Hat, shade, long sleeves, or sunscreen? Rethinking US sun protection messages based on their relative effectiveness

Hat, shade, long sleeves, or sunscreen? Rethinking US sun protection messages based on their relative effectiveness
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DOI:
10.1007/s10552-011-9780-1
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发表时间:
2011-07-01
影响因子:
2.3
通讯作者:
Tang, Jean Y.
Tang, Jean Y.
中科院分区:
医学4区
文献类型:
--
作者:
Linos, Eleni;Keiser, Elizabeth;Tang, Jean Y.

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美国的防晒信息强调防晒霜的使用,尽管它在预防皮肤癌方面的功效仍存在争议。我们使用NHANES 2003-2006年的数据,仅限于成年白人(n = 3052)来评估美国人如何保护自己免受太阳的伤害。除了过去一年被晒伤的次数外,参与者还完成了关于使用防晒霜、戴帽子、长袖或待在阴凉处的频率的调查问卷。虽然使用防晒霜是最常见的防晒行为(30%),但频繁使用防晒霜与减少晒伤无关。然而,经常通过寻找阴凉处(OR = 0.70, p < 0.001)或穿长袖(OR = 0.73, p = 0.01)来避免阳光照射的人发生多次晒伤的几率明显较低。我们的研究结果表明,遮阳和防护服可能比美国人通常使用的防晒霜更有效。
Sun protection messages in the United States emphasize sunscreen use, although its efficacy in skin cancer prevention remains controversial.We used data from NHANES 2003-2006, restricted to adult whites (n = 3,052) to evaluate how Americans protect themselves from the sun. Participants completed questionnaires on the frequency with which they used sunscreen, wore a hat, long sleeves, or stayed in the shade, in addition to the number of sunburns in the past year.Although using sunscreen is the most common sun protective behavior (30%), frequent sunscreen use was not associated with fewer sunburns. However, the odds of multiple sunburns were significantly lower in individuals who frequently avoided the sun by seeking shade (OR = 0.70, p < 0.001) or wearing long sleeves (OR = 0.73, p = 0.01).Our findings suggest that shade and protective clothing may be more effective than sunscreen, as typically used by Americans.