Sunscreens prescribed to patients with skin of color and/or with melasma: A survey of 221 dermatologists and dermatology residents in Spain.

IF 2.5 4区 医学 Q2 DERMATOLOGY
Daniel Morgado-Carrasco, Jesús Delgado, Ludmila Prudkin-Silva, Júlia Santamaria, Jaime Piquero-Casals
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引用次数: 0

Abstract

Background: Dark-skinned individuals (DSI) present high rates of melasma and post-inflammatory hyperpigmentation. The use of sunscreens with mineral filters is essential for prevention and treatment. Our objective was to determine the preferences of dermatologists and dermatology residents in the prescription of sunscreens for DSI.

Methods: An anonymous survey of attendees at an online photoprotection event held on March 31, 2022, in Spain.

Results: The survey was answered by 66.6% (221/332) of the attendees: 159 dermatologists (71.9%) and 62 dermatology residents (28.1%). Respondents reported recommending the use of sunscreen to a median of 80% of DSI [interquartile range (IQR), 50-90]. Physicians reported prescribing tinted sunscreens to a median percentage of 60% (IQR, 25-90) of DSI with acne; and to a median percentage of 90% (IQR, 58-99) of DSI with melasma. The most prescribed photoprotectors to DSI with melasma were organic broad-spectrum sunscreens with antioxidants: 102/220 (46.4%) and mineral broad-spectrum sunscreens (with iron oxides): 45/220 (20.4%). In DSI with melasma or other pigmentary disorders, the most preferred features of sunscreens were as follows: sun protection factor ≥ 30: 217/221 (98.2%), UVA protection: 214/221 (96.8%), color for camouflage: 150/220 (68.2%) and mineral filters such as titanium dioxide and zinc oxide: 151/220 (68.6%) or iron oxides: 131/220 (59.5%).

Limitations: Online survey, potential inclusion bias.

Conclusions: Respondents reported to prescribe sunscreens to the majority of DSI, and tinted sunscreens for the majority of DSI with pigmentary disorders. However, the most frequently recommended sunscreens for DSI were organic broad-spectrum sunscreens with antioxidants.

为有色皮肤和/或黄褐斑患者开具的防晒霜处方:对西班牙 221 名皮肤科医生和皮肤科住院医生的调查。
背景:深肤色人群(DSI)中黄褐斑和炎症后色素沉着的发病率很高。使用具有矿物过滤功能的防晒霜对预防和治疗至关重要。我们的目的是确定皮肤科医生和皮肤科住院医生在为 DSI 开具防晒霜处方时的偏好:对参加 2022 年 3 月 31 日在西班牙举行的在线光防护活动的人员进行匿名调查:66.6%的与会者(221/332)回答了调查问卷:其中包括 159 名皮肤科医生(71.9%)和 62 名皮肤科住院医生(28.1%)。受访者建议使用防晒霜的 DSI 中位数为 80%[四分位数间距 (IQR),50-90]。在患有痤疮的 DSI 患者中,医生建议使用有色防晒霜的比例中位数为 60%(IQR,25-90);在患有黄褐斑的 DSI 患者中,医生建议使用有色防晒霜的比例中位数为 90%(IQR,58-99)。有黄褐斑的 DSI 使用最多的光保护剂是含有抗氧化剂的有机广谱防晒霜:102/220(46.4%)和矿物广谱防晒霜(含氧化铁):45/220 (20.4%).在患有黄褐斑或其他色素性疾病的 DSI 患者中,最青睐的防晒霜特点如下:防晒系数≥ 30:217/221(98.2%),UVA 防护:214/221(96.8%),用于遮瑕的颜色:150/220(68.2%),矿物过滤剂,如二氧化钛和氧化锌:151/220(68.6%)或氧化铁:局限性:局限性:在线调查,可能存在纳入偏差:受访者称,他们为大多数 DSI 患者开具了防晒霜处方,并为大多数患有色素性疾病的 DSI 患者开具了有色防晒霜处方。然而,最常推荐给DSI的防晒霜是含有抗氧化剂的有机广谱防晒霜。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.40
自引率
7.70%
发文量
85
审稿时长
6-12 weeks
期刊介绍: The journal is a forum for new information about the direct and distant effects of electromagnetic radiation (ultraviolet, visible and infrared) mediated through skin. The divisions of the editorial board reflect areas of specific interest: aging, carcinogenesis, immunology, instrumentation and optics, lasers, photodynamic therapy, photosensitivity, pigmentation and therapy. Photodermatology, Photoimmunology & Photomedicine includes original articles, reviews, communications and editorials. Original articles may include the investigation of experimental or pathological processes in humans or animals in vivo or the investigation of radiation effects in cells or tissues in vitro. Methodology need have no limitation; rather, it should be appropriate to the question addressed.
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