{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T02:43:26Z","timestamp":1785293006117,"version":"3.55.0"},"reference-count":38,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2020,6,29]],"date-time":"2020-06-29T00:00:00Z","timestamp":1593388800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000009","name":"Foundation for the National Institutes of Health","doi-asserted-by":"publisher","award":["UL1 TR001079"],"award-info":[{"award-number":["UL1 TR001079"]}],"id":[{"id":"10.13039\/100000009","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acad Dermatol Venereol"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Sun sensitivity is an inherent risk factor for skin cancer. Sun protection is important in sun\u2010sensitive individuals to reduce sunburns for skin cancer prevention. However, concerns have arose regarding the possible impact of sun protection on vitamin D deficiency.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To examine the prevalence and correlates of sun\u2010protective behaviours (staying in the shade, using sunscreen and wearing long sleeves) with sunburn and vitamin D deficiency in sun\u2010sensitive individuals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a cross\u2010sectional study of 2390 US non\u2010Hispanic white adults aged 20\u201359\u00a0years in the National Health and Nutrition Examination Survey 2011\u20132014. Sun sensitivity was defined as self\u2010reported tendency to severe sunburn when exposed to the sun for half an hour after months of non\u2010sun exposure, and single serum 25(OH)D levels less than 50\u00a0nmol\/L was determined as vitamin D deficiency. We calculated adjusted odds ratios (aORs) and 95% confidence intervals (95% CIs) using multivariable logistic regression taking into account the complex survey design.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Sun\u2010sensitive individuals had higher odds of frequently staying in the shade (aOR\u00a0=\u00a03.08; 95% CI 2.19\u20134.33) and using sunscreen (aOR\u00a0=\u00a01.93; 1.44\u20132.59) but not associated with sun exposure time (aOR\u00a0=\u00a00.91; 0.62\u20131.32). Yet, sun\u2010sensitive individuals had significantly higher likelihood of sunburns (aOR\u00a0=\u00a01.93; 1.45\u20132.55), and no increased likelihood of vitamin D deficiency (aOR\u00a0=\u00a01.15; 0.84\u20131.58). Among sun\u2010sensitive individuals, being younger, male and spending more time outdoors were associated with increased odds of sunburns and the risk of sunburn was reduced with frequently staying in the shade and engaging in multimodal sun protections.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Sun\u2010sensitive individuals more frequently used sun protection methods yet they still were significantly more likely to experience sunburns and the risk of vitamin D deficiency was not increased. Education on proper application of sunscreen combined with other sun\u2010protective techniques is important to reduce sunburn in sun\u2010sensitive populations.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jdv.16681","type":"journal-article","created":{"date-parts":[[2020,5,26]],"date-time":"2020-05-26T20:25:02Z","timestamp":1590524702000},"page":"2664-2672","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Prevalence and correlates of sun protections with sunburn and vitamin D deficiency in sun\u2010sensitive individuals"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0547-645X","authenticated-orcid":false,"given":"S.","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Dermatology Johns Hopkins University School of Medicine Baltimore MD USA"},{"name":"Department of Dermatology Soonchunhyang University Seoul Hospital Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.A.","family":"Carson","sequence":"additional","affiliation":[{"name":"Department of Epidemiology Johns Hopkins Bloomberg School of Public Health Baltimore MD USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.L.","family":"Chien","sequence":"additional","affiliation":[{"name":"Department of Dermatology Johns Hopkins University School of Medicine Baltimore MD USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,6,29]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1011-1344(01)00198-1"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2005.08.063"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2013.11.038"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1523-1747.2003.12246.x"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annepidem.2008.04.006"},{"key":"e_1_2_5_7_1","unstructured":"WHO.Sun protection.WHO 2017.URLhttps:\/\/www.who.int\/uv\/sun_protection\/en\/(last accessed: 1 May 2019)."},{"key":"e_1_2_5_8_1","unstructured":"Prevent skin cancer.American Academy of Dermatology [WWW Document]. 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