Sun Protection Policies and Practices at Child Care Centers in Massachusetts

Kenfield, Stacey A., Geller, Alan C., Richter, Elizabeth M., Shuman, Steve, O'Riordan, David, Koh, Howard K. and Colditz, Graham A. (2005) Sun Protection Policies and Practices at Child Care Centers in Massachusetts. Journal of Community Health, 30 6: 491-503. doi:10.1007/s10900-005-7283-2

Author Kenfield, Stacey A.
Geller, Alan C.
Richter, Elizabeth M.
Shuman, Steve
O'Riordan, David
Koh, Howard K.
Colditz, Graham A.
Title Sun Protection Policies and Practices at Child Care Centers in Massachusetts
Journal name Journal of Community Health   Check publisher's open access policy
ISSN 0094-5145
Publication date 2005-12-01
Sub-type Article (original research)
DOI 10.1007/s10900-005-7283-2
Open Access Status
Volume 30
Issue 6
Start page 491
End page 503
Total pages 13
Place of publication Netherlands
Publisher Springer
Language eng
Subject 1117 Public Health and Health Services
Formatted abstract
We assessed the relationship between sun protection policies and practices at child care centers in Massachusetts. We hypothesized that centers with sun protection policies were more likely to have regular sun protection practices in place compared to centers without these policies. We conducted a telephone survey with directors or assistant directors at 327 child care centers during the summer of 2002. The main outcome measure was sun protection practices, which included time spent outside during mid-day and the use of sunscreen, hats, and protective clothing by the majority of children assessed over the last 5 program days. The 36-item survey also inquired about the center’s sun protection policy and included demographic questions. Most centers (73%) reported having a written sun protection policy. Sun protection policies were positively associated with reported sunscreen (χ2=14.63, p = 0.0001) and hat use (χ2=30.98, p < 0.0001) and inversely associated with time outside (χ2=10.76, p = 0.001). Seventy-seven percent of centers followed recommended sunscreen practices. However, centers were far less likely to have recommended hat use (36%) and protective clothing (1.5%) practices. A formal sun protection policy may be an effective way to increase sun protection practices in the child care setting. Further research should assess this relationship in other states. Improving and expanding existing state regulations may be a reasonable strategy to increase sun protection at child care centers.
Keyword child care
community health
skin cancer control
disease prevention
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Public Health Publications
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Citation counts: TR Web of Science Citation Count  Cited 12 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 11 times in Scopus Article | Citations
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Created: Fri, 27 Mar 2009, 23:50:20 EST by Joanne Mellor on behalf of Social Sciences and Humanities Library Service