{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:51:57Z","timestamp":1747187517844,"version":"3.40.5"},"reference-count":44,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,5,7]],"date-time":"2024-05-07T00:00:00Z","timestamp":1715040000000},"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":["Pediatric Dermatology"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Sun exposure in schools can account for a large portion of childhood sun exposure before the age of 20\u2009years, yet legislation in the United States is lacking to properly protect children. Schools serve as a foundational resource to introduce and implement sun\u2010safe practices in the youth population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Federal and state legislation relating to the access of sunscreen, sun\u2010protective apparel, and shade was reviewed via the website <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/legiscan.com\">LegiScan.com<\/jats:ext-link>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>At the time of publication, only 25 states have legislation in place that addresses and allows sunscreen to be used in school, given its classification as an over\u2010the\u2010counter medication. No state has implemented legislation allowing sunglasses to be worn in school, and only two states have laws explicitly allowing hats and other sun\u2010protective apparel at schools. In addition, the provision of shade is addressed in four states.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>With a significant portion of sun exposure occurring at schools, state and federal legislation must address sun protection for students, opening the door for expanded access and additional research related to skin cancer prevention.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pde.15638","type":"journal-article","created":{"date-parts":[[2024,5,7]],"date-time":"2024-05-07T10:24:20Z","timestamp":1715077460000},"page":"654-659","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Legislative review and recommendations for improving sun protection in schools"],"prefix":"10.1111","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2327-7697","authenticated-orcid":false,"given":"Timothy","family":"Freeman","sequence":"first","affiliation":[{"name":"Washington University School of Medicine  St. Louis Missouri USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa M.","family":"Morris","sequence":"additional","affiliation":[{"name":"Division of Dermatology, Department of Medicine Washington University School of Medicine  St. Louis Missouri USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Basia M.","family":"Michalski","sequence":"additional","affiliation":[{"name":"Division of Dermatology, Department of Medicine Washington University School of Medicine  St. Louis Missouri USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,5,7]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamadermatol.2022.4053"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1008980919928"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1751\u20101097.1999.tb07999.x"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.17888"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.2340\/00015555\u20102992"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1158\/1055\u20109965.EPI\u201006\u20100352"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2018.06.069"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2010\u20103502"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1755\u2010148X.2010.00782.x"},{"key":"e_1_2_9_11_1","unstructured":"H\u2010440.841 Permitting sunscreen in schools. AMA.2016Accessed February 28 2024.https:\/\/policysearch.ama\u2010assn.org\/policyfinder\/detail\/%22Permitting%20Sunscreen%20in%20Schools%20H\u2010440.841%22?uri=%2FAMADoc%2FHOD.xml\u20100\u20103857.xml"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/archdermatol.2011.2586"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamadermatol.2018.0028"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10552\u2010011\u20109780\u20101"},{"key":"e_1_2_9_15_1","first-page":"49","article-title":"Sun\u2010safe clothing helps to prevent the development of pigmented moles \u2010 results of a randomised control trial in young Australian children","volume":"11","author":"Harrison S","year":"2010","journal-title":"Ann ACTM"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1562\/2005\u201010\u201027\u2010RA\u2010727"},{"key":"e_1_2_9_17_1","unstructured":"Guidelines for school programs to prevent skin cancer. CDC.2023Accessed June 8 2023.https:\/\/www.cdc.gov\/cancer\/skin\/what_cdc_is_doing\/guidelines.htm"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41416\u2010021\u201001343\u20108"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2007.04.034"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1158\/1055\u20109965.EPI\u201013\u20100821"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2018.304700"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.2910600411"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/28.3.418"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b95"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17176102"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17020529"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamadermatol.2019.2060"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.24095\/hpcdp.42.5.04"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.138.6.771"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pbiomolbio.2011.08.010"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.envres.2012.07.002"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2022.782811"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100781.2012.00688.x"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmedr.2018.12.006"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1111\/phpp.12062"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1001\/archdermatol.2011.172"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1111\/1753\u20106405.12130"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.det.2011.08.002"},{"issue":"7","key":"e_1_2_9_39_1","first-page":"16","article-title":"Racial and ethnic healthcare disparities in skin cancer in the United States: a review of existing inequities, contributing factors, and potential solutions","volume":"15","author":"Shao K","year":"2022","journal-title":"J Clin Aesthet Dermatol"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.1177\/1090198105277850"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.5888\/pcd14.170202"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2021.106601"},{"key":"e_1_2_9_43_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010016\u20103917\u20109"},{"key":"e_1_2_9_44_1","doi-asserted-by":"publisher","DOI":"10.1111\/pde.14141"},{"key":"e_1_2_9_45_1","unstructured":"SUNucate Coalition. American Society for Dermatologic Surgery Association. Accessed February 28 2024.https:\/\/asds.net"}],"container-title":["Pediatric Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pde.15638","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,22]],"date-time":"2024-07-22T15:07:26Z","timestamp":1721660846000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pde.15638"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,7]]},"references-count":44,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,7]]}},"alternative-id":["10.1111\/pde.15638"],"URL":"https:\/\/doi.org\/10.1111\/pde.15638","archive":["Portico"],"relation":{},"ISSN":["0736-8046","1525-1470"],"issn-type":[{"type":"print","value":"0736-8046"},{"type":"electronic","value":"1525-1470"}],"subject":[],"published":{"date-parts":[[2024,5,7]]},"assertion":[{"value":"2024-01-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-04-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-05-07","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}