{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T15:37:45Z","timestamp":1790177865041,"version":"4.1.0"},"reference-count":35,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2023,8,23]],"date-time":"2023-08-23T00:00:00Z","timestamp":1692748800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acad Dermatol Venereol"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Behavioural interventions can improve attitudes towards sun protection but the impact remains inconsistent worldwide.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess awareness of and attitudes towards the multiple facets of sun exposure and suggest ways to improve prevention from overexposure to the sun in all geographical zones and multiple skin types.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Online survey was conducted from 28 September to 18 October 2021. Study population was selected from the Ipsos online Panel (3,540,000 panellists), aged \u226518\u2009years, from 17 countries around the five continents. Demographics, sun\u2010exposure habits and practices, understanding of risks and information on phototypes were documented and analysed using descriptive statistics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eighty\u2010eight per cent of participants knew that sunlight can cause skin health problems (90% phototypes I\u2010II, 82% phototypes V\u2010VI, &gt;90% in American and European countries, 72% in Asia and 85% in Africa). Eighty\u2010five per cent used some form of protection against sunlight, predominantly: Seeking shade (77%), avoiding the midday sun (66%), facial application of sunscreen (60%) and wearing protective clothing (44%). The perception of sunlight itself is positive (\u2018it gives energy\u2019 for 82%; \u2018tanned skin looks attractive\u2019 for 72%), although less in Asian countries and among individuals with dark skin phototypes. Eighty\u2010three per cent reported having experienced sunburn, mainly in Australia, Canada, USA, Germany, France and Russia, and among individuals with dark skin phototypes. Only 12% systematically\/often used all types of protection during exposure to the sun and 23% believed it is safe to go out in the sun with no protection when their skin is already tanned. From 13% (skin phototype I) to 26% (phototype VI) reported not using any form of protection against the sun. Knowledge and habits were significantly superior among people who are accustomed to seeing a dermatologist for a complete skin exam.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Dermatologists could play a crucial role in relaying novel prevention messages, more finely tailored to specific risks, populations and areas of the world.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jdv.19421","type":"journal-article","created":{"date-parts":[[2023,8,19]],"date-time":"2023-08-19T15:18:34Z","timestamp":1692458314000},"page":"2481-2489","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Sun exposure behaviours as a compromise to paradoxical injunctions: Insight from a worldwide survey"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0797-6570","authenticated-orcid":false,"given":"Thierry","family":"Passeron","sequence":"first","affiliation":[{"name":"Department of Dermatology C\u00f4te d'Azur University, Nice University Hospital Center  Nice France"},{"name":"INSERM U1065, C3M C\u00f4te d'Azur University  Nice France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henry W.","family":"Lim","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Henry Ford Health  Detroit Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chee Leok","family":"Goh","sequence":"additional","affiliation":[{"name":"National Skin Centre  Singapore City Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hee Young","family":"Kang","sequence":"additional","affiliation":[{"name":"Department of Dermatology Ajou University School of Medicine  Suwon South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatimata","family":"Ly","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Cheikh Anta Diop Dakar University EPS Institute of Social Hygiene  Dakar Senegal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8372-3754","authenticated-orcid":false,"given":"Akimichi","family":"Morita","sequence":"additional","affiliation":[{"name":"Department of Geriatric and Environmental Dermatology Nagoya City University Graduate School of Medical Sciences  Nagoya Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0213-0031","authenticated-orcid":false,"given":"Jorge","family":"Ocampo\u2010Candiani","sequence":"additional","affiliation":[{"name":"Universidad Autonoma de Nuevo Le\u00f3n, Facultad de Medicina University Hospital \u201cDr. Jose E. Gonz\u00e1lez\u201d  Monterrey Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susana","family":"Puig","sequence":"additional","affiliation":[{"name":"Dermatology Department, Hospital Clinic de Barcelona Barcelona University  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sergio","family":"Schalka","sequence":"additional","affiliation":[{"name":"Medcin Skin Research Center and Biochemistry Department Chemistry Institute of Sao Paulo University  Sao Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Dermatology, The General Hospital of Air Force PLA  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3854-8851","authenticated-orcid":false,"given":"Anne\u2010Laure","family":"Demessant\u2010Flavigny","sequence":"additional","affiliation":[{"name":"La Roche\u2010Posay International  Levallois\u2010Perret France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Le\u00a0Floc\u2019h","sequence":"additional","affiliation":[{"name":"La Roche\u2010Posay International  Levallois\u2010Perret France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Delphine","family":"Kerob","sequence":"additional","affiliation":[{"name":"La Roche\u2010Posay International  Levallois\u2010Perret France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5574-5825","authenticated-orcid":false,"given":"Brigitte","family":"Dreno","sequence":"additional","affiliation":[{"name":"Nantes University Univ Angers, INSERM, Immunology and New Concepts in ImmunoTherapy, INCIT, UMR 1302  Nantes France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8433-1517","authenticated-orcid":false,"given":"Jean","family":"Krutmann","sequence":"additional","affiliation":[{"name":"IUF Leibniz Research Institute for Environmental Medicine  Duesseldorf Germany"},{"name":"Medical Faculty Heinrich\u2010Heine\u2010University  Duesseldorf Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,8,23]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-food-032519-051722"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.16614"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2021.12.023"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/exd.12388"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1039\/c2pp25152c"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.abd.2021.05.012"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2021.02.048"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2020.11.074"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1038\/jid.2011.394"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2014.08.023"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40257-021-00670-z"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.17242"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1590\/abd1806-4841.20143971"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.4065\/72.5.461"},{"issue":"1","key":"e_1_2_10_16_1","first-page":"234","article-title":"A cross\u2010cultural exploration on the psychological aspects of skin color aesthetics: implications for sun\u2010related behavior","volume":"10","author":"Chen HY","year":"2020","journal-title":"Transl Behav Med"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/1534735411433832"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-10-0196"},{"key":"e_1_2_10_19_1","unstructured":"World Health Organization.Radiation: Sun protection. 2003 [cited 2022 Mar 17]. 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