Hat, shade, long sleeves, or sunscreen? Rethinking US sun protection messages based on their relative effectiveness.

Journal Article (Journal Article)

BACKGROUND: Sun protection messages in the United States emphasize sunscreen use, although its efficacy in skin cancer prevention remains controversial. METHODS: We used data from NHANES 2003-2006, restricted to adult whites (n = 3,052) to evaluate how Americans protect themselves from the sun. Participants completed questionnaires on the frequency with which they used sunscreen, wore a hat, long sleeves, or stayed in the shade, in addition to the number of sunburns in the past year. RESULTS: Although using sunscreen is the most common sun protective behavior (30%), frequent sunscreen use was not associated with fewer sunburns. However, the odds of multiple sunburns were significantly lower in individuals who frequently avoided the sun by seeking shade (OR = 0.70, p < 0.001) or wearing long sleeves (OR = 0.73, p = 0.01). CONCLUSIONS: Our findings suggest that shade and protective clothing may be more effective than sunscreen, as typically used by Americans.

Full Text

Duke Authors

Cited Authors

  • Linos, E; Keiser, E; Fu, T; Colditz, G; Chen, S; Tang, JY

Published Date

  • July 2011

Published In

Volume / Issue

  • 22 / 7

Start / End Page

  • 1067 - 1071

PubMed ID

  • 21637987

Pubmed Central ID

  • PMC3873510

Electronic International Standard Serial Number (EISSN)

  • 1573-7225

Digital Object Identifier (DOI)

  • 10.1007/s10552-011-9780-1


  • eng

Conference Location

  • Netherlands