Limiting ultraviolet radiation exposure during early childhood can significantly reduce the risk of developing skin cancer, making early childhood a critical time for sun protection strategies. This study aimed to measure sun protection practices utilized in Australian early-childhood services over the past decade and evaluate the impact of Cancer Council Australia's SunSmart Early-Childhood Program. Results are presented from cross-sectional and repeated-measures survey data, completed by directors or other staff at randomly sampled early-childhood services in 2008, 2013 and 2018 (N = 3243). Most sun protection practices were used by a significantly greater proportion of services in 2018 relative to earlier years, such as requiring the use of sunscreen (98.4%), and sun-protective hats (99.7%) and clothing (88.8%). However, only a small and declining proportion of services (16.3%-22.4%) required the use of specific items of sun-protective clothing. SunSmart program members reported enacting significantly more sun protection practices compared to non-members, while new members showed an increase in the use of those practices relative to services whose status did not change (d = 0.48). The results demonstrate improvements in sun protection in Australian early-childhood settings, and highlight the benefits and limitations of the SunSmart program.

中文翻译：

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澳大利亚幼儿服务的防晒十年：横断面和重复测量数据的分析。

限制儿童早期的紫外线辐射可以显着降低罹患皮肤癌的风险，从而使儿童早期成为防晒策略的关键时期。这项研究旨在评估过去十年在澳大利亚幼儿服务中使用的防晒措施，并评估澳大利亚癌症委员会的SunSmart幼儿计划的影响。结果来自横断面和重复测量的调查数据，这些数据是由董事或其他员工在2008年，2013年和2018年随机抽样的幼儿服务中完成的（N = 3243）。与往年相比，2018年大多数防晒措施在服务中所占比例更高，例如要求使用防晒霜（98.4％），要求使用防晒帽（99.7％）和衣服（88.8％）。然而，仅一小部分不断下降的服务（16.3％-22.4％）需要使用某些防晒衣。SunSmart计划成员报告说，与非成员相比，制定了更多的防晒措施，而新成员表明，相对于状态不变的服务，这些做法的使用有所增加（d = 0.48）。结果表明，澳大利亚幼儿期的防晒措施有所改善，并突出了SunSmart计划的好处和局限性。而新成员表明，相对于状态不变的服务，这些做法的使用有所增加（d = 0.48）。结果表明，澳大利亚幼儿期的防晒措施得到了改善，并强调了SunSmart计划的好处和局限性。而新成员表明，相对于状态不变的服务，这些做法的使用有所增加（d = 0.48）。结果表明，澳大利亚幼儿期的防晒措施得到了改善，并强调了SunSmart计划的好处和局限性。