Compliance with sunscreen advice in a survey of adults engaged in outdoor winter recreation at high-elevation ski areas

JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY

卷:66

Article

Buller, David B.¹  Andersen, Peter A.²  Walkosz, Barbara J.³  Scott, Michael D.⁴  Maloy, Julie A.¹  Dignan, Mark B.⁵  Cutter, Gary R.⁶ 

[1] Klein Buendel Inc, Golden, CO 80204 USA

[2] San Diego State Univ, San Diego, CA 92182 USA

[3] Univ Colorado, Denver, CO 80202 USA

[4] Mikonics Inc, Auburn, AL USA

[5] Univ Kentucky, Lexington, KY 40506 USA

[6] Univ Alabama, Tuscaloosa, AL 35487 USA

关键词: adults;    outdoor recreation;    sun protection;    sunscreen;    sunscreen reapplication;    ultraviolet radiation;   

DOI  :  10.1016/j.jaad.2010.11.044

来源: Elsevier

【 摘 要 】

Background: Adults are advised to wear sunscreen with a sun protection factor (SPF) of 15 or higher, apply it up to 30 minutes before sun exposure, and reapply it after 2 hours to reduce exposure to ultraviolet radiation in sunlight for the prevention of skin cancer. Objective: This study investigated the extent to which adults comply with sunscreen advice. Methods: A survey was conducted with 4837 adult skiers and snowboarders at 28 high-altitude ski areas in western North America in January through April 2001 through 2002. Respondents self-reported use of sunscreen, its SPF, time of first application, and reapplication. Results: Only 4.4% (95% confidence interval [CI] = +/- 0.6) of adults were in full compliance with all sunscreen advice. Half (49.8% [95% CI = +/- 1.4]) complied with SPF 15 or higher advice. Of those wearing sunscreen, 73.2% (95% CI = +/- 1.8) applied the sunscreen 30 Minutes before beginning skiing/snowboarding, but only 20.4% (95% CI = +/- 2.0) complied with advice to reapply it after 2 hours. Total compliance was lowest during inclement weather, on low-ultraviolet days, by men, and among respondents who believed skin cancer was unimportant and with low sun-sensitive skin. It was positively associated with wearing lip balm and hats with a brim. Limitations: The sample was predominantly male and of high socioeconomic status; the results apply most to winter recreation when ultraviolet radiation levels are low, and sunscreen use was assessed by self-report. Conclusion: Although the recommendation to use SPF 15 or higher sunscreen has reached many adults, the reapplication advice is heeded by few adults and needs to be highlighted in future sun safety promotions. (J Am Acad Dermatol 2012;66:63-70.)

【 授权许可】

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