{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T08:59:41Z","timestamp":1773046781240,"version":"3.50.1"},"reference-count":32,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T00:00:00Z","timestamp":1765324800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T00:00:00Z","timestamp":1765324800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001794","name":"University of Queensland","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001794","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust J Dermatology"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Referral guidelines and anecdotal evidence from public dermatology services indicate that patients referred to these services are often at high risk of developing future skin cancers or having poor skin cancer outcomes due to immunosuppression, a high skin cancer burden, or lesions that are difficult to manage. The Sunshine study aimed to capture knowledge, attitudes and behaviours related to sun exposure, sun protection and vitamin D among public hospital dermatology outpatients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Adult patients attending the dermatology outpatient service at the University Hospital from August to December 2023 completed a survey assessing sun exposure knowledge, attitudes and behaviours. We reported these overall and within three patient groups: immunosuppressed; history of skin cancer; presenting with an inflammatory dermatology condition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We analysed data from 311 participants (immunosuppressed\u2009=\u200981; skin cancer\u2009=\u2009122; inflammatory conditions\u2009=\u2009108). Over 60% of patients were unaware of the UV index threshold for sun protection and over\u2010estimated the time outdoors required to maintain adequate vitamin D status. Most patients did not routinely apply sunscreen, including those in the immunosuppressed and skin cancer groups, and this was particularly poor on body sites other than the face. There was also inadequate use of sun protection during outdoors exposure across all groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Knowledge and use of sun protection were poor in this high\u2010risk population. Dermatologists are ideally placed to identify and address patients' barriers to sun protection, and this should be a priority in this high\u2010risk setting where prevention is paramount.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajd.70019","type":"journal-article","created":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T09:37:37Z","timestamp":1765359457000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Optimising Knowledge, Attitudes and Behaviours Regarding Sun Exposure in Australian Public Hospital Dermatology Patients: The Sunshine Study"],"prefix":"10.1111","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6784-5663","authenticated-orcid":false,"given":"Natasha","family":"Abeysekera","sequence":"first","affiliation":[{"name":"QIMR Berghofer  Brisbane Queensland Australia"},{"name":"School of Public Health The University of Queensland  Brisbane Queensland 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E.","family":"Neale","sequence":"additional","affiliation":[{"name":"QIMR Berghofer  Brisbane Queensland Australia"},{"name":"School of Public Health The University of Queensland  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,10]]},"reference":[{"key":"e_1_2_12_2_1","volume-title":"Cancer Data in Australia","author":"Australian Institute of Health Welfare","year":"2024"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja17.00284"},{"key":"e_1_2_12_4_1","volume-title":"Health System Spending on Disease and Injury in Australia 2022\u201323","author":"Australian Institute of Health 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