{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T15:33:31Z","timestamp":1781537611526,"version":"3.54.5"},"reference-count":34,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,1,11]],"date-time":"2024-01-11T00:00:00Z","timestamp":1704931200000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100008544","name":"Korean Dermatological Association","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100008544","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":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Photoprotection is crucial in preventing the development and progression of various skin diseases. However, patients with skin disease have limited awareness of photoprotection. We evaluated the knowledge and behavioral patterns of photoprotection among Koreans with skin diseases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross\u2010sectional study was conducted in 11 general hospitals across South Korea. The study population consisted of patients aged 19\u2009years or older who visited dermatologic clinics for their skin diseases. A self\u2010administered questionnaire was used to collect patient demographics, knowledge of photoprotection, and photoprotective habits.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In this study, 1173 patients with skin cancer, hyperpigmentary disorders, hypopigmentary disorders, or other skin diseases participated. Females scored significantly higher in knowledge of photoprotection compared to males (mean score 8.4 vs. 7.8;<jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001), and younger patients (&lt;50\u2009years) scored higher than older patients (mean score 8.7 vs. 7.5;<jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001). Males also reported longer sun exposure times and lower usage of photoprotective measures (both<jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001). Patients with skin cancer had the lowest mean knowledge score (7.1\u2009\u00b1\u20092.6) and were less likely to use photoprotective measures compared to other groups (<jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001). In contrast, patients with hyperpigmentation actively avoided sun exposure compared with other groups (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Knowledge of photoprotection among Korean patients with skin diseases varied depending on the gender, age, and type of skin disease. Their photoprotective behaviors were inadequate, especially among males and those with skin cancer. These findings emphasize the importance of educating and tailoring photoprotection strategies for patients with skin diseases.<\/jats:p><\/jats:sec>","DOI":"10.1111\/phpp.12945","type":"journal-article","created":{"date-parts":[[2024,1,11]],"date-time":"2024-01-11T08:55:12Z","timestamp":1704963312000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Knowledge and the behavioral patterns of photoprotection among Koreans with skin disease"],"prefix":"10.1111","volume":"40","author":[{"given":"Seong Jin","family":"Jo","sequence":"first","affiliation":[{"name":"Department of Dermatology Seoul National University College of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seong Rae","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Dermatology Seoul National University College of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7709-5384","authenticated-orcid":false,"given":"Si Hyung","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Dermatology Seoul National University College of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Young\u2010Joon","family":"Seo","sequence":"additional","affiliation":[{"name":"Department of Dermatology, School of Medicine Chungnam National University Daejun Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyo Hyun","family":"Ahn","sequence":"additional","affiliation":[{"name":"Department of Dermatology Korea University College of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8536-1179","authenticated-orcid":false,"given":"Jong Hee","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sang Ho","family":"Oh","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Cutaneous Biology Research Institute Yonsei University College of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ki\u2010Heon","family":"Jeong","sequence":"additional","affiliation":[{"name":"Department of Dermatology Kyung Hee University College of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kui Young","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Dermatology Chung\u2010Ang University College of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chul Hwan","family":"Bang","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Seoul St. Mary's Hospital College of Medicine, The Catholic University of Korea Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min\u2010Soo","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Dermatology Veterans Health Service Medical Center Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jae Yoon","family":"Jung","sequence":"additional","affiliation":[{"name":"Oaro Dermatology Clinic Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2477-6263","authenticated-orcid":false,"given":"Young Wook","family":"Ryoo","sequence":"additional","affiliation":[{"name":"Department of Dermatology Keimyung University School of Medicine Daegu Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sang Seok","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Kangdong Sacred Heart Hospital Hallym University College of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dae Hun","family":"Suh","sequence":"additional","affiliation":[{"name":"Department of Dermatology Seoul National University College of Medicine Seoul Korea"},{"name":"Acne, Rosacea, Seborrheic Dermatitis and Hidradenitis Suppurativa Research Laboratory Seoul National University Hospital Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,1,11]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/exd.14260"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2012.09.053"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.abd.2019.09.011"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.5021\/ad.2022.34.2.125"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1269\/jrr.10175"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2020.00354"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.0022-202X.2004.22609.x"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-020-79995-4"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-56017-5_5"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.det.2005.08.006"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.5021\/ad.20.153"},{"issue":"1","key":"e_1_2_10_13_1","first-page":"1","article-title":"Lack of knowledge and misperceptions on photoprotection among Brazilian youngsters","volume":"3","author":"Paula CM","year":"2023","journal-title":"Dermato"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckab010"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/ctr.13524"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.3390\/biom11020332"},{"issue":"11","key":"e_1_2_10_17_1","article-title":"Sun exposure in pediatric age: perspective of caregivers","volume":"8","author":"Salvado M","year":"2021","journal-title":"Children (Basel)"},{"issue":"2","key":"e_1_2_10_18_1","first-page":"631","article-title":"Sun exposure habits and health risk\u2010related behaviours among individuals with previous history of skin cancer","volume":"33","author":"Falk M","year":"2013","journal-title":"Anticancer Res"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph191610175"},{"issue":"8","key":"e_1_2_10_20_1","first-page":"39","article-title":"Skin cancer in asians: part 1: nonmelanoma skin cancer","volume":"2","author":"Kim GK","year":"2009","journal-title":"J Clin Aesthet Dermatol"},{"issue":"10","key":"e_1_2_10_21_1","first-page":"34","article-title":"Skin cancer in asians: part 2: melanoma","volume":"2","author":"Bellew S","year":"2009","journal-title":"J Clin Aesthet Dermatol"},{"issue":"5","key":"e_1_2_10_22_1","doi-asserted-by":"crossref","first-page":"625","DOI":"10.4103\/ijd.ijd_1092_20","article-title":"A review on sun exposure and skin diseases","volume":"67","author":"Merin KA","year":"2022","journal-title":"Indian J Dermatol"},{"issue":"7","key":"e_1_2_10_23_1","first-page":"579","article-title":"Validation of a questionnaire designed to study knowledge, attitudes, and habits related to sun exposure among young adults: the CHACES questionnaire","volume":"111","author":"Blazquez\u2010Sanchez N","year":"2020","journal-title":"Actas Dermosifiliogr (Engl ed)"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1039\/d0pp00073f"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.canep.2015.10.022"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.canep.2009.09.003"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2021.12.019"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1093\/bjd\/ljac046"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1177\/1090198102239257"},{"key":"e_1_2_10_30_1","first-page":"2022","article-title":"Sun exposure behavior and knowledge on photoprotection of children and adolescents living in tropical regions","volume":"2022","author":"Corr\u00eaa MP","journal-title":"medRxiv"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40257-014-0106-4"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2133.146.s61.7.x"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.16030"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.1038\/jidsymp.2009.10"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clindermatol.2013.05.026"}],"container-title":["Photodermatology, Photoimmunology &amp; Photomedicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/phpp.12945","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,7]],"date-time":"2024-11-07T21:55:32Z","timestamp":1731016532000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/phpp.12945"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":34,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,1]]}},"alternative-id":["10.1111\/phpp.12945"],"URL":"https:\/\/doi.org\/10.1111\/phpp.12945","archive":["Portico"],"relation":{},"ISSN":["0905-4383","1600-0781"],"issn-type":[{"value":"0905-4383","type":"print"},{"value":"1600-0781","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1]]},"assertion":[{"value":"2023-07-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-12-19","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-01-11","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e12945"}}