Barriers to Sunscreen Use in a Diverse Patient Population: A Survey-Based Study.

Area of Science:

• Dermatology
• Public Health
• Health Disparities

Background:

• Patients with skin of color (SOC) experience advanced skin cancer diagnoses and poorer prognoses than non-Hispanic White (NHW) individuals.
• This disparity is linked to lower reported sun-protective behaviors in minority groups.
• Understanding barriers to sunscreen use in SOC populations is crucial for improving outcomes.

Purpose of the Study:

• To examine barriers to daily sunscreen application among SOC patients.
• To identify key factors influencing sunscreen purchasing decisions in this demographic.
• To inform culturally responsive dermatological recommendations for sun protection.

Main Methods:

• Cross-sectional questionnaire study.
• Involved a predominantly skin of color patient population.
• Assessed barriers to sunscreen use and purchasing preferences.

Main Results:

• Forgetting sunscreen and perceiving it as unnecessary due to indoor activities were primary barriers.
• Female patients reported fewer barriers and higher daily use, favoring tinted sunscreens.
• Younger patients prioritized cost and feel; non-Hispanic Black patients considered skin feel less; Hispanic/Latino patients less prioritized broad-spectrum protection; males considered SPF less.

Conclusions:

• Distinct behavioral, structural, and cultural factors influence sunscreen use in SOC patients.
• Dermatologists can address misconceptions and promote inclusive sun protection education.
• Culturally tailored recommendations are essential for improving sunscreen adherence and reducing skin cancer disparities.