{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T09:42:27Z","timestamp":1790242947123,"version":"4.1.0"},"reference-count":21,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2018,9,23]],"date-time":"2018-09-23T00:00:00Z","timestamp":1537660800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Cosmetic Dermatology"],"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Appearance\u2010based messages have shown promise in improving sun protection habits among Caucasians but have scarcely been investigated in Hispanic populations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To compare the effectiveness of appearance\u2010based vs health\u2010based messages in an ethnic patient population, where hyperpigmentation disorders are prevalent and often cosmetically concerning.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>One hundred thirty\u2010seven patients were randomized to receive images of (a) skin cancer, (b) hyperpigmentation, or (c) wrinkles. Analysis of variance tests for repeated measures were used to estimate the effects of the different stimuli on participants\u2019 knowledge and intention to sun protect.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Appearance\u2010based interventions were more effective in improving intentions to sun protect among both Hispanics and non\u2010Hispanic Whites (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.05). They were furthermore more effective among younger patient populations (\u226440\u00a0years old) and patients who thought that a tanned appearance is attractive (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Appearance\u2010based photos of sun damage were more effective than health\u2010based messages among Hispanics, younger patient populations, and those who find tanned appearances to be attractive.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocd.12790","type":"journal-article","created":{"date-parts":[[2018,9,24]],"date-time":"2018-09-24T00:44:31Z","timestamp":1537749871000},"page":"1030-1036","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Appearance\u2010based vs health\u2010based sun protective messages: A randomized, double\u2010blind controlled study"],"prefix":"10.1111","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3584-9157","authenticated-orcid":false,"given":"Judy","family":"Cheng","sequence":"first","affiliation":[{"name":"Department of Dermatology Boston University School of Medicine Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rafael","family":"Widjajahakim","sequence":"additional","affiliation":[{"name":"Department of Dermatology Boston University School of Medicine Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susruthi","family":"Rajanala","sequence":"additional","affiliation":[{"name":"Boston University School of Medicine Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mayra","family":"B. 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Maymone","sequence":"additional","affiliation":[{"name":"Department of Dermatology Boston University School of Medicine Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Secemsky","sequence":"additional","affiliation":[{"name":"Department of Medicine Massachusetts General Hospital Boston Massachusetts"},{"name":"Harvard Medical School Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neelam A.","family":"Vashi","sequence":"additional","affiliation":[{"name":"Department of Dermatology Boston University School of Medicine Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,9,23]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.2044-8287.2012.02089.x"},{"issue":"5","key":"e_1_2_6_3_1","doi-asserted-by":"crossref","first-page":"S114","DOI":"10.1016\/j.jaad.2011.05.033","article-title":"Prevalence of sunburn, sun protection, and indoor tanning behaviors among americans: review from national surveys and case studies of 3 states","volume":"65","author":"Buller DB","year":"2011","journal-title":"J Am Acad Dermatol"},{"key":"e_1_2_6_4_1","unstructured":"National Cancer Institute.Percentage of adults aged 18 years and older who always or most of the time protect themselves from the sun 2005\u20132015.2017.https:\/\/progressreport.cancer.gov\/prevention\/sun_protection-field_most_recent_estimates. 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