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The Falmouth Safe Skin Project: Evaluation of a Community Program to Promote Sun Protection in Youth

Department of Dermatology at the Boston University School of Medicine, Boston, Massachusetts.

Alan C. Geller, RN, MPH

Cancer Prevention & Control Center at the Boston University Medical Center, Boston, Massachusetts.; 720 Harrison Avenue, DOB-801A, Boston, MA 02118; phone: (617) 638-7126; fax: (617) 638-8551ageller{at}bu.edu

Martha C. Wood, MBA

Massachusetts Department of Public Health, Boston, Massachusetts.

Robert A. Lew, PhD

Multipurpose Arthritis Center at the Harvard School of Public Health, Boston, Massachusetts.

Howard K. Koh, MD, MPH

Massachusetts Department of Public Health.

Amultidimensional community-based skin cancer prevention programwas conducted in Falmouth, Massachusetts, combining community activism with publicity campaigns and behavioral interventions to improve sun protection knowledge; attitudes; and practices in parents, caregivers, and children. The programwas associated with improvements in target outcomes, based on two telephone surveys of random samples of parents (n= 401, 404). After program implementation, fewer parents reported sunburning of their children, particularly among children 6 years old or younger (18.6% in 1994 vs. 3.2% in 1997), and more parents reported children using sunscreen, particularly continuous use at the beach (from 47.4% to 69.9% in younger children). Hat and shirt use did not increase. Improvements also were seen in parent role modeling of sun protection practices, parents’self-efficacy in protecting children from the sun, and sun protection knowledge. While these findings must be interpreted cautiously, they do suggest that this project was effective in promoting sun protection.

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