Cited by 143Skin Protection and Agingmelanin and skin pigmentationNonmelanoma Skin Cancer Studies

Application of sunscreen--theory and reality

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Petersen, Bibi, Wulf, Hans Christian·2014·Photodermatology, Photoimmunology & Photomedicine

Abstract

Summary: We present research on sunscreen use with possible pitfalls and discuss theory vs. reality. A literature review in PubM ed was conducted using the terms ‘sunscreen application’, ‘sunscreen use’ and ‘sun protection factor’. The sun protection factor (SPF) of sunscreens are tested using a thickness of 2 mg/cm 2 , but investigations show that sunscreen under natural conditions is applied insufficiently with amounts about 0.39 to 1.0 mg/cm 2 , which decreases the protection factor considerably. It has been shown that early reapplication or use of very high SPF (70–100) may partly compensate for the discrepancy between the amounts of sunscreen applied during testing and in reality, and that sunscreen application can be improved by education of consumers. Missing areas and ultraviolet radiation exposure before sunscreen application are other pitfalls that reduce the protective effect of sunscreens considerably. Current sunscreen labelling overrates the protective effect of a given sunscreen when the reality of sunscreen use is taken into account. This may possibly mislead consumers to feel it is safe to extend sun exposure. Alternatively to educating people to use large amounts of sunscreen, we suggest a simple teaching strategy: (1) Apply before sun exposure and (2) Reapply once within 1 h.

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  1. Food and Drug Administration (HHS). Labelling and effectiveness testing; sun- screen drug products for over-the-counter human use. Fed Regist 2011; 76: 35620- 35665.
  2. Azurdia RM, Pagliaro JA, Diffey BL, Rhodes LE. Sunscreen application by pho- tosensitive patients is inadequate for pro- tection. Br J Dermatol 1999; 140: 255-258.
  3. Westerdahl J, Ingvar C, Måsbäck A, Olsson H. Sunscreen use and malignant melanoma. Int J Cancer 2000; 87: 145- 150.
  4. Russak J, Chen T, Appa Y, Rigel DS. A comparison of sunburn protection of high-sun protection (SPF) sunscreen: SPF85 sunscreen is significantlty more protective than SPF50. J Am Acad Dermatol 2010; 62: 348-349.

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Authors
Petersen, B., & Wulf, H. C.
Affiliations
University of Copenhagen (DK)
Corresponding author
Petersen, Bibi
Venue
Photodermatology, Photoimmunology & Photomedicine
Publisher
Wiley
Published
2014-01-06
Volume
30
Issue
2-3
Pages
96-101
ISSN
  • 0905-4383 (ISSN-L)
  • 1600-0781
OpenAlex
W1488557759
Cited by
143
References
57
Citations by year
2026: 11 · 2025: 16 · 2024: 15 · 2023: 14 · 2022: 11 · 2021: 16 · 2020: 10 · 2019: 16 · 2018: 8 · 2017: 7 · 2016: 6 · 2015: 8 · 2014: 3
FWCI
0.94
Type
journal article
Language
en
Open access
Locations
  • Photodermatology Photoimmunology & Photomedicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Dermatology › Skin Protection and Aging
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › melanin and skin pigmentation
  • Health Sciences › Medicine › Epidemiology › Nonmelanoma Skin Cancer Studies
Keywords
sunscreen use, sun protection factor, sunscreen reapplication, UV exposure, consumer education, sun protection, skin cancer prevention
MeSH terms
Animals, Humans, Patient Education as Topic, Sunlight, Sunscreening Agents

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