Reinforcing Photoprotection for Skin of Color: A Narrative Review

Area of Science:

• Dermatology and Public Health

Background:

• Skin of color (SOC) has higher melanin, offering some sun protection but still susceptible to diverse sun-induced dermatologic conditions.
• Conditions like non-melanoma skin cancer, photoaging, and pigmentary disorders present differently and disproportionately affect SOC populations.
• Epidemiological studies indicate lower adoption of sun protection behaviors, particularly sunscreen use, among individuals with SOC.

Purpose of the Study:

• To review the biological effects and health consequences of sun exposure in individuals with skin of color.
• To explore cognitive and behavioral factors influencing photoprotection practices in SOC populations.
• To summarize existing interventions aimed at enhancing photoprotection knowledge and behaviors within SOC communities.

Main Methods:

• This study is a narrative review.
• It synthesizes information on the biology of sun exposure in SOC, associated health risks, and behavioral determinants.
• It also examines interventions designed to improve photoprotection in these populations.

Main Results:

• Individuals with SOC experience distinct dermatologic outcomes from sun exposure, often presenting differently than in lighter skin types.
• Lower rates of photoprotective behaviors, including sunscreen application, are prevalent in SOC populations.
• Various interventions have been explored to improve sun safety awareness and practices in diverse SOC groups.

Conclusions:

• Despite inherent melanin protection, SOC individuals require targeted photoprotection strategies to mitigate risks of photoaging, pigmentary issues, and skin cancers.
• Addressing behavioral and cognitive barriers is essential for increasing the uptake of sun protection measures like sunscreen use in SOC.
• Further research and tailored interventions are needed to effectively promote photoprotection and reduce the burden of sun-induced dermatologic conditions in skin of color populations.