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2001, Journal of School Health
Risk behaviors established during childhood including tobacco use, sunning, and eating habits contribute to most adult cancers. This project pilot-tested a developmentally appropriate cancer prevention curriculum for grades K-6, using a treatment group only design with pretesting and posttesting using a standardized, semistructured interview and involving 67 students (77% of eligible students) attending mixed grade classes. A seven-unit curriculum based on cognitive development, social cognitive. and social injuence theories was taught by classroom teachers. Students showed a significant (p<.0001) gain in conceptual understanding for rausality and prevention of cancer: the gain for causality of cancer was comparable to the baseline difference between kindergarten and the highest grade. Significant gains in factual knowledge and decreases in misconceptions about casual contact also were documented. A developmentally based elementary school cancer prevention curriculum can enhance young children's conceptual understanding and factual knowledge of common contributors to adult cancers. (J Sch Health. 2001 ;I1 (2):61-65)
Journal of School Health, 1985
About 145,000 people with cancer will die this year who might have been saved by earlier diagnosis and treatment. Many of these deaths could be prevented through smoking cessation programs, reduction of occupational health hazards, and school and community health education programs. To gain insight into the problem, a literature review was conducted to examine the major curricula and instructional materials developed during the past decade. Due to the magnitude of information available concerning the etiology and prevention of cancer, the review was limited to literature with specific relevance to children and adolescents. The review provides information concerning the background of cancer prevention; knowledge and attitudes of adolescents concerning cancer; cancer curricula, programs, and educational materials for adolescents; and a justification for cancer education in schools. Conclusions are drawn, and recommendations for action are offered.
Australian and New Zealand Journal of Public Health, 1997
The baseline knowledge about skin cancer prevention of 983 children aged 8 to 12 years was assessed by a pretest questionnaire. After the pretest, half were given a formal presentation about skin cancer prevention. The other half participated in an informal, question-and-answer session, which covered all material from the formal presentation. Two weeks later, all students completed an identical post-test. The students had a high baseline level of knowledge about skin cancer prevention. Knowledge increased for most items in the post-test questionnaire. In all age groups there was no difference in results between the formal and interactive teaching sessions, except among eight-year-olds, for whom the formal presentation was more effective. As much solar skin damage occurs before adolescence, the younger age group is the important target for skin cancer prevention programs.
BMJ, 1995
Objective-To collect information from children and young people about their knowledge of and attitudes towards cancer and their understanding of health and health related behaviours to inform future health promotion work. Design-Questionnaire survey of 15-16 year olds, and interviews with play materials with 9-10 year old children. Setting-Six inner city, suburban, and rural schools. Subjects-226 children aged 15-16 years and 100 aged 9-10 years. Main outcome measures-Knowledge about different types of cancer; beliefs about health; sources of information; quality of research data obtainable from young children about cancer and health. Results-Both samples knew most about lung cancer, but there was also some knowledge of breast and skin cancer and leukaemia. Smoking, together with pollution and other environmental factors, were seen as the dominant causes of cancer. Environ- mental factors were mentioned more often by the inner city samples. Television and the media were the most important sources of information. Young people were more worried about unemployment than about ill health. More than half the young people did not describe their health as good, and most said they did not have a healthy lifestyle. Children were able to provide detailed information about their knowledge and understanding by using drawings as well as interviews. Conclusions-Children and young people possess considerable knowledge about cancer, especially about lung cancer and smoking, and show considerable awareness of predominant health education messages. Despite this knowledge, many lead less than healthy lifestyles. Health is not seen as the most important goal in life by many young people; the circumstances in which many children and young people live are not experienced as health promoting.
Cancer control : journal of the Moffitt Cancer Center, 1997
The purpose of this study was to examine the prevalence of cancer risk behaviors, including tobacco use, irresponsible sexual activity, dietary patterns, and physical activity, in a national sample of youth. Behavioral differences by sex and racial/ethnic groups were examined to determine significant patterns where such information may be valuable. This information may not only assist health educators as they develop prevention programs, but also increase the awareness of clinicians as they work with adolescents in medical settings. Methods Subjects Data were collected in February through May of 1993. Subjects consisted of 16,296 students enrolled in grades 9 through 12 across the United States. Data collectors from the Centers for Disease Control and Prevention (CDC) used a three-stage cluster sample methodology in which schools were randomly selected from previously selected sampling areas, and intact classes within schools were invited to participate in the study. Efforts were made to oversample in schools with high populations of blacks and Hispanics to achieve adequate representation. Additionally, 24 state and nine local surveys were performed, with either all schools in an area or intact classes within schools selected for participation. For the national sample, records of subjects were weighted to account for nonresponses. The data are considered representative of students in grades 9 through 12 in public and private schools nationally. 1 Not all state and local data were weighted. The school response rate was 78% and, when combined with a student response rate of 90%, yielded an overall response rate of 70%. Usable surveys numbered 16,296 and were returned and coded by CDC staff. Due to small numbers of Asians/Pacific Islanders, Native Americans, and Alaskan Natives, data from these groups were removed from further examination in this study.
Health Education Research, 2013
Increasing adolescents' awareness of the contribution of modifiable lifestyle factors to cancer risk may influence life-long patterns of healthy behaviour. However, little is known about adolescents' awareness of cancer risk factors and the effectiveness of awareness-raising interventions. This study assessed adolescents' cancer awareness and the effectiveness of an existing cancerspecific school-based intervention delivered by Teenage Cancer Trust. The Cancer Awareness Measure was completed by 478 adolescents (male: 250, 52.3%) aged 11-17 years (mean: 13.8, standard deviation: 1.24) in four UK schools; 422 adolescents provided paired data 2 weeks before and 2 weeks after the intervention delivered in 3 schools, and twice 4 weeks apart in the fourth (control) school. Adolescents recognized on average 4.4 (of 11) cancer risk factors. With the exception of smoking, adolescents' awareness of cancer risk factors was low. Awareness significantly increased after the intervention (4.6-5.7, P < 0.001). There was no significant change in the control school. Intervention effect was greater among females. This educational intervention is an effective way to raise adolescents' awareness of cancer risk factors. However, further cross-sectional and experimental studies are required to definitively assess adolescents' awareness of cancer risk factors and the effectiveness of this educational intervention.
International Journal of Environmental Research and Public Health, 2020
Skin cancer, which is increasing exceedingly worldwide, is substantially preventable by reducing unprotected exposure to ultraviolet radiation (UVR). Several comprehensive interventions targeting sun protection behaviors among children and adolescents in various outdoor settings have been developed; however, there is a lack of insight on stand-alone effectiveness of environmental elements. To compose future skin cancer prevention interventions optimally, identification of effective environmental components is necessary. Hence, an extensive systematic literature search was conducted, using four scientific databases and one academic search engine. Seven relevant studies were evaluated based on stand-alone effects of various types of environmental sun safety interventions on socio-cognitive determinants, sun protection behaviors, UVR exposure, and incidence of sunburns and nevi. Free provision of sunscreen was most often the environmental component of interest, however showing inconsis...
Creative Education
Introduction: Skin cancer is the most prevalent malignancy worldwide. It is necessary to intervene from childhood in its prevention. The lack of awareness of the population demands photoeducation activities, so that photoprotection habits are built. Goals: Compare previous and immediately acquired knowledge and attitudes of primary school students, participants in this educational action aimed at the prevention of skin cancer. Analyze student satisfaction with the educational program attended. Method: A semi-experimental, quantitative study was carried out, based on educational intervention. The teachers, mediators of the intervention, were guided by the researcher, with two dialogical workshops. The educational program was applied over ten weekly activities, based on an active method, to 32 students from the eighth year of a public school in a municipality in the countryside of São Paulo, who answered questionnaires before the beginning and after the end of the activities. Sociodemographic data and phenotypic characteristics of risk for skin cancer, as well as information about knowledge and practice of photoprotective attitudes were previously collected. At the end of the educational intervention, students answered a close-ended questionnaire on knowledge and attitudes and a questionnaire on their satisfaction with the program. Quantitative and comparative analysis was carried out between the questionnaires on pre-intervention and post-intervention knowledge and attitudes. Results: The educational program was evaluated satisfactorily by the students, contributed to the learning of important concepts for photoprotection and changing attitudes. Conclusion: The educational program on the prevention of skin cancer, aimed at children and adolescents, using active teaching-learning methods, enabled the gain of knowledge and signs of photoprotective attitudes.
American Journal of Preventive Medicine, 2016
Introduction: Skin cancer is the most common cancer, and its incidence is increasing. Young adults expose themselves to large amounts of ultraviolet radiation (UV) and engage in minimal skin protection, which increases their risk. Internet interventions are effective in modifying health behaviors and are highly disseminable. The current study's purpose was to test an Internet intervention to decrease UV exposure and increase skin protection behavior among young adults.
Annales Universitatis Paedagogicae Cracoviensis Folia 278 Studia ad Didacticam Biologiae Pertinentia 8, 2018
BMC Public Health
Background: Skin cancer rates are increasing. Interventions to increase adolescent sunscreen use and skin self-examination (SSE) are required.
Journal of Adolescent Health, 2013
Adolescent risk-taking may have long-term consequences for adult cancer risk. Behaviors such as smoking and sexual activity, commonly initiated during adolescence, may resultddecades laterdin cancer. Life course epidemiology focuses on unique vulnerabilities at specific development periods and their importance to later development of disease. A life course epidemiological perspective that integrates social and biological risk processes can help frame our understanding how specific adult cancers develop. Moreover, life course perspectives augment traditional public health approaches to prevention by emphasizing the importance of unique windows of opportunity for prevention.
A childhood cancer diagnosis can be devastating for both children and their parents; however, most cancers can be prevented early in life. The pediatric cancer rate in the USA among children under 20 years of age increased by 34% between 1975 and 2017. Experts in oncology have suggested several behaviors that may lower the risk of cancer in children, such as monitoring folic acid during pregnancy, physical activity, breastfeeding, and maintaining a healthy environment. Exposure to certain harmful substances could predispose children to cancer. Exposure can include a mother's alcohol and tobacco use during pregnancy, air pollution , exposure to diethylstilbestrol (DES) in utero, CT scans or X-rays, and secondhand smoke, among other chemical substances. In this commentary article, we aim to evaluate the efficacy of the STAR Act program in reducing the pediatric cancer rate in Washington, DC.
Journal of Adolescent Health, 2002
To describe the knowledge, attitudes, and practices of 7th-graders in Maryland with respect to sun protection and skin cancer. Methods: Maryland middle school students ages 10 to 16 years (55% girls, estimated 67% white) from 6 counties completed an in-school questionnaire (n ؍ 2775) developed by the Coalition for Skin Cancer Prevention in Maryland in 1999 to assess knowledge, attitudes, and behaviors concerning sun exposure and skin cancer. To evaluate for gender and age differences, mean knowledge and attitude scores were compared using Student's t-tests and the prevalence of behaviors were compared using Chi-square tests. Multiple regression was used to model how age, gender, knowledge, and attitudes predicted the likelihood of being sunburned the previous summer. Results: On average, these youths correctly answered 65% of 13 true/false items and 43% of 7 multiple choice items. Approximately one-third (32%) felt a tan looked healthy and 51% felt a tan looked attractive; on the other hand, 36% agreed/strongly agreed that sun protection was "cool." Attitudes toward skin protection became less favorable with age (p-for-trend < .001). When out in the sun the previous summer, 37% rarely or never used sunscreen and 43% never wore a hat. The prevalence of two or more painful sunburns during the past summer was 30%. Less favorable attitudes toward skin protection were associated with a higher likelihood of sunburn (p < .001). The likelihood of sunburn did not differ by gender, even though when compared with boys, girls had significantly higher knowledge scores (p < .01), more favorable attitudes (p < .001), and were significantly more likely to report using sunscreen (p < .001). Conclusions: A substantial proportion of youths were not protecting themselves adequately from sunlight. The overall low levels of knowledge accentuate the need to incorporate basic knowledge of skin cancer and sun protective behaviors in preventive interventions designed for this population. The results particularly emphasize the need to positively impact attitudes toward sun protective behavior early in life to help curb the epidemic of skin cancer.
Bulletin of Lviv State University of Life Safety, 2021
In Poland and the world, cancer is a serious health problem. There are the second cause of death in total and the first cause of death before the age of 65 in Poland. The paper presents some research results concerning the understanding of the level of knowledge of adolescents about lung cancer. An attempt was made to answer the question: Do young people have basic knowledge about lung cancer? The following hypotheses were made: Students believe that they influ-ence whether they will develop lung cancer. Adolescents have a basic knowledge of lung cancer. The obtained results allowed for the formulation of conclusions. The main goal of the work is to find out about the level of knowledge of young people about lung cancer.To improve the situation of lung cancer in society, numerous social organizations and associations take part in social campaigns dedicated to all citizens, regardless of age and sex. Some postulates, the introduction of which could increase the health security of the...
Journal of Cancer Education, 2014
Reduction in the incidence of cancer can be achieved through appropriate health behaviors. We hypothesized that education would improve knowledge of cancer prevention, and this, in turn, will affect and individual's readiness to modify lifestyle. The aim of this study was to assess the impact of cancer prevention education on adopting and preserving prohealth attitudes among high school students in Poland. Research participants were 307 high school students varying by gender, place of residence, parents' education, and type of school education. Participants were divided into five groups, of which four were educated using different methods according to classification methods based on the concept of multilateral learning. The fifth (control) group was not educated. The effects of education were assessed 1 month and 1 year after education. General knowledge about cancer and healthy lifestyle level before education was low. After education, both increased compared with the control group. There was a clear relationship between level of knowledge and readiness to adopt and healthy attitudes and behavior. The most effective method of education was a discussion and a lecture by means of teaching complex. Education significantly improved generally low knowledge about cancer and healthy lifestyle in high school students. This indicates the urgent need to implement such educational programs.
2015
Cancer represents one of the main causes of death worldwide; consequently, preventive interventions are of utmost importance in public health education. The leading model of cancer prevention campaigns is based on general and undifferentiated actions mediated by health professionals, fo-cusing on the technical and scientific information but rather ineffective in changing the symbolic, cognitive and practical relationship with the disease. New intervention models are thus required to address cancer literacy, being early interventions targeted to specific groups an elective counterpoint to contribute to positive and durable changes in cancer prevention. Our aim is to evaluate the feasibility and impact of cancer prevention programmes planned as focused interventions in restricted targets and mediated by non-healthcare professionals to increase cancer literacy and promote preventive behaviours. This pilot study evaluates schools' potential as a vehicle for cancer prevention education in a reality shaped by traditional health prevention campaigns. We developed a protocol of systematic surveying in order to review and, in the future, optimize and replicate this ecological model of intervention to other groups and contexts. The implementation of this model has been successful in which concerns to the effectiveness of the training programme for teachers. This led to the development of impactful cancer prevention education projects by trainees targeted to their students, allowing us to argue that it contributes to knowledge and practice in this complex as consensual priority area of intervention.
Pediatric Dermatology, 2009
The aim of this study was to assess baseline knowledge of skin cancer, sun protection practices, and perceptions of tanning among third through fifth grade elementary students in Florida. A total of 4,002 students in nineteen elementary schools in Palm Beach County, Florida were surveyed. SunSmart America curriculum pretest responses were the main outcome measures. Overall students&amp;amp;amp;amp;amp;amp;#39; knowledge using a students&amp;amp;amp;amp;amp;amp;#39; mean knowledge scale scores of skin cancer and sun protection were low (&amp;amp;amp;amp;amp;amp;lt;40% of questions answered correctly) and was found to increase with increasing grade level (p &amp;amp;amp;amp;amp;amp;lt; 0.01). Boys more frequently reported spending greater than 2 hours in the sun when compared with girls (p &amp;amp;amp;amp;amp;amp;lt; 0.01). Girls, however, were more likely to try and get a tan most of the time or always when compared with boys (p = 0.02). Non-Hispanic White students (51.3%) more frequently reported use of SPF 15 or greater sunscreen &amp;amp;amp;amp;amp;amp;quot;most of the time or always&amp;amp;amp;amp;amp;amp;quot; compared with Hispanic (35.3%) and non-Hispanic Black (13.4%) students (p &amp;amp;amp;amp;amp;amp;lt; 0.01). Elementary aged students in south Florida have limited knowledge about sun safety, despite spending considerable amount of time in the sun. Sun safe behavior is associated with gender and ethnicity. The findings provide empirical support for the need of a school-based educational intervention.
2014
Cancer is one of the leading causes of death worldwide, and thus represents a priority for national public health programs. Prevention has been assumed as the best strategy to reduce cancer burden, however most cancer prevention programs are implemented by healthcare professionals, which constrain range and educational impacts. We developed an innovative approach for cancer prevention education focused on high-school biology teachers, considered privileged mediators in the socialization processes. A training program, ''Cancer, Educate to Prevent'' was applied, so that the teachers were able to independently develop and implement prevention campaigns focused on students and school-related communities. The program encompassed different educational modules, ranging from cancer biology to prevention campaigns design. Fifty-four teachers were empowered to develop and implement their own cancer prevention campaigns in a population up to five thousands students. The success of the training program was assessed through quantitative evaluation-questionnaires focused on teachers' cancer knowledge and perceptions, before the intervention (pre-test) and immediately after (post-test). The projects developed and implemented by teachers were also evaluated regarding the intervention design, educational contents and impact on the students' knowledge about cancer. This study presents and discusses the results concerning the training program ''Cancer, Educate to Prevent'' and clearly shows a significant increase in teacher's cancer literacy (knowledge and perceptions) and teachers' acquired proficiency to develop and deliver cancer prevention campaigns with direct impact on students' knowledge about cancer. This pilot study reinforces the potential of high-school teachers and schools as cancer prevention promoters and opens a new perspective for the development and validation of cancer prevention education strategies, based upon focused interventions in restricted targets (students) through non-health professionals (teachers).
Perspectives in Public Health, 2015
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