{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T15:20:24Z","timestamp":1753888824744,"version":"3.37.3"},"reference-count":18,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2014,9,3]],"date-time":"2014-09-03T00:00:00Z","timestamp":1409702400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000355","name":"The Bupa Foundation","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100000355","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acad Dermatol Venereol"],"published-print":{"date-parts":[[2015,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Sun exposure has positive and negative effects on health, yet little is known about the sun exposure behaviour of <jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content> adolescents, including those more prone or less prone to sunburn.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To examine sun exposure behaviour of <jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content> white Caucasian adolescents including time spent outdoors, holiday behaviour, use of sunscreen and clothing, with assessment for differences between sun\u2010reactive skin type groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>White Caucasian adolescents (12\u201315\u00a0years) attending schools in Greater Manchester completed a two\u2010page questionnaire to assess sun exposure and photoprotective behaviour.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 133 adolescents (median age 13.4\u00a0years; 39% skin type I\/<jats:styled-content style=\"fixed-case\">II<\/jats:styled-content>, 61% skin type <jats:styled-content style=\"fixed-case\">III<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">IV<\/jats:styled-content>) completed the questionnaire. In summer, adolescents spent significantly longer outdoors at weekends (median 4\u00a0h\/day, range 0.25\u201310) than on weekdays (2, 0.25\u20136; <jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.0001). When at home in the <jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content> during summer, 44% reported never wearing sunscreen compared to just 1% when on a sunny holiday. Sunscreen use was also greater (frequency\/coverage) when on a sunny holiday than at home in the <jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content> summer (<jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.0001). Adolescents of skin types I\/<jats:styled-content style=\"fixed-case\">II<\/jats:styled-content> (easy burning) spent significantly less time outdoors than skin types <jats:styled-content style=\"fixed-case\">III<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">IV<\/jats:styled-content> (easy tanning) on summer weekends (<jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.001), summer weekdays (<jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.05) and on a sunny holiday (<jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.001). Furthermore, skin types I\/<jats:styled-content style=\"fixed-case\">II<\/jats:styled-content> reported greater sunscreen use during summer in the <jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content> and on sunny holiday (both <jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.01), and wore clothing covering a greater skin area on a sunny holiday (<jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.01) than skin types <jats:styled-content style=\"fixed-case\">III<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">IV<\/jats:styled-content>. There was no difference in sun exposure behaviour\/protection between males and females.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The greater sun\u2010protective measures reported by adolescents of sun\u2010reactive skin type group I\/<jats:styled-content style=\"fixed-case\">II<\/jats:styled-content> than <jats:styled-content style=\"fixed-case\">III<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">IV<\/jats:styled-content> suggest those who burn more easily are aware of the greater need to protect their skin. However, use of sunscreen during the <jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content> summer is low and may need more effective promotion in adolescents.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jdv.12669","type":"journal-article","created":{"date-parts":[[2014,9,3]],"date-time":"2014-09-03T10:07:08Z","timestamp":1409738828000},"page":"732-737","source":"Crossref","is-referenced-by-count":9,"title":["Sunlight exposure and photoprotection behaviour of white Caucasian adolescents in the <scp>UK<\/scp>"],"prefix":"10.1111","volume":"29","author":[{"given":"M.","family":"Gould","sequence":"first","affiliation":[{"name":"Centre for Dermatology Institute of Inflammation and Repair University of Manchester Manchester UK"},{"name":"Manchester Academic Health Science Centre Salford Royal NHS Foundation Hospital Manchester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.D.","family":"Farrar","sequence":"additional","affiliation":[{"name":"Centre for Dermatology Institute of Inflammation and Repair University of Manchester Manchester UK"},{"name":"Manchester Academic Health Science Centre Salford Royal NHS Foundation Hospital Manchester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Kift","sequence":"additional","affiliation":[{"name":"School of Earth Atmospheric and Environmental Sciences University of Manchester Manchester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.L.","family":"Berry","sequence":"additional","affiliation":[{"name":"Specialist Assay Laboratory (Vitamin D) Institute of Human Development University of Manchester Manchester UK"},{"name":"Manchester Academic Health Science Centre Manchester Royal Infirmary Manchester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.Z.","family":"Mughal","sequence":"additional","affiliation":[{"name":"Department of Paediatric Endocrinology Royal Manchester Children's Hospital Manchester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Bundy","sequence":"additional","affiliation":[{"name":"Centre for Dermatology Institute of Inflammation and Repair University of Manchester Manchester UK"},{"name":"Manchester Academic Health Science Centre Salford Royal NHS Foundation Hospital Manchester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Vail","sequence":"additional","affiliation":[{"name":"Manchester Academic Health Science Centre Salford Royal NHS Foundation Hospital Manchester UK"},{"name":"Institute of Population Health University of Manchester Manchester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.R.","family":"Webb","sequence":"additional","affiliation":[{"name":"School of Earth Atmospheric and Environmental Sciences University of Manchester Manchester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.E.","family":"Rhodes","sequence":"additional","affiliation":[{"name":"Centre for Dermatology Institute of Inflammation and Repair University of Manchester Manchester UK"},{"name":"Manchester Academic Health Science Centre Salford Royal NHS Foundation Hospital Manchester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,9,3]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2005.086918"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.2910600411"},{"key":"e_1_2_6_4_1","unstructured":"National Institute for Health and Clinical Excellence.Skin cancer prevention: information resources and environmental changes.2011. 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