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Volume 55, Issue 4, Pages 577-583 (October 2006)


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The epidemiology of sunburn in the US population in 2003

Tamu T. Brown, MDa, Rhonda D. Quain, MPHa, Andrea B. Troxel, ScDab, Joel M. Gelfand, MD, MSCEabcCorresponding Author Information

Accepted 20 May 2006. published online 16 July 2006.

Background

Sunburn is a major preventable risk factor for skin cancer.

Objective

We investigated risk factors for sunburn in the United States based on the 2003 Behavioral Risk Factor Surveillance System.

Design and methods

A random sample of 207,776 respondents provided data for the population-based survey. The main outcome measure was any report of sunburn within the previous 12 months.

Results

Overall, 39% of respondents had at least one sunburn. The strongest factors associated with sunburn were age and socioeconomic factors. Sunburn prevalence was greatest in respondents 18 to 24 years old (61%). This group was more likely to have a sunburn than respondents 45 to 54 years of age (odds ratio [OR] = 2.76). Higher income and higher levels of education were positively associated with sunburn (OR 1.67 and 1.63, respectively). Individuals reporting recent binge drinking had a higher prevalence of sunburn (OR = 1.33).

Limitations

The Behavioral Risk Factor Surveillance System does not include data on skin type or sun protection behavior; therefore the impact of these factors was not assessed.

Conclusion

Sunburn occurs at a very high rate in the United States.

Philadelphia, Pennsylvania

a From the University of Pennsylvania School of Medicine

b Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania

c Department of Dermatology, University of Pennsylvania

Corresponding Author InformationReprint requests: Joel M. Gelfand, MD, MSCE, 3600 Spruce St, 2 Maloney Building, Philadelphia, PA 19104.

 Supported in part by a grant from the National Institute of Arthritis, Musculoskeletal and Skin Diseases (No. K23 AR051125-01).

Conflicts of interest: None identified.

PII: S0190-9622(06)01501-5

doi:10.1016/j.jaad.2006.05.029


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