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The Honolulu Advertiser

Posted on: Monday, September 6, 2004

Sunscreen crucial during kids' 2nd summer

By Hilary E. MacGregor
Los Angeles Times

That first summer, most new moms and dads wrap their newborns in long-sleeved jerseys, shelter their faces from the sun with wide-brimmed hats and keep them in the shade. The second summer, though, parents slack off, and children get less sun protection and more burns.

A new study has found that skin damage rates from sun exposure increases from 22 percent for 6-month-olds to 54 percent for 18-month-olds.

Associated Press

"The beginnings of sun damage can start at a much earlier age than we thought," said Alan Geller, a professor of epidemiology at Boston University's School of Public Health and a professor of dermatology at the university's School of Medicine.

In a study of how new mothers protected their young children from the sun, Geller and his colleagues found that skin damage rates increased significantly from 22 percent for 6-month-olds during their first summer to 54 percent for 18-month-olds during their second summer. Although 90 percent of mothers reported using sunscreen on their toddlers, the increased sunburning and tanning resulted from lack of sun protection rather than increased sun exposure, the study found.

"This is a warning signal to the public to say: What can we do to prevent damage to our youngest children?" Geller said.

The researchers also studied whether an intervention program immediately following childbirth could affect new mothers' sun protection practices. In the study, 45 women received counseling from nurses on sun-protection techniques, plus written materials and follow-up telephone counseling; 47 women received only sun-protection counseling.

Subsequent surveys showed that both groups experienced a decrease in the routine use of sun protection from the first summer to the second summer of a child's life. However, the increase in skin damage for children in the intervention group was 32 percent, while that of the control group was 43 percent.

Excessive sun exposure is a concern for people of any age. Many skin cancers are caused by burns and excessive tanning. Although an earlier study showed that sun protection dropped significantly between ages 9 and 14, this latest study shows the problem starts much earlier.

Parents should not use sunscreen on infants younger than 6 months. Instead they should keep their babies out of direct sunlight, according to the American Academy of Pediatrics.

Geller says sunscreen should be applied frequently, liberally and thickly. A normal-size child requires about a palmful. But, he said, parents should also make sure their children wear hats and long-sleeved shirts, if possible, and that they play in parks with more trees for increased shade.

He also suggests that community groups work to improve shading on school playgrounds and that hospitals educate new mothers on the importance of sun protection. After that, sun protection comes down to developing good habits.

"Make it fun, start it early, and make it nonnegotiable," Geller said.

Results of the study appeared in the August issue of the Archives of Dermatology.