Economic evaluation of the US Environmental Protection Agency's SunWise program: sun protection education for young children.

Abstract:

OBJECTIVE:The SunWise School Program is a school-based sun safety education program that was developed by the US Environmental Protection Agency and aims to teach children how to protect themselves from overexposure to the sun. The objectives of this study were to assess the health benefits of the SunWise School Program and use economic analysis to determine the program's net benefits and cost-effectiveness. METHODS:Standard cost/benefit and cost-effectiveness analysis methods were used. Intervention costs were measured as program costs estimated to be incurred by the US government, which funds SunWise, using 3 funding scenarios. Health outcomes were measured as skin cancer cases and premature mortalities averted and quality-adjusted life-years saved. These health outcomes were modeled using an effectiveness evaluation of SunWise based on pretest and posttest surveys administered to students who participated in the program and the Environmental Protection Agency's peer-reviewed Atmospheric and Health Effects Framework model. Costs averted were measured as direct medical costs and costs of productivity losses averted as a result of SunWise. Net benefits were measured as the difference between costs averted and program costs. RESULTS:Economic analysis indicated that if the SunWise School Program continues through 2015 at current funding levels, then it should avert >50 premature deaths, nearly 11,000 skin cancer cases, and 960 quality-adjusted life-years (undiscounted) among its participants. For every dollar invested in SunWise, between approximately $2 and $4 in medical care costs and productivity losses are saved, depending on the funding scenario. CONCLUSIONS:From a cost/benefit and cost-effectiveness perspective, it is worthwhile to educate children about sun safety; small to modest behavioral impacts may result in significant reductions in skin cancer incidence and mortality.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Kyle JW,Hammitt JK,Lim HW,Geller AC,Hall-Jordan LH,Maibach EW,De Fabo EC,Wagner MC

doi

10.1542/peds.2007-1400

subject

Has Abstract

pub_date

2008-05-01 00:00:00

pages

e1074-84

issue

5

eissn

0031-4005

issn

1098-4275

pii

121/5/e1074

journal_volume

121

pub_type

杂志文章
  • Excess morbidity associated with interhospital transport.

    abstract::A prospective study was performed to determine whether excess morbidity occurred in critically ill and injured pediatric patients during interhospital transport compared with morbidity in a control group. Control observations were made during the first 2 hours of pediatric intensive care unit (PICU) care of patients e...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Kanter RK,Boeing NM,Hannan WP,Kanter DL

    更新日期:1992-12-01 00:00:00

  • Parental sedentary restriction, maternal parenting style, and television viewing among 10- to 11-year-olds.

    abstract:OBJECTIVE:To examine whether parenting styles or practices were associated with children's television (TV) viewing. METHODS:A total of 431 parent-child dyads (10- to 11-year-old children) from Bristol, United Kingdom, were included. Child and parent TV viewing were self-reported and categorized as <2, 2 to 4, or >4 ho...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2010-3664

    authors: Jago R,Davison KK,Thompson JL,Page AS,Brockman R,Fox KR

    更新日期:2011-09-01 00:00:00

  • Longitudinal study of exposure to entertainment media and alcohol use among german adolescents.

    abstract:BACKGROUND:Entertainment media exposure may predict teenager alcohol use, but few longitudinal studies have been reported. METHODS:A longitudinal study was conducted of 2708 German adolescents aged 10 to 16 years who had never drunk alcohol. Each adolescent was surveyed at school about daily television use, whether th...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2008-1465

    authors: Hanewinkel R,Sargent JD

    更新日期:2009-03-01 00:00:00

  • Empyema hospitalizations increased in US children despite pneumococcal conjugate vaccine.

    abstract:OBJECTIVE:To determine if the incidence of empyema among children in the United States has changed since the introduction of the pneumococcal conjugate vaccine in 2000. METHODS:We used the nationally representative Kids' Inpatient Database to estimate the annual total number of hospitalizations of children < or = 18 y...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2009-0184

    authors: Li ST,Tancredi DJ

    更新日期:2010-01-01 00:00:00

  • American Academy of Pediatrics. The role of the school nurse in providing school health services. Committee on School Health.

    abstract::The school nurse has a crucial role in the provision of school health services. This statement describes the school nurse as a member of the school health services team and its relation to children with special health care needs. Recommendations for the professional preparation and education of school nurses also are ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.108.5.1231

    authors: Committee on School Health.

    更新日期:2001-11-01 00:00:00

  • Breastfeeding and developmental delay: findings from the millennium cohort study.

    abstract:OBJECTIVE:We investigated whether the duration and exclusivity of breastfeeding affects the likelihood of gross and fine motor delay in infants and examined the effect of factors that might explain any observed differences. METHODS:The study sample included all term singleton infants who weighed > 2500 g at birth and ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2005-3141

    authors: Sacker A,Quigley MA,Kelly YJ

    更新日期:2006-09-01 00:00:00

  • Detection of coronavirus in the central nervous system of a child with acute disseminated encephalomyelitis.

    abstract::We present a case in which human coronavirus was detected in the cerebrospinal fluid of a child presumed to have acute disseminated encephalomyelitis. In murine models, coronavirus has been found to cause a chronic demyelinating condition that resembles multiple sclerosis. Additionally, there is in vitro evidence of h...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.113.1.e73

    authors: Yeh EA,Collins A,Cohen ME,Duffner PK,Faden H

    更新日期:2004-01-01 00:00:00

  • Safety and efficacy of filtered sunlight in treatment of jaundice in African neonates.

    abstract:OBJECTIVES:Evaluate safety and efficacy of filtered-sunlight phototherapy (FS-PT). METHODS:Term/late preterm infants #14 days old with clinically significant jaundice, assessed by total bilirubin (TB) levels, were recruited from a maternity hospital in Lagos, Nigeria. Sunlight was filtered with commercial window-tinti...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2013-3500

    authors: Slusher TM,Vreman HJ,Olusanya BO,Wong RJ,Brearley AM,Vaucher YE,Stevenson DK

    更新日期:2014-06-01 00:00:00

  • Risk Stratification of Febrile Infants ≤60 Days Old Without Routine Lumbar Puncture.

    abstract::: media-1vid110.1542/5840460609001PEDS-VA_2018-1879Video Abstract OBJECTIVES: To evaluate the Rochester and modified Philadelphia criteria for the risk stratification of febrile infants with invasive bacterial infection (IBI) who do not appear ill without routine cerebrospinal fluid (CSF) testing. METHODS:We performe...

    journal_title:Pediatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1542/peds.2018-1879

    authors: Aronson PL,Wang ME,Shapiro ED,Shah SS,DePorre AG,McCulloh RJ,Pruitt CM,Desai S,Nigrovic LE,Marble RD,Leazer RC,Rooholamini SN,Sartori LF,Balamuth F,Woll C,Neuman MI,Febrile Young Infant Research Collaborative.

    更新日期:2018-12-01 00:00:00

  • Exclusive breastfeeding protects against bacterial colonization and day care exposure to otitis media.

    abstract:OBJECTIVE:We followed a cohort (N = 306) of infants at well-baby visits in two suburban pediatric practices to assess the relation of exclusive breastfeeding, and other environmental exposures, to episodes of acute otitis media (AOM) and otitis media with effusion (OME). METHODS:Detailed prospective information about ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.100.4.e7

    authors: Duffy LC,Faden H,Wasielewski R,Wolf J,Krystofik D

    更新日期:1997-10-01 00:00:00

  • Childhood primary aldosteronism due to an adrenal adenoma: preoperative localization by adrenal vein catheterization.

    abstract::Primary aldosteronism resulting from an adrenal adenoma is rare in children. An 8 1/2-year-old girl was found to have hypertension and spontaneous hypokalemia, both detected as incidental findings. Subsequent investigations revealed inappropriately elevated levels of plasma and urinary aldosterone with suppressed plas...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Ganguly A,Bergstein J,Grim CE,Yum MN,Weinberger MH

    更新日期:1980-03-01 00:00:00

  • Attitudes of obstetric and pediatric health care providers toward resuscitation of infants who are born at the margins of viability.

    abstract:OBJECTIVES:The objective of this study was to determine the attitudes of a variety of health care providers toward the recommendations that should be made to parents regarding the resuscitation of infants who are born at the margins of viability. METHODS:A written questionnaire was distributed to the medical and nursi...

    journal_title:Pediatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1542/peds.2006-0913O

    authors: Lavin JP Jr,Kantak A,Ohlinger J,Kaempf JW,Tomlinson M,Campbell B,Fofah O,Edwards W,Allbright K,Hagen E,Suresh G,Schriefer J

    更新日期:2006-11-01 00:00:00

  • Signs and symptoms in the presentation of primary infantile glaucoma.

    abstract::Delayed initiation of proper therapy for infants with primary infantile glaucoma results in an unnecessarily poor outcome. In an effort to understand why some infants and children had more advanced disease than others, researchers reviewed the records of 24 consecutive infants and children with this problem. The prese...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Seidman DJ,Nelson LB,Calhoun JH,Spaeth GL,Harley RD

    更新日期:1986-03-01 00:00:00

  • Validation of the modified checklist for Autism in toddlers, revised with follow-up (M-CHAT-R/F).

    abstract:OBJECTIVE:This study validates the Modified Checklist for Autism in Toddlers, Revised with Follow-up (M-CHAT-R/F), a screening tool for low-risk toddlers, and demonstrates improved utility compared with the original M-CHAT. METHODS:Toddlers (N = 16,071) were screened during 18- and 24-month well-child care visits in m...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2013-1813

    authors: Robins DL,Casagrande K,Barton M,Chen CM,Dumont-Mathieu T,Fein D

    更新日期:2014-01-01 00:00:00

  • Is Chlamydia pneumoniae infection associated with stroke in children with sickle cell disease?

    abstract:BACKGROUND:Stroke is often a devastating complication of sickle cell disease (SCD). Most children with SCD-related stroke have stenotic and occlusive disease of cerebral blood vessels due to intimal hyperplasia. This hyperplasia is hypothesized to result from an inflammatory response similar to that in atherosclerosis ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.113.4.e318

    authors: Goyal M,Miller ST,Hammerschlag MR,Gelling M,Gaydos CA,Hardick J,Wood BJ,Reznik T,Rao SP

    更新日期:2004-04-01 00:00:00

  • Intestinal lesions containing coronavirus-like particles in neonatal necrotizing enterocolitis: an ultrastructural analysis.

    abstract::Since the outbreaks of neonatal necrotizing enterocolitis occurring in maternity hospitals of Paris and suburbs in 1979-1980, it has been possible to examine by light and electron microscopy gut specimens from ten newborns with this illness. Coronavirus-like particles, enclosed in intracytoplasmic vesicles of damaged ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Rousset S,Moscovici O,Lebon P,Barbet JP,Helardot P,Macé B,Bargy F,Le Tan Vinh,Chany C

    更新日期:1984-02-01 00:00:00

  • Isolated congenital malabsorption of folic acid in a male infant: insights into treatment and mechanism of defect.

    abstract::An instructive case of isolated congenital folate malabsorption provides insight into the understanding of this rare disease. Folate loading tests with both timed serum and cerebrospinal fluid folate determinations suggest that both of the two mechanisms involved in gastrointestinal folate absorption are defective in ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.104.5.1133

    authors: Malatack JJ,Moran MM,Moughan B

    更新日期:1999-11-01 00:00:00

  • Distinguishing sepsis from blood culture contamination in young infants with blood cultures growing coagulase-negative staphylococci.

    abstract::In the ideal situation, the evaluation for sepsis in the young infant should include collection of multiple blood cultures before the institution of antibiotics. Unfortunately, in some infants, it may not be possible to obtain more than a single blood culture at the time of initial evaluation. If this single culture u...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: St Geme JW 3rd,Bell LM,Baumgart S,D'Angio CT,Harris MC

    更新日期:1990-08-01 00:00:00

  • Costs and Use for Children With Medical Complexity in a Care Management Program.

    abstract:BACKGROUND AND OBJECTIVES:Children with medical complexity (CMC) comprise only 6% of the pediatric population, account for ∼40% of pediatric health care spending, and provide an important opportunity for cost saving. Savings in this group can have an important impact on pediatric health care costs. The objective of thi...

    journal_title:Pediatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1542/peds.2019-2401

    authors: Bergman DA,Keller D,Kuo DZ,Lerner C,Mansour M,Stille C,Richardson T,Rodean J,Hudak M

    更新日期:2020-04-01 00:00:00

  • Role of pediatric health care professionals in the provision of parenting advice: a qualitative study with mothers from 4 minority ethnocultural groups.

    abstract:OBJECTIVE:This study's aim was to elicit the perspectives of minority parents on their expectations of pediatric health care providers as a source of advice on "raising their child" and whether they would seek advice from these providers. A secondary aim was to demonstrate the value of qualitative methods for assessing...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2005-2604

    authors: Dumont-Mathieu TM,Bernstein BA,Dworkin PH,Pachter LM

    更新日期:2006-09-01 00:00:00

  • Children riding in the back of pickup trucks: a neglected safety issue.

    abstract::Motor vehicle-related trauma is the leading cause of death in children in the United States. All states have pediatric restraint requirements for passenger vehicles to help prevent these deaths and injuries. Only a few states, however, possess safety laws or restrictions for passengers who ride in the back of pickup t...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Woodward GA,Bolte RG

    更新日期:1990-11-01 00:00:00

  • Legal proof of child sexual abuse in the absence of physical evidence.

    abstract::Child sexual abuse criminal court cases from a 12-month period were reviewed to determine the frequency and significance of physical evidence in legally "proven" felony cases with penetration. One hundred fifteen consecutive cases were reviewed, and 87 (76%) had resulted in conviction of the perpetrator on felony char...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: De Jong AR,Rose M

    更新日期:1991-09-01 00:00:00

  • Socioeconomic outcomes in adults malnourished in the first year of life: a 40-year study.

    abstract:OBJECTIVE:Lifelong functional, adaptive, and economic outcomes of moderate to severe infantile malnutrition are not well known. We assessed social status and income at midlife in a cohort of Barbadian adults, hospitalized for protein-energy malnutrition (PEM) during the first year of life, with good nutrition and healt...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2012-0073

    authors: Galler JR,Bryce C,Waber DP,Zichlin ML,Fitzmaurice GM,Eaglesfield D

    更新日期:2012-07-01 00:00:00

  • Household routines and obesity in US preschool-aged children.

    abstract:OBJECTIVE:To determine the association between the prevalence of obesity in preschool-aged children and exposure to 3 household routines: regularly eating the evening meal as a family, obtaining adequate sleep, and limiting screen-viewing time. METHODS:We conducted a cross-sectional analysis of a nationally representa...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2009-0417

    authors: Anderson SE,Whitaker RC

    更新日期:2010-03-01 00:00:00

  • Solitary renal myofibromatosis: an unusual cause of infantile hypertension.

    abstract:INTRODUCTION:Renovascular disease accounts for the vast majority of cases of infantile hypertension with complications resulting from umbilical arterial catheterization predominating in the neonatal period and fibrodysplastic lesions of the renal artery predominating outside the neonatal period. We report a previously ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.103.5.e66

    authors: Kasaragod AB,Lucia MS,Lum GM,Caldwell S,Stork L,Stenmark KR

    更新日期:1999-05-01 00:00:00

  • Maternal cigarette smoking and fetal oxygen transport: a study of P50, 2,3-diphosphoglycerate, total hemoglobin, hematocrit, and type F hemoglobin in fetal blood.

    abstract::The current study was undertaken to determine whether the O2 carrying capacity of newborns born to mothers who smoke can accommodate to carbon monoxide poisoning to compensate for the potential tissue hypoxia induced by CO. From a cohort of 1,222 women and newborn infants the total hemogloblin concentration, hematocri...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Bureau MA,Shapcott D,Berthiaume Y,Monette J,Blouin D,Blanchard P,Begin R

    更新日期:1983-07-01 00:00:00

  • Routine admission urinalysis examination in pediatric patients: a poor value.

    abstract::The urinalysis has long been considered an important screening test for hospitalized children. The value of the admission urinalyses, required by hospital bylaws, was assessed for detecting urinary tract disease in children admitted to a day-care unit or impatient medical or surgical services during the months of June...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Mitchell N,Stapleton FB

    更新日期:1990-09-01 00:00:00

  • The Autism Speaks Autism Treatment Network Registry Data: Opportunities for Investigators.

    abstract:OBJECTIVE:Patient registries can effectively collect data over a long period of time to provide a better understanding of the typical presentation of specific conditions. The autism spectrum disorders (ASDs) have experienced a marked increase in reported prevalence over the past 20 years for reasons that are not comple...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2015-2851E

    authors: Murray DS,Fedele A,Shui A,Coury DL

    更新日期:2016-02-01 00:00:00

  • C-reactive protein in the diagnosis, management, and prognosis of neonatal necrotizing enterocolitis.

    abstract:OBJECTIVE:In this prospective, observational study, we determined whether serum C-reactive protein (CRP) correlated with necrotizing enterocolitis (NEC) stages II and III. We hypothesized that serial CRP measurement if used as an adjunct to abdominal radiographs would improve the identification of infants with NEC. ME...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2004-1806

    authors: Pourcyrous M,Korones SB,Yang W,Boulden TF,Bada HS

    更新日期:2005-11-01 00:00:00

  • Menstruation in girls and adolescents: using the menstrual cycle as a vital sign.

    abstract::Young patients and their parents often are unsure about what represents normal menstrual patterns, and clinicians also may be unsure about normal ranges for menstrual cycle length and amount and duration of flow through adolescence. It is important to be able to educate young patients and their parents regarding what ...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.2006-2481

    authors: American Academy of Pediatrics Committee on Adolescence.,American College of Obstetricians and Gynecologists Committee on Adolescent Health Care.,Diaz A,Laufer MR,Breech LL

    更新日期:2006-11-01 00:00:00