Predictors of Sunburn Risk Among Florida Residents

Arutyunyan, Sergey; Alfonso, Sarah V.; Hernández, Nilda; Favreau, Tracy; Fernández, M. Isabel

doi:10.7556/jaoa.2017.029

Cited by 4 publications

(4 citation statements)

References 16 publications

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“…The findings among sun-sensitive individuals are a unique aspect of this article. Previous publications have focused on non-Hispanic white individuals because of the high rates of skin cancer within that demographic group. However, a focus on sun sensitivity is more informative given the increasing racial and ethnic diversity within the US population.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Sun Protection Use and Sunburn and Association of Demographic and Behaviorial Characteristics With Sunburn Among US Adults

Ding²,

et al. 2018

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IMPORTANCE Monitoring sun protection and sunburn over time at the population level can provide valuable information about progress toward skin cancer prevention goals and inform future intervention efforts. OBJECTIVE To examine the prevalence of sun protection use (shade, sunscreen, and clothing) and sunburn and the association between sunburn and individual characteristics and health behaviors in the US population. DESIGN, SETTING, AND PARTICIPANTS In this cross-sectional study using a nationally representative sample of 31 162 US adults from the 2015 National Health Interview Survey-Cancer Control Supplement, household interviews of civilian, noninstitutionalized US adults were conducted throughout 2015 in person and completed on the telephone when necessary. Data analysis was performed from August 16, 2016, to September 6, 2017. MAIN OUTCOMES AND MEASURES The prevalence of sunburn and use of sun protection and their association with demographic characteristics, sun sensitivity, and health-related behaviors and conditions using multivariable logistic regression modeling. RESULTS A total of 31 162 respondents (mean [SD] age, 47.0 [0.36] years; 13 932 male [44.7%] and 17 230 female [55.3%]) were included in the analyses, with 34.2% experiencing sunburn in 2015. Sunburn prevalence was higher among younger age groups (51.2% in adults 18-29 years old; 95% CI, 48.8%-53.7%), non-Hispanic white individuals (42.5%; 95% CI, 41.2%-43.9%), and those with sun-sensitive skin (50.2%). However, sunburn was also prevalent among black (13.2%; 95% CI, 11.6%-15.1%) and Hispanic (29.7%; 95% CI, 27.6%-31.9%) individuals, demographic groups that are often considered to be at low risk of skin cancer. The most frequent sun protection behaviors were staying in the shade (37.1%; 95% CI, 36.3%-38.0%) and using sunscreen (31.5%; 95% CI, 30.7%-32.3%) followed by wearing long clothing to the ankles (28.4%; 95% CI, 27.6-29.1). Sun avoidance behaviors (seeking shade and not going in the sun) were significantly (39.5% vs 35.1%; P < .001) associated with a lower prevalence of sunburn. Those who used self-applied sunless tanning products (45.0% of users vs 36.1% of nonusers; P < .001), those who engaged in aerobic activity (37.9% of aerobic exercisers vs 32.8% of non-aerobic exercisers; P < .001), binge drinkers (45.1% of binge drinkers vs 35.0% of non-binge drinkers; P < .001), and overweight or obese individuals (37.9% of overweight or obese individuals vs 34.4% of non-overweight or obese individuals; P < .001) were more likely to experience sunburn compared with the respective comparison groups. CONCLUSIONS AND RELEVANCE Sun sensitivity was significantly associated with a higher sunburn prevalence, independent of race/ethnicity, suggesting a need to consider sun sensitivity when identifying target demographic groups for sun safety interventions. Efforts to improve vigilance and consistency with use of sun protection are needed. In addition, those who engage in physical activity, use sunless tanners, or use sunscreen for tanning purposes may re...

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Section: Discussionmentioning

confidence: 99%

Prevalence of Sun Protection Use and Sunburn and Association of Demographic and Behaviorial Characteristics With Sunburn Among US Adults

Ding²,

et al. 2018

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“…Previous studies conducted in adult populations have reported a frequent lifetime history of at least one sunburn ( Holman et al, 2018 ; Arutyunyan et al, 2017 ; Pinault & Fioletov, 2017 ), with beachgoers as the highest risk group ( Toro-Huamanchumo et al, 2019 ; Troya-Martín et al, 2018 ). Sun sensitivity, a younger age, having a high perceived vulnerability to skin cancer, and having had a full-body skin examination by a physician have been reported as factors associated with sunburns among US adults ( Holman et al, 2018 ; Arutyunyan et al, 2017 ). Similarly, a younger age, male sex, secondary or university education, skin phototypes I–III, midday sun exposure, and lousy sun protection habits have been reported as predictors of sunburns among Spanish beachgoers ( Troya-Martín et al, 2018 ).…”

Section: Introductionmentioning

confidence: 99%

Sunburns among beachgoers in the northern coast of Peru: frequency and factors associated

Fernandez-Quiroz

Gonzales-Chachapoyas

Alcantara-Diaz

et al. 2021

PeerJ

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Background Overexposure to ultraviolet (UV) radiation has increased skin cancer incidence and the risk of sunburns, especially during the summer months. Objective Identify the frequency and factors associated with sunburns in a sample of beachgoers in the northern coast of Peru. Methods We conducted a secondary data analysis of a previous study that assessed the awareness, behavior and attitudes concerning sun exposure among beachgoers. We included adults between 18 and 59 years who went to a beach in northern Peru during summer (March 2018). Three generalized linear models of the Poisson family were constructed to evaluate the factors associated with having had at least one sunburn last summer. All regression models reported the adjusted prevalence ratio (aPR) with their respective 95% confidence interval (95% CI). Results Of a total of 402 participants, 225 (56.0%) had one to five sunburns and 25 (6.2%) had six or more. Beachgoers who were 1–15 days (aPR: 1.16, 95% CI [1.05–1.27]) or more than 15 days (aPR: 1.22, 95% CI [1.09–1.36]) exposed to the sun on the beach had a higher frequency of at least one sunburn. The non-regular wearing of a hat or cap also increased the frequency of sunburns (aPR: 1.06, 95% CI [1.01–1.12]). In contrast, those who had Skin Phototype III (aPR: 0.94, 95% CI [0.88–0.99]) or IV (aPR: 0.69, 95% CI [0.63–0.75]) had a lower frequency of sunburns. Conclusion Three out of five beachgoers had one or more sunburns in the last summer. The factors associated with a higher frequency were the time of sun exposure at the beach and the non-regular use of a hat or cap. Type III–IV skin phototypes were associated with a lower sunburn frequency.

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“…Both UVA (320‐400 nm) and UVB (280‐320 nm) contribute to this response known as sunburn, although UVB (280‐320 nm) is more potent in this regard . Sunburn response varies widely among individuals depending on skin type (ie people with lighter skin tone have a greater sunburn risk) and within the same person depending on factors such as age and diet …”

Section: Introductionmentioning

confidence: 99%

“…Both UVA (320-400 nm) and UVB (280-320 nm) contribute to this response known as sunburn, although UVB (280-320 nm) is more potent in this regard. 4 Sunburn response varies widely among individuals depending on skin type (ie people with lighter skin tone have a greater sunburn risk) and within the same person depending on factors such as age 5 and diet. 6,7 In experimental models, sunburn sensitivity is measured using the minimal erythema dose (MED), defined as the smallest UV dose producing perceptible skin redness within distinct borders in a given period of time after exposure.…”

Section: Introductionmentioning

confidence: 99%

An open‐label clinical trial assessing the efficacy and safety of Bend Skincare Anti‐Aging Formula on minimal erythema dose in skin

Morse¹,

Reid²,

St‐Onge³

2017

Photoderm Photoimm Photomed

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Summary Background/purpose Sunburn and other health risks associated with excess sun exposure place huge economic burdens on societies, and create discomfort and disease within susceptible individuals. Oral supplements that reduce sunburn may be advantageous. This study evaluated the safety and efficacy of Bend Skincare Anti‐Aging Formula to ameliorate sunburn induced with a solar simulator. Methods Subjects (n = 28) with Fitzpatrick skin phototypes I, II, or III took 4 capsules daily of the supplement providing 1400 mg of eicosapentaenoic acid (EPA) + docosahexaenoic acid (DHA), 120 mg of gamma‐linolenic acid (GLA), 5 mg of lutein, 2.5 mg of zeaxanthin, and 1000 IU of vitamin D3 for 8 weeks. Skin on each subject's back was exposed to a progressive sequence of timed ultraviolet (UV) radiation exposure doses at baseline, and after 4‐ and 8‐week treatment to determine their minimal erythema dose (MED). Results were compared before and after treatment using 3 paired t tests and subsequently 3 linear mixed models. Results Treatment significantly improved tolerance to UV exposure as evidenced by increased MED at 4 and 8 weeks compared with baseline (P < .001). This protection increased with prolonged use of Bend Skincare Anti‐Aging Formula as demonstrated by progressively increased MED between baseline and 4 weeks, and again between 4 and 8 weeks (P < .001). Nearly 86% of patients responded to treatment within 4 weeks and 100% of patients responded by the end of the study, resulting in a 39% mean increase in MED at 4 weeks, and an 84% mean increase in MED at 8 weeks compared with baseline. Treatment was well tolerated with no product associated adverse events (AE) and only a few mild and expected side effects. Conclusion Bend Skincare Anti‐Aging Formula safely and effectively provides significant skin photoprotection that increases with continued use.

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Predictors of Sunburn Risk Among Florida Residents

Cited by 4 publications

References 16 publications

Prevalence of Sun Protection Use and Sunburn and Association of Demographic and Behaviorial Characteristics With Sunburn Among US Adults

Prevalence of Sun Protection Use and Sunburn and Association of Demographic and Behaviorial Characteristics With Sunburn Among US Adults

Sunburns among beachgoers in the northern coast of Peru: frequency and factors associated

An open‐label clinical trial assessing the efficacy and safety of Bend Skincare Anti‐Aging Formula on minimal erythema dose in skin

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