{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T05:43:23Z","timestamp":1773121403369,"version":"3.50.1"},"reference-count":47,"publisher":"American Academy of Pediatrics (AAP)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2004,10,1]]},"abstract":"<jats:p>Objective. To describe pediatricians\u2019 attitudes toward skin cancer (SC), sun protection (SP) counseling, and the quantity and content of such counseling and to identify barriers to counseling.<\/jats:p><jats:p>Methods. An American Academy of Pediatrics Periodic Survey was mailed to 1616 randomly selected US members between October 2001 and February 2002. The response rate was 54.6%.<\/jats:p><jats:p>Results. More than 90% of pediatricians agreed that SC is a significant public health problem and that preventing episodic high exposures to the sun during childhood will reduce the risk of adult melanoma. However, only 22.3% of respondents reported counseling most patients in all age groups. Female pediatricians were more likely to counsel most patients; pediatricians located in the South and West and those who practice in hospital\/clinic settings were least likely to counsel compared with those in other regions. Approximately half (53%) of pediatricians reported selectively counseling on the basis of patient characteristics The most important SP recommendation named was using a sunscreen with a sun protection factor \u226515. Only 38% of pediatricians rated SP as very important to their patients\u2019 health compared with other topics such as use of car seats (86%), nutrition (79%), immunization issues (76%), and smoking\/avoidance of environmental tobacco smoke (74%). The most frequently named barrier to SP counseling was lack of time (58% reporting).<\/jats:p><jats:p>Conclusions. Although the majority of pediatricians believe that SC prevention is a worthy issue, only a minority reported providing routine SP counseling to most patients in every age group, and most ranked SP lower in importance than other issues. Interventions might include programs and materials to educate patients and pediatricians alike. To have an effect on increasing rates of SC and SC mortality, a broader public health approach is needed as a complement to pediatricians\u2019 counseling efforts.<\/jats:p>","DOI":"10.1542\/peds.2004-1305","type":"journal-article","created":{"date-parts":[[2004,10,13]],"date-time":"2004-10-13T18:57:26Z","timestamp":1097693846000},"page":"1056-1064","source":"Crossref","is-referenced-by-count":43,"title":["Counseling Parents and Children on Sun Protection: A National Survey of Pediatricians"],"prefix":"10.1542","volume":"114","author":[{"given":"Sophie J.","family":"Balk","sequence":"first","affiliation":[{"name":"Children\u2019s Hospital at Montefiore, Albert Einstein College of Medicine, Bronx, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen G.","family":"O\u2019Connor","sequence":"additional","affiliation":[{"name":"Division of Health Policy Research, American Academy of Pediatrics, Elk Grove Village, Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mona","family":"Saraiya","sequence":"additional","affiliation":[{"name":"Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"417","published-online":{"date-parts":[[2004,10,1]]},"reference":[{"key":"2021120906060211400_R1","unstructured":"American Cancer Society. How many people get non-melanoma skin cancer? Available at: www.cancer.org\/docroot\/CRI\/content\/CRI_2_2_1X_How_many_people_get_nonmela noma_skin_cancer_51.asp?sitearea=. Accessed July 26, 2003"},{"key":"2021120906060211400_R2","unstructured":"Ries LAG, Eisner MP, Kosary CL, et al, eds. SEER Cancer Statistics Review, 1975\u20132001, National Cancer Institute. Bethesda, MD; 2004. Available at: seer.cancer.gov\/csr\/1975_2001\/"},{"key":"2021120906060211400_R3","unstructured":"American Cancer Society. Cancer Facts & Figures 2003. Atlanta, GA: American Cancer Society; 2003"},{"key":"2021120906060211400_R4","unstructured":"Armstrong BK. Melanoma: childhood or lifelong sun exposure. In: Grob JJ, Stern RS, Mackie RM, Weinstock MA, eds. Epidemiology, Causes and Prevention of Skin Diseases. 1st ed. London, England, Blackwell Science; 1997:63\u201366"},{"key":"2021120906060211400_R5","doi-asserted-by":"crossref","unstructured":"Elwood JM, Jopson J. Melanoma and sun exposure: an overview of published studies. Int J Cancer.\u20081997;73:198\u2013203","DOI":"10.1002\/(SICI)1097-0215(19971009)73:2<198::AID-IJC6>3.0.CO;2-R"},{"key":"2021120906060211400_R6","doi-asserted-by":"crossref","unstructured":"Westerdahl J, Olsson H, Ingvar C. At what age do sunburn episodes play a crucial role for the development of melanoma?Eur J Cancer.\u20081994;30A:1647\u20131654","DOI":"10.1016\/0959-8049(94)00337-5"},{"key":"2021120906060211400_R7","doi-asserted-by":"crossref","unstructured":"Whiteman D, Green A. Melanoma and sunburn. Cancer Causes Control.\u20081994;5:564\u2013572","DOI":"10.1007\/BF01831385"},{"key":"2021120906060211400_R8","doi-asserted-by":"crossref","unstructured":"Gallagher RP, Hill GB, Bajdik CD, et al. Sunlight exposure, pigmentary factors, and risk of nonmelanocytic skin cancer. I, basal cell carcinoma. Arch Dermatol.\u20081995;131:157\u2013163","DOI":"10.1001\/archderm.131.2.157"},{"key":"2021120906060211400_R9","doi-asserted-by":"crossref","unstructured":"Kricker A, Armstrong BK, English DR, Heenan PJ. Does intermittent sun exposure cause basal cell carcinoma? A case control study in Western Australia. Int J Cancer.\u20081995;60:489\u2013494","DOI":"10.1002\/ijc.2910600411"},{"key":"2021120906060211400_R10","doi-asserted-by":"crossref","unstructured":"American Academy of Pediatrics, Committee on Environmental Health. Ultraviolet light: a hazard to children. Pediatrics.\u20081999;104:328\u2013333","DOI":"10.1542\/peds.104.2.328"},{"key":"2021120906060211400_R11","unstructured":"Etzel RA, Balk SJ, eds. Pediatric Environmental Health. 2nd ed. Elk Grove Village, IL: American Academy of Pediatrics; 2003"},{"key":"2021120906060211400_R12","unstructured":"US Department of Health and Human Services. Objectives for Improving Health (Part A: Focus Areas 1\u201314), Cancer. In: Healthy People 2010 (conference ed, Vol 1). Washington, DC: US Department of Health and Human Services; 2000. Available at: www.health.gov\/healthypeople\/Document\/pdf\/Volume1\/03Cancer.pdf. Accessed July 26, 2003"},{"key":"2021120906060211400_R13","unstructured":"Dietrich AJ, Olson AL, Sox CH, Woodruff Winchell C, Grant-Peterrson J, Collison DW. Sun protection counseling for children. Arch Fam Med.\u20082000;9:155\u2013159"},{"key":"2021120906060211400_R14","doi-asserted-by":"crossref","unstructured":"Geller AC, Robinson J, Silverman S, Wyatt SA, Shifrin D, Koh HK. Do pediatricians counsel families about sun protection?Arch Pediatr Adolesc Med.\u20081998;152:372\u2013376","DOI":"10.1001\/archpedi.152.4.372"},{"key":"2021120906060211400_R15","doi-asserted-by":"crossref","unstructured":"Easton AN, Price JH, Boehm K, Telljohann SK. Sun protection counseling by pediatricians. Arch Pediatr Adolesc Med.\u20081997;151:1133\u20131138","DOI":"10.1001\/archpedi.1997.02170480063009"},{"key":"2021120906060211400_R16","doi-asserted-by":"crossref","unstructured":"Galuska DA, Fulton JE, Powell KE, et al. Pediatrician counseling about preventive health topics: results from the Physicians\u2019 Practices Survey, 1998\u20131999. Pediatrics.\u20082002;109(5). Available at: www.pediatrics.org\/cgi\/content\/full\/109\/5\/e83","DOI":"10.1542\/peds.109.5.e83"},{"key":"2021120906060211400_R17","doi-asserted-by":"crossref","unstructured":"O\u2019Flaherty JE, Pirie, PL. Prevention of pediatric drowning and near-drowning: a survey of members of the American Academy of Pediatrics. Pediatrics.\u20081997;99:169\u2013174","DOI":"10.1542\/peds.99.2.169"},{"key":"2021120906060211400_R18","doi-asserted-by":"crossref","unstructured":"Frank E, Rothenberg R, Lewis C, Belodoff BF. Correlates of physicians\u2019 prevention-related practices. Arch Fam Med.\u20082000;9:359\u2013367","DOI":"10.1001\/archfami.9.4.359"},{"key":"2021120906060211400_R19","doi-asserted-by":"crossref","unstructured":"Saraiya M, Frank E, Elon L, Baldwin G, McAlpine BE. Personal and clinical skin cancer prevention practices of US women physicians. Arch Dermatol.\u20082000;633\u2013642","DOI":"10.1001\/archderm.136.5.633"},{"key":"2021120906060211400_R20","doi-asserted-by":"crossref","unstructured":"Robinson JK, Rigel DS, Amonette RA. Trends in sun exposure knowledge, attitudes and behaviors: 1986\u20131996. J Am Acad Dermatol.\u20081997;37:179\u2013186","DOI":"10.1016\/S0190-9622(97)80122-3"},{"key":"2021120906060211400_R21","doi-asserted-by":"crossref","unstructured":"Robinson JK, Rigel DS, Amonette RA. Summertime sun protection used by adults for their children. J Am Acad Dermatol.\u20082000;42:746\u2013753","DOI":"10.1067\/mjd.2000.103984"},{"key":"2021120906060211400_R22","doi-asserted-by":"crossref","unstructured":"Naylor MF, Boyd A, Smith DW, Cameron GS, Hubbard D, Neldner KH. High sun protection factor sunscreens in the suppression of actinic neoplasia. Arch Dermatol.\u20081995;131:170\u2013175","DOI":"10.1001\/archderm.131.2.170"},{"key":"2021120906060211400_R23","doi-asserted-by":"crossref","unstructured":"Thompson SC, Jolley D, Marks R. Reduction of solar keratoses by regular sunscreen use. N Engl J Med.\u20081993;329:1147\u20131151","DOI":"10.1056\/NEJM199310143291602"},{"key":"2021120906060211400_R24","doi-asserted-by":"crossref","unstructured":"Green A, Williams G, Neale R, et al. Daily sunscreen application and betacarotene supplementation in prevention of basal-cell and squamous-cell carcinomas of the skin: a randomised controlled trial. Lancet.\u20081999;354:723\u2013729","DOI":"10.1016\/S0140-6736(98)12168-2"},{"key":"2021120906060211400_R25","doi-asserted-by":"crossref","unstructured":"Autier P, Dore JF, Cattaruzza MS, et al. Sunscreen use, wearing clothes, and number of nevi in 6- to 7-year-old European children. European Organization for Research and Treatment of Cancer Melanoma Cooperative Group. J Natl Cancer Inst.\u20081998;90:1873\u20131880","DOI":"10.1093\/jnci\/90.24.1873"},{"key":"2021120906060211400_R26","doi-asserted-by":"crossref","unstructured":"Autier P, Dore JF, Negrier S, et al. Sunscreen use and duration of sun exposures: a double-blind randomized trial. J Natl Cancer Inst.\u20081999;91:1304\u20131309","DOI":"10.1093\/jnci\/91.15.1304"},{"key":"2021120906060211400_R27","unstructured":"American Academy of Dermatology Public Resources. Sunscreens. Available at: www.aad.org\/pamphlets\/sunscreen.html. Accessed November 22, 2003"},{"key":"2021120906060211400_R28","unstructured":"American Cancer Society. Parents Guide to Sun Protection. Available at: www.cancer.org\/docroot\/NWS\/content\/NWS_2_1x_Dont_Forget_The_Sunscreen_Every_Day.asp. Accessed November 22, 2003"},{"key":"2021120906060211400_R29","unstructured":"National Council on Skin Cancer Prevention. Prevention Tips. Available at: www.skincancerprevention.org\/prevention_tips.html#sunscreen. Accessed November 22, 2003"},{"key":"2021120906060211400_R30","unstructured":"Kim HJ, Ghali FE, Tunnessen WW. Here comes the sun. Contemp Pediatr.\u20081997;14:41\u201369"},{"key":"2021120906060211400_R31","doi-asserted-by":"crossref","unstructured":"Banks BA, Silverman RA, Schwartz RH, Tunnessen WW Jr. Attitudes of teenagers toward sun exposure and sunscreen use. Pediatrics.\u20081992;89:40\u201342","DOI":"10.1542\/peds.89.1.40"},{"key":"2021120906060211400_R32","doi-asserted-by":"crossref","unstructured":"Swerdlow AJ, Weinstock MA. Do tanning lamps cause melanoma? An epidemiologic assessment. J Am Acad Dermatol.\u20081998;38:89\u201398","DOI":"10.1016\/S0190-9622(98)70544-4"},{"key":"2021120906060211400_R33","doi-asserted-by":"crossref","unstructured":"Westerdahl J, Olsson H, Masback A, et al. Use of sunbeds and sunlamps and malignant melanoma in southern Sweden. Am J Epidemiol.\u20081994;140:691\u2013699","DOI":"10.1093\/oxfordjournals.aje.a117317"},{"key":"2021120906060211400_R34","unstructured":"National Institute of Environmental Health Sciences. Solar radiation and exposure to sunbeds or sunlamps. In: 9th Report on Carcinogens. Research Triangle Park, NC: National Institute of Environmental Health Sciences; 2000:48\u201350"},{"key":"2021120906060211400_R35","doi-asserted-by":"crossref","unstructured":"Bergman AB. 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