{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,27]],"date-time":"2025-09-27T13:50:22Z","timestamp":1758981022517,"version":"3.37.3"},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,2,13]],"date-time":"2018-02-13T00:00:00Z","timestamp":1518480000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100006126","name":"Hospital for Sick Children","doi-asserted-by":"publisher","award":["Trainee Start\u2010Up Fund"],"award-info":[{"award-number":["Trainee Start\u2010Up Fund"]}],"id":[{"id":"10.13039\/501100006126","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Dermatology"],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background\/Objectives<\/jats:title><jats:p>Excessive sun exposure during childhood is a risk factor for skin cancer. This study aimed to compare the frequency of ideal sun protection use between parents with lighter\u2010 and darker\u2010skinned children and explore their attitudes and beliefs on sun safety and their choice of sun protection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Parents of children aged 6\u00a0months to 6\u00a0years completed self\u2010administered questionnaires about sun protection practices for their children. Parents assessed their child's Fitzpatrick phototype and were divided into lighter\u2010 (Fitzpatrick phototype I\u2010<jats:styled-content style=\"fixed-case\">III<\/jats:styled-content>) and darker\u2010skinned (Fitzpatrick phototype <jats:styled-content style=\"fixed-case\">IV<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">VI<\/jats:styled-content>) groups. Sun safety guidelines from the Canadian Dermatology Association were used to qualify ideal sun protection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 183 parents were included. Overall, 31 parents (17%) used ideal sun protection for their children. As their children grew older, parents were less likely to use ideal sun protection (odds ratio\u00a0=\u00a00.69, 95% confidence interval\u00a0=\u00a00.53\u20100.90). Parents in the lighter\u2010skinned group were more likely to use ideal sun protection for their children (odds ratio\u00a0=\u00a07.4, 95% confidence interval\u00a0=\u00a02.7\u201020.1), believe that sun exposure was harmful (odds ratio\u00a0=\u00a017.2, 95% confidence interval\u00a0=\u00a04.0\u201074.9), and perceive value in sun protection (odds ratio\u00a0=\u00a011.4, 95% confidence interval\u00a0=\u00a03.3\u201039.0); the darker\u2010skinned group believed that darker skin tones provided more sun protection (odds ratio\u00a0=\u00a012.4, 95% confidence interval\u00a0=\u00a06.1\u201025.4).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Ideal parental sun protection efforts are overall low, particularly in parents of darker\u2010skinned children. The identified attitudes toward and beliefs about sun safety may aid in delivery of future sun protection interventions, especially in multiracial populations.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pde.13433","type":"journal-article","created":{"date-parts":[[2018,2,13]],"date-time":"2018-02-13T06:46:48Z","timestamp":1518504408000},"page":"220-224","source":"Crossref","is-referenced-by-count":10,"title":["Parental use of sun protection for their children\u2014does skin color matter?"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5718-7783","authenticated-orcid":false,"given":"Marcus G.","family":"Tan","sequence":"first","affiliation":[{"name":"Faculty of Medicine University of Toronto Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5477-6582","authenticated-orcid":false,"given":"Shudeshna","family":"Nag","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of Toronto Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miriam","family":"Weinstein","sequence":"additional","affiliation":[{"name":"Division of Pediatric Medicine Section\u00a0of Dermatology The Hospital for Sick Children Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,2,13]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2005.086918"},{"key":"e_1_2_8_3_1","unstructured":"World Health Organization.INTERSUN: The Global UV Project: A Guide and Compendium 2003 [on\u2010line].http:\/\/www.who.int\/uv\/publications\/en\/Intersunguide.pdf. Accessed October 31 2017."},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.1986.01660170067022"},{"key":"e_1_2_8_5_1","unstructured":"Canadian Dermatology Association.Sun Safety for Everyday. Canadian Dermatology Association [on\u2010line].https:\/\/dermatology.ca\/public-patients\/sun-protection\/sun-safety-everyday\/. Accessed October 31 2017."},{"key":"e_1_2_8_6_1","unstructured":"Skin Cancer Foundation.Sunscreens explained 2012 [on\u2010line].http:\/\/www.skincancer.org\/prevention\/sun-protection\/sunscreen\/sunscreens-explained. 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