Selective sunscreen application on nevi

Frequency and determinants of a wrong sun-protective behaviour

M. Suppa, G. Argenziano, E. Moscarella, R. Hofmann-Wellenhof, L. Thomas, C. Catricalà, E. Gutiérrez-González, M. C. Fargnoli, K. Peris, I. Zalaudek

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background Sunscreen use is generally recommended in order to prevent skin cancer but erroneous patterns of use were reported, including the selective application on melanocytic nevi. Objective To assess prevalence and determinants of selective sunscreen application on nevi and participants' behavioural risk profile overall. Methods A multilingual, dichotomous, funnel-designed questionnaire about sun exposure/protection habits and perceived nevus count was administered to patients attending five Dermatology Departments in three countries (Italy, Austria and France). Multivariate logistic regression models were used to determine independent predictors of each answer. Results Among the 1816 subjects surveyed (59.3% females, age 14-90 (median 45) years, 44.7% Italians), 1273 (70.1%) reported intentional sun exposure and 1109/1273 (87.1%) reported sunscreen use. Among the latter, 1086 (97.9%) stated they have moles on their skin. Fifty-one/1086 (4.7%) reported selective sunscreen application on nevi. Reported information sources were: dermatologist (49.0%), personal belief (31.4%), relative/friend (7.8%), media (7.8%), paediatrician (2.0%) and general practitioner (2.0%). Increasing age (P <0.05) and being Italian (P <0.001) were independent predictors of selective sunscreen application on nevi. Sun-seeking behaviours were predicted by decreasing age, female sex and being Italian. Conclusion Selective sunscreen application on nevi was more common than expected. It is of concern that this was recommended mostly by physicians. There is a need to educate patients, non-expert clinicians, media and the sunscreen industry on this matter. Tan patients presenting with halo nevi should be questioned about this behaviour in order to avoid false positive diagnoses.

Original languageEnglish
Pages (from-to)348-354
Number of pages7
JournalJournal of the European Academy of Dermatology and Venereology
Volume28
Issue number3
DOIs
Publication statusPublished - Mar 2014

Fingerprint

Sunscreening Agents
Nevus
Solar System
Halo Nevi
Logistic Models
Pigmented Nevus
Austria
Skin Neoplasms
Dermatology
General Practitioners
Italy
Habits
France
Industry
Physicians
Skin

ASJC Scopus subject areas

  • Dermatology
  • Infectious Diseases

Cite this

Suppa, M., Argenziano, G., Moscarella, E., Hofmann-Wellenhof, R., Thomas, L., Catricalà, C., ... Zalaudek, I. (2014). Selective sunscreen application on nevi: Frequency and determinants of a wrong sun-protective behaviour. Journal of the European Academy of Dermatology and Venereology, 28(3), 348-354. https://doi.org/10.1111/jdv.12108

Selective sunscreen application on nevi : Frequency and determinants of a wrong sun-protective behaviour. / Suppa, M.; Argenziano, G.; Moscarella, E.; Hofmann-Wellenhof, R.; Thomas, L.; Catricalà, C.; Gutiérrez-González, E.; Fargnoli, M. C.; Peris, K.; Zalaudek, I.

In: Journal of the European Academy of Dermatology and Venereology, Vol. 28, No. 3, 03.2014, p. 348-354.

Research output: Contribution to journalArticle

Suppa, M, Argenziano, G, Moscarella, E, Hofmann-Wellenhof, R, Thomas, L, Catricalà, C, Gutiérrez-González, E, Fargnoli, MC, Peris, K & Zalaudek, I 2014, 'Selective sunscreen application on nevi: Frequency and determinants of a wrong sun-protective behaviour', Journal of the European Academy of Dermatology and Venereology, vol. 28, no. 3, pp. 348-354. https://doi.org/10.1111/jdv.12108
Suppa, M. ; Argenziano, G. ; Moscarella, E. ; Hofmann-Wellenhof, R. ; Thomas, L. ; Catricalà, C. ; Gutiérrez-González, E. ; Fargnoli, M. C. ; Peris, K. ; Zalaudek, I. / Selective sunscreen application on nevi : Frequency and determinants of a wrong sun-protective behaviour. In: Journal of the European Academy of Dermatology and Venereology. 2014 ; Vol. 28, No. 3. pp. 348-354.
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abstract = "Background Sunscreen use is generally recommended in order to prevent skin cancer but erroneous patterns of use were reported, including the selective application on melanocytic nevi. Objective To assess prevalence and determinants of selective sunscreen application on nevi and participants' behavioural risk profile overall. Methods A multilingual, dichotomous, funnel-designed questionnaire about sun exposure/protection habits and perceived nevus count was administered to patients attending five Dermatology Departments in three countries (Italy, Austria and France). Multivariate logistic regression models were used to determine independent predictors of each answer. Results Among the 1816 subjects surveyed (59.3{\%} females, age 14-90 (median 45) years, 44.7{\%} Italians), 1273 (70.1{\%}) reported intentional sun exposure and 1109/1273 (87.1{\%}) reported sunscreen use. Among the latter, 1086 (97.9{\%}) stated they have moles on their skin. Fifty-one/1086 (4.7{\%}) reported selective sunscreen application on nevi. Reported information sources were: dermatologist (49.0{\%}), personal belief (31.4{\%}), relative/friend (7.8{\%}), media (7.8{\%}), paediatrician (2.0{\%}) and general practitioner (2.0{\%}). Increasing age (P <0.05) and being Italian (P <0.001) were independent predictors of selective sunscreen application on nevi. Sun-seeking behaviours were predicted by decreasing age, female sex and being Italian. Conclusion Selective sunscreen application on nevi was more common than expected. It is of concern that this was recommended mostly by physicians. There is a need to educate patients, non-expert clinicians, media and the sunscreen industry on this matter. Tan patients presenting with halo nevi should be questioned about this behaviour in order to avoid false positive diagnoses.",
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AU - Argenziano, G.

AU - Moscarella, E.

AU - Hofmann-Wellenhof, R.

AU - Thomas, L.

AU - Catricalà, C.

AU - Gutiérrez-González, E.

AU - Fargnoli, M. C.

AU - Peris, K.

AU - Zalaudek, I.

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N2 - Background Sunscreen use is generally recommended in order to prevent skin cancer but erroneous patterns of use were reported, including the selective application on melanocytic nevi. Objective To assess prevalence and determinants of selective sunscreen application on nevi and participants' behavioural risk profile overall. Methods A multilingual, dichotomous, funnel-designed questionnaire about sun exposure/protection habits and perceived nevus count was administered to patients attending five Dermatology Departments in three countries (Italy, Austria and France). Multivariate logistic regression models were used to determine independent predictors of each answer. Results Among the 1816 subjects surveyed (59.3% females, age 14-90 (median 45) years, 44.7% Italians), 1273 (70.1%) reported intentional sun exposure and 1109/1273 (87.1%) reported sunscreen use. Among the latter, 1086 (97.9%) stated they have moles on their skin. Fifty-one/1086 (4.7%) reported selective sunscreen application on nevi. Reported information sources were: dermatologist (49.0%), personal belief (31.4%), relative/friend (7.8%), media (7.8%), paediatrician (2.0%) and general practitioner (2.0%). Increasing age (P <0.05) and being Italian (P <0.001) were independent predictors of selective sunscreen application on nevi. Sun-seeking behaviours were predicted by decreasing age, female sex and being Italian. Conclusion Selective sunscreen application on nevi was more common than expected. It is of concern that this was recommended mostly by physicians. There is a need to educate patients, non-expert clinicians, media and the sunscreen industry on this matter. Tan patients presenting with halo nevi should be questioned about this behaviour in order to avoid false positive diagnoses.

AB - Background Sunscreen use is generally recommended in order to prevent skin cancer but erroneous patterns of use were reported, including the selective application on melanocytic nevi. Objective To assess prevalence and determinants of selective sunscreen application on nevi and participants' behavioural risk profile overall. Methods A multilingual, dichotomous, funnel-designed questionnaire about sun exposure/protection habits and perceived nevus count was administered to patients attending five Dermatology Departments in three countries (Italy, Austria and France). Multivariate logistic regression models were used to determine independent predictors of each answer. Results Among the 1816 subjects surveyed (59.3% females, age 14-90 (median 45) years, 44.7% Italians), 1273 (70.1%) reported intentional sun exposure and 1109/1273 (87.1%) reported sunscreen use. Among the latter, 1086 (97.9%) stated they have moles on their skin. Fifty-one/1086 (4.7%) reported selective sunscreen application on nevi. Reported information sources were: dermatologist (49.0%), personal belief (31.4%), relative/friend (7.8%), media (7.8%), paediatrician (2.0%) and general practitioner (2.0%). Increasing age (P <0.05) and being Italian (P <0.001) were independent predictors of selective sunscreen application on nevi. Sun-seeking behaviours were predicted by decreasing age, female sex and being Italian. Conclusion Selective sunscreen application on nevi was more common than expected. It is of concern that this was recommended mostly by physicians. There is a need to educate patients, non-expert clinicians, media and the sunscreen industry on this matter. Tan patients presenting with halo nevi should be questioned about this behaviour in order to avoid false positive diagnoses.

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