{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T09:42:18Z","timestamp":1790242938717,"version":"4.1.0"},"reference-count":11,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,7,16]],"date-time":"2018-07-16T00:00:00Z","timestamp":1531699200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"UT Southwestern Medical Center"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Cosmetic Dermatology"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>There is increasing understanding that sunscreen use is associated with reduced photoaging and that appearance\u2010based messages are more effective than health\u2010based messages in promoting daily sunscreen use. We hypothesized that persons with greater awareness of the effects of photoaging use sunscreen more consistently.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Cross\u2010sectional survey of adults in Dallas, TX, assessing sunscreen\u2010related knowledge, behavior, and information source.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Each respondent averaged 2.5\u00a0\u00b1\u00a01.7\u00a0hours of self\u2010reported sun exposure daily with the least reported time being 0.15\u00a0hours. Eighty\u2010eight percent reported that sun exposure caused skin cancer \u201ca lot.\u201d Eighty\u2010nine percent \u201cagreed\u201d or \u201cstrongly agreed\u201d that \u201csun exposure causes most signs of skin aging.\u201d Over 70% \u201cagreed\u201d or \u201cstrongly agreed\u201d to an appearance\u2010based reason for their sunscreen use. Sixty\u2010six percent reported they would consider using sunscreen if anticipating sun exposure lasting 2\u00a0hours or less. Only 30% reported using sunscreen daily. Greater photoaging knowledge was positively associated with sunscreen adherence (at least <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.05 with each knowledge item). Those with darker complexions or skin less likely to burn reported less knowledge of photoaging (<jats:italic>\u03c1<\/jats:italic>\u00a0=\u00a0\u22120.219, <jats:italic>P<\/jats:italic>\u00a0\u2264\u00a00.001) and had lower sunscreen use (<jats:italic>\u03c1<\/jats:italic>\u00a0=\u00a00.301, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Despite most respondents reporting knowledge of health and appearance risks of sun exposure and a motivation to prevent them with sunscreen, most do not use sunscreen adequately. This discrepancy could be due to people perceiving risks of sun exposure based on duration of continuous exposure. There may be misconceptions that short\u2010interval sun exposure that does not result in sunburn is less harmful than extended exposure.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocd.12712","type":"journal-article","created":{"date-parts":[[2018,7,16]],"date-time":"2018-07-16T07:39:55Z","timestamp":1531726795000},"page":"558-562","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Wrinkles, brown spots, and cancer: Relationship between appearance\u2010 and health\u2010based knowledge and sunscreen use"],"prefix":"10.1111","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6126-1026","authenticated-orcid":false,"given":"Hongjing","family":"Cao","sequence":"first","affiliation":[{"name":"UT Southwestern Medical Center Dallas Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"Brehm","sequence":"additional","affiliation":[{"name":"UT Southwestern Medical Center Dallas Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"Hynan","sequence":"additional","affiliation":[{"name":"UT Southwestern Medical Center Dallas Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather W.","family":"Goff","sequence":"additional","affiliation":[{"name":"UT Southwestern Medical Center Dallas Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,7,16]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2014.08.036"},{"issue":"21","key":"e_1_2_9_3_1","first-page":"591","article-title":"Vital signs: melanoma incidence and mortality trends and projections\u2014United States, 1982\u20132030","volume":"64","author":"Guy GP","year":"2015","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2011.11.920"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamadermatol.2014.3092"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2013.12.007"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1473-2165.2010.00522.x"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.det.2014.03.011"},{"key":"e_1_2_9_9_1","unstructured":"AmericanAcademyofDermatology.https:\/\/www.aad.org\/media\/stats\/prevention-and-care\/sunscreen-faqs. 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