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The prevalence of sunburns, an established risk factor for skin tumors, and the use of sun protection measures were assessed during the 2003 school entrance examinations in 7263 children in Bavaria, Germany.¹ Three aspects of sunburn prevalence were ascertained: lifetime experience (ever), recent events (last 12 months), and severity (blistering). The skin phototype was assessed by questions on freckling, eye color, and individual experiences with skin reaction to UV exposure. Sun protection attitudes were categorized by use of sunscreens, sun caps or hats, and/or textiles and avoidance of sun exposure during the UV-intensive hours. We also asked for the number of hours spent outdoors during a usual summer day.

A total of 7263 questionnaires from children of German nationality were collected (return rate 85.3%). The children’s mean age was 5.61 years. Any sunburn during the first 6 years of life was reported for 31.5% of children (95% confidence interval [CI], . . . [Full Text of this Article]

AUTHOR INFORMATION
Alexander Steinmann, MD; Bernhard Liebl, MD; Helen Kalies, MPH, MSc; Daniela Birkel; Michael Toschke, MD; Günther Kerscher, MD; Matthias Volkenandt, MD; Rüdiger von Kries, MD, MSc