Photoprotection in Skin of Color: A Scoping Review of Barriers, Behaviors, and Pediatric Considerations.

Abstract

Individuals with skin of color (SOC) can sunburn and develop skin cancer, often presenting at advanced stages with higher morbidity and melanoma-related mortality. However, patient education on photoprotection for SOC populations remains limited. This scoping review investigated the benefits of photoprotection and the factors influencing sun protective behaviors in SOC populations. EMBASE, MEDLINE, and PubMed were searched from January 1st, 2018 to December 31st, 2022, using the overarching terms of "SOC," "skin cancer," and "photoprotection." Original, English-language studies were included, while non-human and incomplete studies were excluded. The review found that while photoprotection benefits SOC populations, individuals within these groups exhibit lower knowledge of and participation in sun-protective behaviors. This gap is influenced by a complex interplay of factors, including cultural values, family dynamics, gender, education, and societal norms surrounding beauty. Misconceptions about innate sun protection contribute to this gap. To address this, culturally relevant education, community engagement, healthcare integration, and increased representation of SOC in dermatological research are essential to improving sun-safe habits in these communities.