volume":"27","author":"Bl\u00e1zquez","year":"2018","journal-title":"Eur J Cancer Prev"},{"key":"2021071319334105200_ckab010-B7","first-page":"579","article-title":"Validaci\u00f3n de un cuestionario para el estudio sobre h\u00e1bitos, actitudes y conocimientos en fotoprotecci\u00f3n en la poblaci\u00f3n adultojuvenil","volume":"111","author":"Blazquez","journal-title":"\"Cuestionario CHACES\". 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