Patient knowledge of <scp>FDA</scp>‐mandated sunscreen labeling terminology: A cross‐sectional survey

Prado, Giselle; Svoboda, Ryan M; Teplitz, Rebeca W.; Farberg, Aaron S.; Rigel, Darrell S.

doi:10.1111/phpp.12437

Cited by 10 publications

(16 citation statements)

References 9 publications

(11 reference statements)

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“…This could explain why factors such as SPF were not statistically significant predictors of the best‐seller list in our study. The previous studies found that the public seems to understand the general protective effect of sunscreen against skin cancer and sunburn . However, this is inconsistent with the findings of our study—if consumers intrinsically understand that sunscreen prevents skin cancer, then this claim should have been related to a higher position on the best‐seller list.…”

Section: Discussioncontrasting

confidence: 99%

“…Patient understanding of sunscreen labels is poor, and only a minority can reliably interpret the significance of SPF and the distinction between waterproof and water resistant. 7 This could explain why factors such as SPF were not statistically significant predictors of the best-seller list in our study. The previous studies found that the public seems to understand the general protective effect of sunscreen against skin cancer and sunburn.…”

Section: Discussionmentioning

confidence: 63%

“…Of the regulated claims, only the phrase “decreases the risk of skin cancer and early aging” was found to be a significant (but inverse) factor in predicting best sellers. Patient understanding of sunscreen labels is poor, and only a minority can reliably interpret the significance of SPF and the distinction between waterproof and water resistant . This could explain why factors such as SPF were not statistically significant predictors of the best‐seller list in our study.…”

Section: Discussionmentioning

confidence: 74%

“…Millennials are more likely to go online to inform their healthcare choices, and the majority believe that online health information is as reliable as information from medical professionals . Understanding this emerging demographic of the population is important because patients have many misconceptions and misunderstandings regarding sunscreen . They often view sunscreens as skin care products rather than federally regulated compounds.…”

Section: Introductionmentioning

confidence: 99%

“…6 Understanding this emerging demographic of the population is important because patients have many misconceptions and misunderstandings regarding sunscreen. 7 They often view sunscreens as skin care products rather than federally regulated compounds. For these reasons, patients often use trusted contacts, online opinion blogs, or direct to consumer marketing for help in selecting sunscreens.…”

mentioning

confidence: 99%

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Online sunscreen purchases: Impact of product characteristics and marketing claims

Prado¹,

Ederle

Shahriari

et al. 2019

Photoderm Photoimm Photomed

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Background Sunscreens, unlike prescription medications, are purchased by consumers directly from retailers. The proportion of online sunscreen sales is increasing. It is therefore important for dermatologists to know what factors influence online sunscreen purchases to optimize appropriate recommendations. Methods Data on the top 100 best‐selling sunscreens from an online retailer were collected. Variables included cost, formulation, product claims, ingredients, consumer ratings, and number of reviews. Ordinal logistic regression was used to analyze the impact of collected variables on position on the best‐seller list. Results Ninety‐six of the 100 search results could be defined as actual sunscreens with a total of 41 788 reviews. The median price per ounce was $3.02 (range $0.34‐$309.18). The most popular formulations were lotions. The most common unregulated claim was “non‐greasy” found in 57.3% of sunscreens. For 26 unregulated product claims analyzed, the mean number of claims per sunscreen was 5.2. Using an ordinal regression model, the following factors were found to significantly influence sunscreen sales: number of reviews, the claim “decreases the risk of skin cancer and early aging,” and the presence of six or more unregulated claims. Conclusions Multiple sunscreen options exist for consumers with varying price points, active ingredients, and formulations. Consumers who purchase online prefer sunscreens with a higher number of reviews and more unregulated marketing claims. FDA‐regulated claims such as “decreases the risk of skin cancer and early aging” are not as impactful in this purchasing cohort. To facilitate usage, dermatologists should be cognizant of factors that influence sunscreen selection among this group.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 63%

Section: Discussionmentioning

confidence: 74%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

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Online sunscreen purchases: Impact of product characteristics and marketing claims

Prado¹,

Ederle

Shahriari

et al. 2019

Photoderm Photoimm Photomed

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Reducing the prevalence of chemical UV filters from sunscreen in aquatic environments: Regulatory, public awareness, and other considerations

Levine

2021

Integr Envir Assess & Manag

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Given increasing concerns about the persistence and toxic effects of some sunscreen ingredients in aquatic ecosystems, several states, territories, and nations have banned the sale and/or possession of sunscreens containing chemicals of concern. Little is known, however, about the outcomes or effectiveness of these efforts to reduce the prevalence of toxic chemicals in coastal waters. This article reviews the state of knowledge relating to regulatory and other efforts to reduce the impact of chemical ingredients in sunscreens on aquatic ecosystems, focusing on the following questions: To what extent will local legislative restrictions on ingredients actually reduce the concentrations of chemicals in coastal waters and protect aquatic health? Do these legislative measures effectively decrease overall public use of sunscreens containing potentially harmful ingredients, or would other measures, such as local outreach programs, consumer education, or broad‐scale ingredient regulation, be more effective? How might restrictions on chemical UV filters impact human health? Although it is still early to assess the outcomes of recent ingredient bans, their effectiveness is limited by the fact that legislation generally applies only to sunscreens sold within the legislating jurisdiction. Public awareness campaigns can be locally effective, but they are hindered by the absence of clear environmental labeling standards for sunscreen. Although retail and industry groups, and many dermatologists, cite concerns that sunscreen ingredient bans might lead to increased incidences of skin cancer, consumer preferences are influenced by a wide range of factors and no studies clearly document whether restrictions on chemical ingredients will cause people to use sun protection less frequently or less effectively. Until more information is available, many consider it prudent to take a precautionary approach to sunscreen regulation supported by broad‐scale, consistent regulatory policies and labeling standards that limit chemical ingredients to those considered safe for human use and ecosystem health. Integr Environ Assess Manag 2021;17:982–988. © 2021 SETAC

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Photoprotection for all: Current gaps and opportunities

Rigel

Lim

Draelos

et al. 2022

Journal of the American Academy of Dermatology

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The effects of solar radiation on human skin differ based on the skin phototype, presence or absence of photodermatoses, biologic capacity to repair DNA damage, wavelength, intensity of sun exposure, geographic latitude, and other factors, underscoring the need for a more tailored approach to photoprotection. To date, the focus of photoprotection guidelines has been to prevent sunburn and DNA damage induced by UV radiation, both UVB and UVA; however, several recent studies have shown that visible light also generates reactive oxygen and nitrogen species that can contribute to skin damage and pigmentation on the skin, particularly in people with skin of color. Therefore, individuals with dark skin, while naturally better protected against UVB radiation by virtue of the high eumelanin content in melanocytes, may need additional protection from visible light-induced skin damage. The current options for photoprotection products need to expand, and potential strategies against visible light include the addition of iron oxide, titanium dioxide, and biologically relevant antioxidants to sunscreen formulations as well as supplementation with orally active antioxidants.

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Patient knowledge of FDA‐mandated sunscreen labeling terminology: A cross‐sectional survey

Abstract: Background: Insufficient understanding of sunscreen labeling terminology is a bar-

Cited by 10 publications

References 9 publications

Online sunscreen purchases: Impact of product characteristics and marketing claims

Online sunscreen purchases: Impact of product characteristics and marketing claims

Reducing the prevalence of chemical UV filters from sunscreen in aquatic environments: Regulatory, public awareness, and other considerations

Photoprotection for all: Current gaps and opportunities

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