{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T16:50:40Z","timestamp":1787849440150,"version":"build-2784847793"},"reference-count":15,"publisher":"American Medical Association (AMA)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAMA Dermatol"],"published-print":{"date-parts":[[2026,4,1]]},"abstract":"\n Importance<\/jats:title>\n Sunscreen use has known benefits, including decreasing the risk of developing skin cancer and photoaging. Previous studies have reported that the amount of sunscreen used decreased with increased unit price and that individuals underapply sunscreen.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n To assess how the cost of recommended sunscreen use varies depending on unit price and the other sun protective behaviors.<\/jats:p>\n <\/jats:sec>\n \n Design and Setting<\/jats:title>\n In this economic evaluation study conducted from July 14 to August 31, 2025, sunscreen application costs were calculated based on recommended application amounts, use of other sun protection strategies, and 2025 sunscreen prices.<\/jats:p>\n <\/jats:sec>\n \n Main Outcomes and Measures<\/jats:title>\n The primary outcome was the annual cost of applying sunscreen based on recommended application amounts, use of other sun protection strategies, and 2025 sunscreen prices from an online retailer.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n For sunscreens with similar ingredients and sun protection factor ratings, the unit price of sunscreen varied by up to 17.5-fold across 3 sunscreens. Cost per application varied from $0.04 to $3.79 depending on wearing different combinations of typical clothing, whereas 1 year of sunscreen use was estimated to cost between $39.28 and $1429.42, a 36-fold difference, depending on unit price and other sun protective strategies used. A single week of sunscreen use at the beach, assuming 2 applications a day, costs approximately $6.57 to $135.82, depending on whether wearing shorts or a bikini and sunscreen unit price.<\/jats:p>\n <\/jats:sec>\n \n Conclusions and Relevance<\/jats:title>\n These findings suggest that the cost of applying sunscreen at the recommended amounts varies significantly depending on unit price and the concurrent use of other sun protective strategies. Decreasing the potential cost by encouraging the use of other sun protective strategies and lower-priced sunscreens could facilitate compliance and reduction in the risk of developing skin cancers.<\/jats:p>\n <\/jats:sec>","DOI":"10.1001\/jamadermatol.2025.6150","type":"journal-article","created":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T16:30:35Z","timestamp":1771432235000},"page":"402","source":"Crossref","is-referenced-by-count":1,"title":["Sunscreen Costs in Association With Sun Protective Behaviors"],"prefix":"10.1001","volume":"162","author":[{"given":"Maya","family":"Mundada","sequence":"first","affiliation":[{"name":"School of Medicine, University of California, San Francisco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey","family":"Schneider","sequence":"additional","affiliation":[{"name":"Department of Dermatology, University of California, San Francisco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria L.","family":"Wei","sequence":"additional","affiliation":[{"name":"Department of Dermatology, University of California, San Francisco"},{"name":"San Francisco VA Health Care System, San Francisco, California"},{"name":"Helen Diller Family Comprehensive Cancer Center, University of California, San Francisco"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10","reference":[{"key":"dbr250015r1","doi-asserted-by":"publisher","author":"Micha","journal-title":"J Oncol Pharm Pract","DOI":"10.1177\/10781552251327596"},{"issue":"11","key":"dbr250015r2","doi-asserted-by":"publisher","first-page":"781","DOI":"10.7326\/0003-4819-158-11-201306040-00002","article-title":"Sunscreen and prevention of skin aging: a randomized trial.","volume":"158","author":"Hughes","year":"2013","journal-title":"Ann Intern Med"},{"issue":"1","key":"dbr250015r3","doi-asserted-by":"publisher","first-page":"83","DOI":"10.1016\/j.jaad.2015.02.1112","article-title":"Patterns of sunscreen use on the face and other exposed skin among US adults.","volume":"73","author":"Holman","year":"2015","journal-title":"J Am Acad Dermatol"},{"issue":"5","key":"dbr250015r4","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.84783","article-title":"Sunscreen use and photoprotection practices: a cross-sectional survey of adults in a dermatology outpatient clinic.","volume":"17","author":"Tatliparmak","year":"2025","journal-title":"Cureus"},{"issue":"4","key":"dbr250015r5","doi-asserted-by":"publisher","first-page":"403","DOI":"10.1080\/09546634.2019.1587147","article-title":"Assessing factors affecting sunscreen use and barriers to compliance: a cross-sectional survey-based study.","volume":"31","author":"Weig","year":"2020","journal-title":"J Dermatolog Treat"},{"issue":"5","key":"dbr250015r6","doi-asserted-by":"publisher","first-page":"1103","DOI":"10.1016\/j.jaad.2025.01.007","article-title":"Affordability matters: a cross-sectional study on sunscreen cost and application amount.","volume":"92","author":"Fernandez","year":"2025","journal-title":"J Am Acad Dermatol"},{"issue":"3","key":"dbr250015r7","doi-asserted-by":"publisher","first-page":"e73","DOI":"10.1016\/j.jaad.2010.06.043","article-title":"Are sunscreens luxury products?","volume":"65","author":"Mah\u00e9","year":"2011","journal-title":"J Am Acad Dermatol"},{"key":"dbr250015r8","author":"Johal","year":"2014","journal-title":"Dermatol Online J"},{"issue":"4","key":"dbr250015r9","doi-asserted-by":"publisher","first-page":"276","DOI":"10.4266\/acc.2019.00647","article-title":"Lund and Browder chart\u2013modified versus original: a comparative study.","volume":"34","author":"Murari","year":"2019","journal-title":"Acute Crit Care"},{"issue":"3","key":"dbr250015r12","doi-asserted-by":"publisher","first-page":"135","DOI":"10.1111\/j.1475-097X.2006.00718.x","article-title":"The origin of the 1 x 73-m2 body surface area normalization: problems and implications.","volume":"27","author":"Heaf","year":"2007","journal-title":"Clin Physiol Funct Imaging"},{"issue":"8","key":"dbr250015r13","doi-asserted-by":"publisher","first-page":"904","DOI":"10.1111\/j.1365-2230.2012.04388.x","article-title":"Relationship between sun-protection factor and application thickness in high-performance sunscreen: double application of sunscreen is recommended.","volume":"37","author":"Teramura","year":"2012","journal-title":"Clin Exp Dermatol"},{"issue":"4","key":"dbr250015r14","doi-asserted-by":"publisher","first-page":"925","DOI":"10.1007\/s00403-022-02467-4","article-title":"Cost and quality in consumer sunscreen preferences.","volume":"315","author":"Hanna","year":"2023","journal-title":"Arch Dermatol Res"},{"issue":"1","key":"dbr250015r15","first-page":"116","article-title":"Realistic sunscreen durability: a randomized, double-blinded, controlled clinical study.","volume":"17","author":"Ouyang","year":"2018","journal-title":"J Drugs Dermatol"},{"key":"dbr250015r10","unstructured":"Calvo? T. Best and Worst Sunscreens of 2025. Consumer Report. Published online June 3, 2025. Accessed August 8, 2025. https:\/\/www.consumerreports.org\/health\/sunscreens\/best-sunscreens-of-the-year-a7763432372\/"},{"key":"dbr250015r11","unstructured":"Walmart.com. Walmart. Accessed July 16, 2025. https:\/\/www.walmart.com"}],"container-title":["JAMA Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/jamanetwork.com\/journals\/jamadermatology\/articlepdf\/2845201\/jamadermatology_mundada_2026_br_250015_1775760814.2736.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T15:00:26Z","timestamp":1776265226000},"score":1,"resource":{"primary":{"URL":"https:\/\/jamanetwork.com\/journals\/jamadermatology\/fullarticle\/2845201"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,1]]},"references-count":15,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4,1]]}},"URL":"https:\/\/doi.org\/10.1001\/jamadermatol.2025.6150","relation":{},"ISSN":["2168-6068"],"issn-type":[{"value":"2168-6068","type":"print"}],"subject":[],"published":{"date-parts":[[2026,4,1]]}}}