23A method was proposed for calculating the ultraviolet protection factor (PF) of small to medium 24 built shade structures. The method takes into account the amount of sky view visible from under 25 the structure, the transmittance of the roof material, the relative amount of diffuse ultraviolet 26 radiation (UV), the measurement position under the structure and the albedo of the relevant 27 surfaces. The PF of four different shade structure designs was measured 90 cm above ground-level 28 at the centre of the widest diameter of each structure. Measurements were only made on cloud-29 free days. Three structures had a thin metal roof and the fourth had shade-cloth. The proportion of 30 sky view ranged from 4.6% to 15.4% for these structures. The influence of position was 31 investigated for one structure, with the PF evaluated 50 cm in from each of the sides at 90 cm 32 above ground-level. The reliability of the method was tested by comparing calculated and 33 measured PF values for solar zenith angles ranging from 7 o to 49 o . The mean absolute difference 34 between the calculated and the measured PF for these small to medium structures was 1.4 PF 35 (14%). The proposed method is more likely to be widely used to measure the PF in situ compared 36 to measuring UV in full sun and in the shade with a UV meter because many stakeholders do not 37 have access to UV meters due to the cost or the degree of specialization required to use these 38 meters effectively. 39 40 Excessive sun-exposure is the main environmental risk-factor for skin cancer; the most prevalent 44 form of cancer in Caucasian populations. The risk of skin cancer can be minimized, with the World 45 Health Organisation (WHO) stating that four out of five skin cancers are preventable [1]. Skin 46 cancer poses a significant economic burden globally [2]. For instance in 2017, 13,941 cases of 47 melanoma were diagnosed in Australia (average lifetime cost 44,796 AUD per case in 2010; [2, 48 3]), with the cost of keratinocyte cancers in 2012 estimated to be 703 AUD million and over 70 49 million for melanoma [4]. In the USA, 91,270 melanoma cases are expected in 2018 [5], with the 50 cost of skin cancer treatments in the USA based on 2004 data being an estimated two billion dollars 51 per year and solar keratoses adding a further $1.2 billion [6].
52The primary prevention of skin cancer through reduced exposure to ultraviolet radiation (UV) will 53 reduce the global burden of disease [7], associated health care expenditure [8] and the societal 54 burden it poses. One essential component of a strategy to reduce UV exposure that is promoted by 55 Cancer Council, Australia and WHO is the use of shade while outdoors [1, 9]. Previous research 56 has reported that adequate protection is provided by those shade structures with an UV protection 57 factor of 15 or more [10].
59To assist the general public to determine whether a shade structure provides adequate UV 60 protection, the UV protection factor (PF) of built shade structures which assesses the ratio ...