Sun Protection Behaviour and Sunburns in Spanish Cyclists.

Sunburn caused by overexposure to ultraviolet radiation is the main cause of preventable skin cancer. This study aimed to describe the sun protection habits and rate of sunburns associated with the practice of cycling and to identify predictive factors of sunburn among cyclists. A descriptive observational study based on online surveys was conducted. Recruitment of participants was conducted through the Andalusian Cycling Federation (Spain). A questionnaire on behaviour, attitudes, and knowledge related to sun exposure was used. A bivariate analysis was carried out with sunburn episodes during the previous year as outcome variable, and a multivariate logistic regression model was built. Of the 1018 surveys returned, 87.6% were answered by men, mean age was 41.8 years (SD: 11.0), and 37.6% of the participants had phototype I or II. Sunburns during the previous year were reported by 45.6% (95% CI: 42.5-48.7) of the respondents. Sunscreen use was reported by 39.2%, and 61.0% did not examine their skin regularly despite the fact that 34 subjects (3.4%) reported a personal history of skin cancer. The multivariate logistic regression analysis showed that there was a negative correlation between episodes of sunburn and age, phototypes I-II, more than 2 h of sun exposure, and inconsistent use of sunscreen. Cyclists have high rates of sunburns and thus constitute a high-risk group for developing skin cancer. Educational interventions specifically aimed at this group of athletes would improve sun protection knowledge and practices, particularly the use of sunscreen.

Prevalencia de la lactancia materna y factores asociados a la adherencia prolongada / Prevalence of breast-feeding and factors associated with prolonged adherence to breast-feeding

Antecedentes: en 2008, en el ámbito del proyecto de Humanización de la Atención Perinatal del Hospital Costa del Sol, se implantaron acciones promotoras de la lactancia materna (LM) que culminaron con la obtención de la acreditación “Iniciativa para la Humanización de la Asistenciaal Nacimiento y la Lactancia” promovida por la OMS y UNICEF.Este estudio pretende conocer el alcance que estas medidas hayan podido tener sobre la prevalencia de la lactancia materna.Métodos: estudio observacional transversal analítico mediante encuesta a 207 mujeres, de lengua materna española, que habían dado a luz en 2008. Resultados: la LM exclusiva alcanzada fue del 13,7% y de lactancia completa un 34,8%. La prevalencia de LM disminuyó al 15,4% a los seis meses; situándose en 2,72 meses la edad en que se introducían líquidos o alimentos y en 3,46 la media de edad de abandono. El inicio de la LM durante el ingreso y la permanencia junto al bebé fueron las medidas de promoción más aplicadas; observándose en las mujeres que habían recibido ayuda de la enfermera porcentajes del 39,2% de LM completa frente aun 20% en las que no la recibieron (p = 0,021). Del 13,7% de mujeres que mantenían LM exclusiva, ninguna pertenecía al grupo de las mujeres con trabajo fuera del hogar (p = 0,002). En el caso de la LM completa, los datos para las mujeres con actividad laboral eran significativamente inferiores al resto de situaciones que no implicaban un trabajo activo fuera del domicilio. Conclusiones: se constata un elevado porcentaje de LM completa hasta los seis meses de edad y un porcentaje aceptable de LM exclusiva, asociándose el crecimiento en la cifra de mujeres con LM completa con una mayor intervención en promoción de la LM (AU)

Background: As part of the project “Humanising Perinatal Care”,several action strategies to encourage breastfeeding were implemented at the Hospital Costa del Sol in 2008, which resulted in the obtention of the accreditation “Initiative for Humanising Childbirth and Breastfe -eding” promoted by the WHO and the UNICEF. The aim of the study is to determine the impact that these measures might have had on the prevalence of breastfeeding. Method: Analytical cross-sectional observational study via open questions to 207 Spanish speaking women who had given birth in 2008. Results: Exclusive breastfeeding was reached in 13,7% of respondents and complete breastfeeding in 34,8%. The prevalence of breastfeeding dropped to 15,4% at 6 months; being 2,72 months of age the time when liquids or foods were introduced and 3,46 the mean age when breastfeeding was stopped. Initiation of breastfeeding during the hospital stay and permanence with the baby were the two most widely applied promotion strategies; women who had received help by the nurses had percentages of breastfeeding of up to 39,2% vs 20% in those who did not receive anyhelp from the nurses (p = 0,021). Of the 13,7% of women who breastfed exclusively, none belonged to the group of women who worked outside the home (p = 0,002). Regarding complete breastfeeding, the data for women with a work activity were significantly lower to the rest of situations that did not involve an active job outside the home.Conclusions: A high percentage of complete breastfeeding and an acceptable percentage of exclusive breastfeeding were confirmed, associating the increase in the number of women with complete breastfeeding to a greater intervention to promote breastfeeding (AU)