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A Gap in Knowledge: Patient Perspectives and Barriers to Sunscreen Use after Burn Injury
Sarah Wang1, Dania Johnson1, Elizabeth Flores2
1Keck School of Medicine, University of Southern California, Los Angeles, CA, 90033, United States.
Burn survivors recognize the importance of sun protection but often fail to use sunscreen on scars due to lack of awareness or perceived necessity. Improved education is needed to enhance long-term skin protection for burn patients.
Area of Science:
- Dermatology
- Burn Care
- Public Health
Background:
- Burned skin remains sensitive to ultraviolet (UV) radiation for years, increasing risks of skin damage, pigmentary changes, and skin cancer.
- Effective sun protection is crucial for burn survivors, yet many lack knowledge or struggle with consistent application.
Purpose of the Study:
- To evaluate burn survivors' knowledge and actual use of sun protection measures, specifically sunscreen on burn scars.
- To identify barriers to consistent sunscreen use among burn survivors.
- To inform the development of targeted educational interventions for burn survivors.
Main Methods:
- A cross-sectional survey was administered to 50 adult burn patients at a Level 1 ABA-verified burn center.
- The survey assessed perceived importance of sunscreen use, actual application on scars, types of sunscreen used, and barriers to adherence.
- Statistical analysis compared sunscreen use between English-speaking and Spanish-speaking patients.
Main Results:
- While 68% of patients rated sunscreen importance highly, only 28% applied it to healed burn wounds.
- Sunscreen use was significantly lower in Spanish-speaking patients (6.7%) compared to English-speaking patients (37.1%).
- Key barriers included lack of awareness (36%) and belief that sunscreen was unnecessary (25%); 58% reported no prior education from healthcare teams.
Conclusions:
- Despite understanding the importance of sun protection, burn survivors demonstrate low adherence to sunscreen use on scars.
- Significant disparities in sunscreen use exist between language groups, highlighting a need for culturally tailored education.
- Reinforced and comprehensive educational strategies are essential to improve long-term skin protection for burn survivors.
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