{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,3]],"date-time":"2025-08-03T04:29:48Z","timestamp":1754195388271,"version":"3.37.3"},"reference-count":44,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2018,6,25]],"date-time":"2018-06-25T00:00:00Z","timestamp":1529884800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100011343","name":"Holden Comprehensive Cancer Center, University of Iowa","doi-asserted-by":"publisher","award":["2 P30 CA86862"],"award-info":[{"award-number":["2 P30 CA86862"]}],"id":[{"id":"10.13039\/100011343","id-type":"DOI","asserted-by":"publisher"}]}],"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>Sun sensitivity, a confounder between sun exposure and sun protection, is often overlooked. We examined how sun exposure and sun protection behaviors among indoor workers varied by sun sensitivity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Sun exposure and sun protection diaries over a 45\u2010day period from Midwestern United States indoor workers were examined. We categorized sun sensitivity (fair and non\u2010fair complexion) using tanning inability and sunburn tendency. Total exposure (sunrise to sunset) and peak exposure (10\u00a0<jats:sc>am<\/jats:sc> and 4\u00a0<jats:sc>pm<\/jats:sc>) lasting at least 60\u00a0minutes were examined. Percentages of time using sun protection were reported. We determined associations between fair complexion, mean sun exposure, and mean sun protection times with logistic regression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fair individuals spent less time in the sun than non\u2010fair individuals, but a greater proportion of time using sun protection behaviors, including sunscreen with <jats:styled-content style=\"fixed-case\">SPF<\/jats:styled-content> 30+ (odds ratio (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>)\u00a0=\u00a01.36; 95% confidence interval (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>)\u00a0=\u00a00.98, 1.87)), or wearing long\u2010sleeved shirts (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a02.89; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\u00a0=\u00a01.24, 6.73).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Fair individuals spent less time in the sun and practiced more sun protective behaviors than non\u2010fair individuals. This complex association between sun sensitivity, sun protection and sun exposure has not consistently been addressed in studies of skin cancer.<\/jats:p><\/jats:sec>","DOI":"10.1111\/phpp.12403","type":"journal-article","created":{"date-parts":[[2018,6,11]],"date-time":"2018-06-11T08:06:10Z","timestamp":1528704370000},"page":"393-399","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Sun sensitivity and sun protective behaviors during sun exposure among indoor office workers in the American Midwest"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4469-0213","authenticated-orcid":false,"given":"Alesia M.","family":"Jung","sequence":"first","affiliation":[{"name":"Department of Epidemiology and Biostatistics Mel and Enid Zuckerman College of Public Health University of Arizona  Tucson AZ USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leslie K.","family":"Dennis","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics Mel and Enid Zuckerman College of Public Health University of Arizona  Tucson AZ USA"},{"name":"University of Arizona Cancer Center  Tucson AZ USA"},{"name":"Department of Epidemiology College of Public Health University of Iowa  Iowa City IA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth T.","family":"Jacobs","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics Mel and Enid Zuckerman College of Public Health University of Arizona  Tucson AZ USA"},{"name":"University of Arizona Cancer Center  Tucson AZ USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Georg T.","family":"Wondrak","sequence":"additional","affiliation":[{"name":"University of Arizona Cancer Center  Tucson AZ USA"},{"name":"Department of Pharmacology &amp; Toxicology College of Pharmacy University of Arizona  Tucson AZ USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,6,25]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1011-1344(01)00198-1"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/occmed\/kqn170"},{"key":"e_1_2_6_4_1","unstructured":"American Cancer Society.Skin Cancer Facts;2016.http:\/\/www.cancer.org\/cancer\/cancercauses\/sunanduvexposure\/skin-cancer-facts. 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