{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T21:48:49Z","timestamp":1773006529396,"version":"3.50.1"},"reference-count":22,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2018,7,9]],"date-time":"2018-07-09T00:00:00Z","timestamp":1531094400000},"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":["Photoderm Photoimm Photomed"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Background\/purpose<\/jats:title><jats:p>Skin phototype questionnaires usually ask similar questions, but they differ in how the answers can be given. There is either one combined answer, which includes both tendency to burn and ability to tan, or 2 separate answers about burn and tan, respectively. We tested the reproducibility of different questionnaires and their relation to objectively measured skin phototype.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A total of 149 participants completed 3 skin phototype questionnaires distributed twice with median 3\u00a0months interval: (i) a <jats:italic>Fitzpatrick questionnaire<\/jats:italic> (<jats:italic><jats:styled-content style=\"fixed-case\">FST<\/jats:styled-content>\u2010q<\/jats:italic>) with combined answers about tendency to burn and ability to tan, (ii) a <jats:italic>detailed questionnaire<\/jats:italic> (<jats:italic>Detail\u2010q<\/jats:italic>) with separate answers to 2 detailed questions about burn and tan and (iii) a <jats:italic>short questionnaire<\/jats:italic> (<jats:italic>Short\u2010q<\/jats:italic>) with separate answers to 2 simplified questions about burn and tan. Objective skin phototype measurements were performed by measuring pigment protection factor (<jats:styled-content style=\"fixed-case\">PPF<\/jats:styled-content>) by spectrophotometry.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Good\u2010to\u2010very\u2010good reproducibility for all phototype questionnaires was shown by weighted kappa (\u03ba<jats:sub>w<\/jats:sub>) values: \u03ba<jats:sub>w<\/jats:sub>\u00a0=\u00a0.65 for the <jats:italic><jats:styled-content style=\"fixed-case\">FST<\/jats:styled-content>\u2010q<\/jats:italic> with combined (burn and tan) answers; \u03ba<jats:sub>w<\/jats:sub>\u00a0=\u00a0.64 for tendency to burn and \u03ba<jats:sub>w<\/jats:sub>\u00a0=\u00a0.68 for ability to tan for the <jats:italic>Detail\u2010q<\/jats:italic>; and \u03ba<jats:sub>w<\/jats:sub>\u00a0=\u00a0.72 for tendency to burn and \u03ba<jats:sub>w<\/jats:sub>\u00a0=\u00a0.85 for ability to tan for the <jats:italic>Short\u2010q<\/jats:italic>. <jats:styled-content style=\"fixed-case\">PPF<\/jats:styled-content> at all measurement sites was best predicted by the <jats:italic>Detail\u2010q<\/jats:italic> (highest <jats:italic>r<\/jats:italic><jats:sup>2<\/jats:sup>\u00a0=\u00a00.285 on the outer arm), followed by the <jats:italic>Short\u2010q<\/jats:italic> and by the <jats:italic><jats:styled-content style=\"fixed-case\">FST<\/jats:styled-content>\u2010q<\/jats:italic>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The <jats:italic>detailed questionnaire<\/jats:italic> with separate answers to 2 detailed questions about\u00a0tendency to burn and ability to tan has good reproducibility, correlates best with objective skin measurements and is therefore the recommended method for determining skin phototype.<\/jats:p><\/jats:sec>","DOI":"10.1111\/phpp.12399","type":"journal-article","created":{"date-parts":[[2018,6,8]],"date-time":"2018-06-08T13:40:01Z","timestamp":1528465201000},"page":"366-373","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Phototype reproducibility and relation to objectively measured skin sensitivity is best when burn and tan reactivity to sun are answered separately"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1110-0536","authenticated-orcid":false,"given":"Giedre","family":"Bieliauskiene","sequence":"first","affiliation":[{"name":"Department of Dermatology Bispebjerg Hospital University of Copenhagen  Copenhagen Denmark"},{"name":"The Heart Center Rigshospitalet Copenhagen University Hospital  Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9656-733X","authenticated-orcid":false,"given":"Peter A.","family":"Philipsen","sequence":"additional","affiliation":[{"name":"Department of Dermatology Bispebjerg Hospital University of Copenhagen  Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hans Christian","family":"Wulf","sequence":"additional","affiliation":[{"name":"Department of Dermatology Bispebjerg Hospital University of Copenhagen  Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,7,9]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-642-60771-4_20"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jid.5701238"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10552-008-9245-3"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.1988.01670060015008"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2005.03.034"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/31.2.439"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00008390-200209000-00014"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-05-0969"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0361-090X(03)00094-1"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0215(19980529)76:5<628::AID-IJC3>3.0.CO;2-S"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-3083.2011.04298.x"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2004.09.004"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamadermatol.2013.6101"},{"key":"e_1_2_7_15_1","unstructured":"WulfHC.Method and an apparatus for determining an individual's ability to stand exposure to ultraviolet radiation. US Pat 1989: 4:882 598 1\u201032."},{"key":"e_1_2_7_16_1","doi-asserted-by":"crossref","first-page":"219","DOI":"10.2340\/0001555577219221","article-title":"Seasonal variation of skin pigmentation","volume":"77","author":"Lock\u2010Andersen J","year":"1997","journal-title":"Acta Derm Venereol"},{"key":"e_1_2_7_17_1","first-page":"314","volume-title":"Medical Statistics: A Guide to SPSS, Data Analysis and Critical Appraisal","author":"Barton B","year":"2014"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2010.03.002"},{"key":"e_1_2_7_19_1","first-page":"404","volume-title":"Practical Statistics for Medical Research","author":"Altman DG","year":"1991"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/CMR.0b013e3282f120d2"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/CMR.0000000000000089"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a115868"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.stamet.2012.05.004"}],"container-title":["Photodermatology, Photoimmunology &amp; Photomedicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fphpp.12399","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/phpp.12399","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,16]],"date-time":"2023-09-16T03:17:46Z","timestamp":1694834266000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/phpp.12399"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,7,9]]},"references-count":22,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2018,11]]}},"alternative-id":["10.1111\/phpp.12399"],"URL":"https:\/\/doi.org\/10.1111\/phpp.12399","archive":["Portico"],"relation":{},"ISSN":["0905-4383","1600-0781"],"issn-type":[{"value":"0905-4383","type":"print"},{"value":"1600-0781","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,7,9]]},"assertion":[{"value":"2018-06-05","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-07-09","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}