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Summers P, Bena J, Arrigain S, Alexis AF, Cooper K, Bordeaux JS. Sunscreen Use: Non-Hispanic Blacks Compared With Other Racial and/or Ethnic Groups. Arch Dermatol. 2011;147(7):863–864. doi:10.1001/archdermatol.2011.172
Author Affiliations: Department of Dermatology, University Hospitals Case Medical Center, Case Western Reserve University, Cleveland, Ohio (Drs Summers, Cooper, and Bordeaux); Departments of Dermatology (Dr Summers) and Quantitative Health Sciences (Mr Bena and Ms Arrigain), Cleveland Clinic, Cleveland; Skin of Color Center, Department of Dermatology, St Luke's Roosevelt Hospital, New York, New York (Dr Alexis); and Louis Stokes VA Medical Center, Cleveland (Dr Cooper).
Although up to 14% of non-Hispanic blacks (NHBs) experience sunburns, they rarely use sunscreen.1,2 Whites are at least twice as likely to wear sunscreen than NHBs.3,4 Hispanics are more likely to wear sunscreen than NHBs, even though many Hispanics have a darker skin phototype than some NHBs.5-7 Given these differences, we sought to determine factors influencing sunscreen use in NHBs compared with other racial and ethnic groups.
Data from the dermatology section of the 2003-2006 National Health and Nutrition Examination Survey (NHANES)6 were examined. The 2 following questions were analyzed: (1) If after several months of not being in the sun you then went out in the sun without sunscreen or protective clothing for half an hour, which of the following would happen to your skin? and (2) When you go outside on a very sunny day for more than 1 hour, how often to you use sunscreen?6 Sex, ethnicity and/or race, age, annual income, and education were evaluated for their association with the dermatology survey answers.
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