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Acne Infection01:27

Acne Infection

Acne is a multifactorial skin condition primarily affecting adolescents and young adults, with a global prevalence estimated to exceed 75% in this demographic. The condition is characterized by the formation of comedones (blackheads and whiteheads), papules, pustules, nodules, and, in severe cases, cysts, particularly in areas rich in sebaceous glands such as the face, neck, chest, and back. The pathogenesis involves increased sebum production, follicular hyperkeratinization, colonization by...
Changes in Skin Color: Clinical Perspectives01:14

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Skin Cancer01:30

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Pharmacologic Induction of Epidermal Melanin and Protection Against Sunburn in a Humanized Mouse Model
12:37

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Published on: September 7, 2013

Trends in sunscreen recommendation among US physicians.

Kristie L Akamine1, Cheryl J Gustafson1, Scott A Davis1

  • 1Center for Dermatology Research, Department of Dermatology, Wake Forest School of Medicine, Winston-Salem, North Carolina.

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PubMed
Summary

Physicians rarely recommend sunscreen, even for patients with skin cancer, despite its importance in sun protection. Increased patient counseling on sun safety is crucial for reducing skin cancer rates.

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Area of Science:

  • Dermatology
  • Public Health
  • Preventive Medicine

Background:

  • Sunscreen is vital for sun protection and skin cancer prevention.
  • Physician recommendations for sunscreen are less frequent than clinical guidelines suggest.

Purpose of the Study:

  • To analyze trends in physician sunscreen recommendations.
  • To assess associations between recommendations and patient/physician factors.
  • To evaluate adherence to sun protection guidelines.

Main Methods:

  • Utilized the National Ambulatory Medical Care Survey (1989-2010).
  • Identified physician visits where sunscreen was recommended.
  • Analyzed data based on patient demographics, physician specialty, and diagnoses.

Main Results:

  • Sunscreen was mentioned in only 0.07% of 18.30 billion patient visits.
  • Recommendations were higher (0.9%) for skin disease diagnoses but low (1.6%) even in dermatology.
  • Dermatologists accounted for most mentions, primarily for white, older patients; actinic keratosis was a common diagnosis.

Conclusions:

  • Physician mention of sunscreen is infrequent, even for high-risk patients.
  • Enhanced patient counseling on sun protection is needed to reduce skin cancer.
  • Adherence to sun-protective behavior guidelines requires improved physician communication.