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Sunscreens used at the beach do not protect against erythema: a new definition of SPF is proposed
Author(s): Wulf HC, Stender IM, LockAndersen J
Source: PHOTODERMATOLOGY PHOTOIMMUNOLOGY & PHOTOMEDICINE    Volume: 13    Issue: 4    Pages: 129-132    Published: AUG 1997  
Times Cited: 57     References: 10     
Abstract: Since sunscreens are recommended by doctors and used all over the world to protect against sun induced erythema, it is important to evaluate if sunscreens are used as recommended and if the intended effect is achieved. We refer to the findings of several studies performed on people at risk of sun-burning at beaches in the vicinity of Copenhagen, Denmark. On a sunny day at the beach 65% of the sunbathers used one or more sunscreens. Of these, 46% used the sunscreen all over the body and a median sun protection factor (SPF) of 5-6 was used. The sunbathers used 0.5 mg/cm(2) of sunscreen independent of skin type. Of the sunscreen users, 43% applied the sunscreen after arriving at the beach and 43% reapplied the sunscreen after swimming. The sun exposure time and the sun exposure dose were almost identical among sunscreen users and non-users. Self-assessed redness of the skin demonstrated that more sunscreen users than non-users reported to be red the day after sun exposure, 42 and 34%, respectively. Theoretical calculations support this finding and show a drastic reduction in the achieved photoprotection if a thinner layer than in the test situation is used. Sunscreens do not protect against erythema if not used as intended. Instead of changing people's habits, we suggest modifying the test method by adjusting the amount of sunscreen to that used in real life situations, 0.5 mg/cm(2).
Document Type: Article
Language: English
Reprint Address: Wulf, HC (reprint author), UNIV COPENHAGEN, BISPEBJERG HOSP, DEPT DERMATOL D42, BISPEBJERG BAKKE 23, DK-2400 COPENHAGEN NV, DENMARK
Publisher: MUNKSGAARD INT PUBL LTD, 35 NORRE SOGADE, PO BOX 2148, DK-1016 COPENHAGEN, DENMARK
Subject Category: Dermatology
IDS Number: YK548
ISSN: 0905-4383
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