{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T15:18:54Z","timestamp":1787843934713,"version":"build-2784847793"},"reference-count":30,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T00:00:00Z","timestamp":1772755200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T00:00:00Z","timestamp":1772755200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust J Dermatology"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background\/Objectives<\/jats:title>\n                    <jats:p>Post\u2010inflammatory hyperpigmentation (PIH) is a frequent sequela of acne in patients with skin of colour (SOC). While sunscreen is widely recommended for PIH prevention, little is known about real\u2010world sunscreen practices in this group. This study aimed to evaluate sunscreen use, barriers and factors influencing adherence in SOC patients with acne\u2010related PIH.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional survey was conducted on 51 SOC patients (FST III\u2013VI) who attended a dermatology clinic in Australia between February and June 2025. An investigator\u2010developed questionnaire assessed sunscreen use frequency, reapplication, application amount, tinted sunscreen uptake, and perceived barriers. Associations were examined using chi\u2010square\/Fisher's exact tests and logistic regression analyses. Analyses were exploratory.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Daily sunscreen use was inconsistent, with 39.2% applying occasionally (&lt;\u20093 times\/week) and only 33.3% applying daily. Reapplication was inadequate, with 57.5% (23\/40) reapplying only when outdoors for prolonged periods. Most patients (79.5%, 31\/39) applied less than one finger\u2010length to the head and neck. Tinted sunscreen uptake was low, though shade match was a key determinant of adherence among users. Few patients recognised sunscreen's role in PIH prevention (19.6%), with professional advice emerging as an important factor associated with correct belief (no advice vs. advice, OR 0.04,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.01).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Sunscreen use among SOC patients with acne\u2010related PIH was suboptimal, with inadequate daily use, reapplication, and quantities applied. Clinician\u2010led education was a key factor in influencing patient beliefs, highlighting the need for targeted counselling. Expanding shade\u2010diverse, cosmetically elegant, tinted formulations may further improve adherence in SOC populations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajd.70083","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T08:32:37Z","timestamp":1772958757000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Low Sunscreen Awareness and Misconceptions in Skin of Colour With Acne\u2010Related Post\u2010Inflammatory Hyperpigmentation: A Cross\u2010Sectional Study Highlighting the Need for Targeted Education"],"prefix":"10.1111","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-1818-0543","authenticated-orcid":false,"given":"Xiaozhun","family":"Hang","sequence":"first","affiliation":[{"name":"Mowbray Park Medical and Dermatology  East Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Davin Sui","family":"Lim","sequence":"additional","affiliation":[{"name":"Cutis Clinic  Indooroopilly Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Byrom","sequence":"additional","affiliation":[{"name":"Dermatology Department Mater Misericordiae Health Service  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,6]]},"reference":[{"key":"e_1_2_11_2_1","volume-title":"Postinflammatory Hyperpigmentation","author":"Lawrence, E AAK","year":"2022"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1396-0296.2004.04019.x"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/1346-8138.13263"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/bjd\/ljae190"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocd.15726"},{"issue":"10","key":"e_1_2_11_7_1","article-title":"Insulin Resistance in Polycystic Ovarian Syndrome","volume":"14","author":"Purwar A.","year":"2022","journal-title":"Cureus"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.21037\/atm-21-5924"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/pcmr.13038"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/09546634.2021.1981814"},{"issue":"6","key":"e_1_2_11_11_1","first-page":"S24","article-title":"Managing Post\u2010Inflammatory Hyperpigmentation in Patients With Acne","volume":"14","author":"Sangha A. M.","year":"2021","journal-title":"Journal of Clinical and Aesthetic Dermatology"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/pcmr.12692"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.12332"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.2147\/CCID.S355329"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajd.14423"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.19566"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.36849\/JDD.2020.5032"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2020.04.079"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijms140612222"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.17242"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jid.2017.07.833"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocd.12777"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.5021\/ad.2015.27.2.163"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/1346-8138.12330"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jid.2017.09.025"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1080\/09546634.2019.1587147"},{"key":"e_1_2_11_27_1","unstructured":"Australian Bureau of Statistics \u201cSun Protection Behaviours Information on Sun Protection Behaviours Sunburn and Suntan: Australian Bureau of Statistics; November 2023\u2013February 2024 \u201d(2024) https:\/\/www.abs.gov.au\/statistics\/health\/health\u2010conditions\u2010and\u2010risks\/sun\u2010protection\u2010behaviours\/latest\u2010release."},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmedr.2018.09.017"},{"key":"e_1_2_11_29_1","unstructured":"Australian Skin and Skin Cancer Research Centre (ASSRC) \u201cPosition Statement Balancing the Harms and Benefits of Sun Exposure \u201d(2023)."},{"key":"e_1_2_11_30_1","unstructured":"The Australasian College of Dermatologists \u201cHow Do I Protect My Skin From the Sun?: The Australasian College of Dermatologists \u201d(2022) https:\/\/www.dermcoll.edu.au\/wp\u2010content\/uploads\/2022\/10\/ACD\u2010Fact\u2010Sheet\u2010How\u2010do\u2010I\u2010protect\u2010my\u2010skin\u2010from\u2010the\u2010sun\u2010October\u20102022.pdf."},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2016.12.018"}],"container-title":["Australasian Journal of Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajd.70083","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ajd.70083","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajd.70083","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:33:48Z","timestamp":1787841228000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ajd.70083"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,6]]},"references-count":30,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1111\/ajd.70083"],"URL":"https:\/\/doi.org\/10.1111\/ajd.70083","archive":["Portico"],"relation":{},"ISSN":["0004-8380","1440-0960"],"issn-type":[{"value":"0004-8380","type":"print"},{"value":"1440-0960","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,6]]},"assertion":[{"value":"2025-09-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-23","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-06","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}