{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T07:33:33Z","timestamp":1781249613143,"version":"3.54.1"},"reference-count":52,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2012,2,14]],"date-time":"2012-02-14T00:00:00Z","timestamp":1329177600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acad Dermatol Venereol"],"published-print":{"date-parts":[[2013,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Background\u2002<\/jats:bold> The exponential rise in the incidence of cutaneous cancers underscores the need to promote primary prevention. Adolescents are highly familiar with the use of Internet, and new technologies and Internet systems have proven especially useful to educate this age group in other health problems. To date, there have been no reports of Internet\u2010based primary prevention campaigns for adolescents against skin cancer.<\/jats:p><jats:p><jats:bold>Objectives\u2002<\/jats:bold> To determine the knowledge and behaviour of a Spanish adolescent population in relation to sun exposure through an Internet\u2010based system and to describe the use of an Internet\u2010based school intervention programme to improve the sun exposure knowledge and behaviour in adolescents.<\/jats:p><jats:p><jats:bold>Methods\u2002<\/jats:bold> The cross\u2010sectional study included 2170 school pupils aged between 12 and 16\u2003years from public secondary schools. Pupils in the participating centres completed the survey <jats:italic>via<\/jats:italic> the website, which contained a total of 35 questions and three information blocks. For the intervention programme, a sub\u2010sample of 12 secondary schools (total of 1290 pupils) was randomly selected.<\/jats:p><jats:p><jats:bold>Results\u2002<\/jats:bold> About 56.7% of the female pupils and 52.6% of the male pupils reported having suffered from sunburn in the previous summer. Sunburn risk increased with the frequency of sun exposure between 12 and 6\u2003pm (OR of 3.59), null knowledge of the negative effects of sun exposure (OR of 2.102), the use of sun protection cream (OR of 0.695 for non\u2010use) and physical sun protection measures (OR of 2.21 for 0\u20131 physical measures). A significant reduction in self\u2010reported sunburns was observed in the quasi\u2010experimental group in comparison with controls after adjusting for sex and inland or coastal location of the centre (OR\u2003=\u20030.45, 95% CI\u2003=\u20030.23\u20130.87, <jats:italic>P\u2003<\/jats:italic>=\u20030.018). Adjusted OR showed that there was a significant improvement in the use of physical measures, use of sun cream, frequency of sun cream application every 2\u2003h and use of protection on cloudy days.<\/jats:p><jats:p><jats:bold>Conclusions\u2002<\/jats:bold> This is the first study to demonstrate that a programme entirely conducted <jats:italic>via<\/jats:italic> Internet significantly reduces by half self\u2010reported sunburn risk in an adolescent population achieving very high satisfaction rates.<\/jats:p>","DOI":"10.1111\/j.1468-3083.2012.04455.x","type":"journal-article","created":{"date-parts":[[2012,2,14]],"date-time":"2012-02-14T06:30:32Z","timestamp":1329201032000},"page":"442-453","source":"Crossref","is-referenced-by-count":19,"title":["An Internet\u2010based programme to promote adequate UV exposure behaviour in adolescents in Spain"],"prefix":"10.1111","volume":"27","author":[{"given":"A.","family":"Buend\u00eda Eisman","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Arias Santiago","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.C.","family":"Moreno\u2010Gimenez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Cabrera\u2010Le\u00f3n","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Prieto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I.","family":"Castillejo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Conejo\u2010Mir","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,2,14]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ad.2009.05.001"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1023\/A:1017930504671"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00051303"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2004.10.016"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1523-1747.2003.12246.x"},{"key":"e_1_2_5_7_2","first-page":"27","article-title":"School\u2010based cancer education programs: an opportunity to affect the National Cancer Program","volume":"6","author":"Iverson DC","year":"1982","journal-title":"Health Values"},{"key":"e_1_2_5_8_2","first-page":"93","article-title":"Programmes for the Primary Prevention of Melanoma in Australia. 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