For decades, the Directorate General of Public Health of the Government of Aragón, Spain, has collaborated with dermatologists to offer the “SolSano” program in primary education schools.1 The aim of the program is to raise students’ awareness of the effects of sun exposure and to promote photoprotection measures.2
On this occasion, the project entitled “My Skin” (https://www.aragon.es/-/mi-piel) was aimed at secondary school students and focused on topics relevant to them, such as body image, acne, tattoos and piercings, sexually transmitted infections (STIs), and photoprotection.
The program included a teaching guide with resources, activities, and guidance designed to spark interest, encourage classroom debate, and encourage students to adopt healthy habits, with the support of teachers, families, and dermatology experts. The program was implemented in classrooms during the 2023–2024 school year, and a survey was conducted among teachers (Table 1) to collect their opinions.
Detailed breakdown of survey responses and percentages.
| Question | Responses | N | Frequency (%) |
|---|---|---|---|
| Topics addressed: Body image | Yes | 20 | 66.7% |
| No | 10 | 33.3% | |
| Topics addressed: Acne | Yes | 11 | 36.7% |
| No | 19 | 63.3% | |
| Topics addressed: Tattoos and piercings | Yes | 14 | 46.7% |
| No | 16 | 53.3% | |
| Topics addressed: Sexually transmitted infections (STIs) | Yes | 15 | 50.0% |
| No | 15 | 50.0% | |
| Topics addressed: Photoprotection | Yes | 13 | 43.3% |
| No | 17 | 56.7% | |
| Was the material useful for health education objectives? | Yes | 28 | 93.3% |
| No | 2 | 6.7% | |
| Student interest and acceptance | Acceptable | 8 | 26.7% |
| Good | 19 | 63.3% | |
| Very good | 2 | 6.7% | |
| None | 1 | 3.3% | |
| Teacher satisfaction | Acceptable | 3 | 10.0% |
| Good | 20 | 66.7% | |
| Very good | 6 | 20.0% | |
| None | 1 | 3.3% | |
| Use of the eps.aragon.es platform | Yes | 16 | 53.3% |
| No | 14 | 46.7% | |
N, number of respondents.
The program was distributed to 77 teachers, 30 of whom responded to the questionnaire, which focused mainly on students aged 12–16 years. Body image and aesthetics showed the highest participation, with 66.7% engagement, followed by STIs (50%) and tattoos and piercings (46.7%). Photoprotection and acne were addressed less frequently (43.3% and 36.7%, respectively).
When the results were analyzed by school year, body image was the most frequently addressed topic, especially in the 4th year, where 100% of respondents worked on it. By contrast, acne was the least frequently addressed topic, especially in the 4th year, where no teacher addressed it. Tattoos, piercings, and STIs showed moderate participation, with slightly higher percentages in the 2nd and 3rd years. Photoprotection showed variable participation, with higher participation in the 4th year (66.7%) and lower participation in the 1st year (40%) (Table 2).
Topic coverage by school year and response percentages.
| Topic | School year* | Yes (%) | No (%) |
|---|---|---|---|
| Body image | 1st | 60.0% | 40.0% |
| 2nd | 62.5% | 37.5% | |
| 3rd | 71.4% | 28.6% | |
| 4th | 100.0% | 0.0% | |
| Acne | 1st | 20.0% | 80.0% |
| 2nd | 50.0% | 50.0% | |
| 3rd | 28.6% | 71.4% | |
| 4th | 0.0% | 100.0% | |
| Tattoos and piercings | 1st | 40.0% | 60.0% |
| 2nd | 50.0% | 50.0% | |
| 3rd | 57.1% | 42.9% | |
| 4th | 33.3% | 66.7% | |
| STIs (sexually transmitted infections) | 1st | 40.0% | 60.0% |
| 2nd | 50.0% | 50.0% | |
| 3rd | 71.4% | 28.6% | |
| 4th | 33.3% | 66.7% | |
| Photoprotection | 1st | 40.0% | 60.0% |
| 2nd | 50.0% | 50.0% | |
| 3rd | 42.9% | 57.1% | |
| 4th | 66.7% | 33.3% | |
STIs: sexually transmitted infections.
Regarding the usefulness of the material, 93.3% of teachers considered it useful for achieving health education objectives. Some comments highlighted that the content was sometimes too theoretical and not dynamic enough for students in higher grades, although overall it was considered well structured and relevant.
Regarding student interest, most showed moderate interest: approximately 90% rated the content as “acceptable or good,” and 6.7% as “very good.” Some teachers pointed out the need to expand the information, particularly in relation to STIs and body image.
Overall, teachers were satisfied with the program, with 86.7% rating their experience as “good” or “very good.” Comments indicated that the material facilitated classroom discussions and was easy to apply.
Finally, it was suggested that more interactive and audiovisual content be incorporated, that sessions taught by experts be included, and that online resources, such as videos and tutorials, be added to encourage greater student engagement. The importance of making health education more interactive and adapted to the students’ level was highlighted in order to improve participation and learning outcomes.
In conclusion, the public health program “My Skin,” designed for adolescents, was well received by both teachers and students, together with the materials provided. The project has been reintroduced and institutionalized. It is important to consider incorporating new resources, especially audiovisual and interactive resources, to address the survey suggestions and enrich the experience of teachers, students, and dermatologists.
FundingResearch group recognized by the Government of Aragón B59_23D Dermatology and Photobiology.
Conflicts of interestNone declared.
Data availabilityThe data supporting the results of this study are available from the corresponding author upon reasonable request.
To all the teachers and students who participated in this project and to the Government of Aragón.



