Evidence map›Paper›PMID 21742410›Full record

ArticleJournal of the American Academy of Dermatology2012

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

David B Buller, Peter A Andersen, Barbara J Walkosz, Michael D Scott, Julie A Maloy, Mark B Dignan, Gary R Cutter

Open access · bronzeAbstract read
In one paragraph

Article in Journal of the American Academy of Dermatology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
4.4field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 53 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. Sun Exposure during Water Sports: Do Elite Athletes Adequately Protect Their Skin against Skin Cancer?International journal of environmental research and public health · 2021
    Article
  5. Article
  6. Article
  7. Article
  8. Melasma in Men: A Review of Clinical, Etiological, and Management Issues.The Journal of clinical and aesthetic dermatology · 2018
    Review
  9. Article
  10. Article
  11. Article
  12. Use patterns of leave-on personal care products among Swiss-German children, adolescents, and adults.International journal of environmental research and public health · 2013
    Article
  13. Review
  14. Sunscreening agents: a review.The Journal of clinical and aesthetic dermatology · 2013
    Article
  15. Article
  16. Protective mechanisms of green tea polyphenols in skin.Oxidative medicine and cellular longevity · 2012
    Review
  17. Article
  18. Article
  19. Adoption of sun safe workplace practices by local governments.Journal of public health management and practice : JPHMP
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 1 country.

David B BullerKlein Buendel Inc, Golden, Colorado 80204, USA. dbuller@kleinbuendel.com
Peter A Andersen
Barbara J Walkosz
Michael D Scott
Julie A Maloy
Mark B Dignan
Gary R Cutter
Klein Buendel (United States) · USSan Diego State University · USUniversity of Alabama at Birmingham · USUniversity of Colorado Denver · USUniversity of Kentucky · US

Funding

SUN SAFETY FOR HIGH ALTITUDE SKI AREA STAFF AND GUESTSR01CA081028 · NCI · COOPER INSTITUTE · PI BULLER, DAVID B · 2000 to 2002
$3.2M
Disseminating Go Sun Smart to a Recreation IndustryR01CA104876 · NCI · KLEIN BUENDEL, INC. · PI BULLER, DAVID B · 2004 to 2007
$2.7M
NCI NIH HHS CA104876NCI NIH HHS CA81028NCI NIH HHS R01 CA081028NCI NIH HHS R01 CA104876
6 · The paper itself

Abstract

backgroundAdults 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.

objectiveThis study investigated the extent to which adults comply with sunscreen advice.

methodsA 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.

resultsOnly 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.

conclusionAlthough 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.

Indexed as

AltitudePatient ComplianceSkiingAdultData CollectionHumansMaleNeoplasms, Radiation-InducedSkin NeoplasmsSun Protection FactorSunscreening AgentsSunscreening Agents

Identifiers

PMID21742410
PMCPMC3193866
OpenAlexW2021388433

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.