Photoprotection in adolescents

Over the recent decades, there has been mounting medical evidence about the risks of ultraviolet light exposure and its potential for cutaneous malignancy. In the year 2000, an estimated one million Americans were diagnosed with skin cancer, which accounted for half of all new cancers. Worldwide, the incidence of cutaneous melanoma is increasing more rapidly than any other malignant neoplasm. Despite intensive educational efforts by the medical community, the public has not embraced adequate sun protection measures. This is especially true in adolescence, where peer acceptance and conflicting advertisements directly compete with the notion that pale is beautiful. There is strong evidence that preventive measures instituted early and encouraged throughout childhood and adolescence, can positively modify behavior. Towards this end, this article reviews the photobiology of ultraviolet light and its effects on the skin, as well as highlight practical information on sunscreens, adjunctive sun protection methods, sunless tanners, and tanning salons, which will help pediatricians educate adolescents and their families on proper photoprotective techniques.