Abstract
Low sunscreen use in patients of color (POC) is multifactorial and could be partially attributable to lack of access or the lack of knowledge about its use beyond skin cancer prevention. Dyschromia is among the top diagnoses for POC and sunscreen is first-line management. POC and lower socioeconomic status often face health disparities and are susceptible to having difficulty accessing food, health care, and medication. We look to see if they extend to sunscreen access by evaluating physical retailers. This study investigated sunscreen access by identifying potential sunscreen deserts and characterizing sunscreen availability and affordability in Cuyahoga County, Ohio. Sunscreen deserts were defined as census tracts that were both low-income and low-access, adapted from the definition of food deserts. Google Maps search of “sunscreen” and “sunscreen store” in Cuyahoga County identified sunscreen retailers to geocode addresses. Total number and average cost of sunscreens were collected for each retailer and compared by community type. Fisher exact test, analysis of variance, and logistic regression were used for analysis. One hundred forty-six retailers were included in analysis of four hundred twenty-one census tracts in the county. Sixty-seven tracts met the definition of sunscreen desert. Majority White tracts were less likely to be deserts and had more sunscreen formulations, than Majority Black tracts (p < 0.001). The majority of sunscreen deserts were in predominantly black communities, which had fewer stores and sunscreen formulations available. These findings indicate a lack of sunscreen available to a demographic of patients that could benefit from increased access, as it would help manage hyperpigmentation.
Data availability
The data that support the findings of this study are available from the corresponding author upon reasonable request.
References
Goodridge D, Hawranik P, Duncan V, Turner H (2012) Socioeconomic disparities in home health care service access and utilization: a scoping review. Int J Nurs Stud 49(10):1310–1319. https://doi.org/10.1016/j.ijnurstu.2012.01.002
Davis SA, Narahari S, Feldman SR, Huang W, Pichardo-Geisinger RO, McMichael AJ (2012) Top dermatologic conditions in patients of color: an analysis of nationally representative data. J Drugs Dermatol 11(4):466–473
Sprague J, Obioha J, Chiu MW (2013) Availability of sunscreen in predominantly Hispanic neighborhoods vs adjacent predominantly non-Hispanic neighborhoods in Los Angeles. Photodermatol Photoimmunol Photomed 29(5):279–282. https://doi.org/10.1111/phpp.12062
Hernandez C, Calero D, Robinson G, Mermelstein R, Robinson JK (2012) Comparison of sunscreen availability in Chicago Hispanic and non-Hispanic neighborhoods. Photodermatol Photoimmunol Photomed 28(5):244–249. https://doi.org/10.1111/j.1600-0781.2012.00688.x
Swenson, Kendall, and Robin Ghertner. “People in Low-Income Households Have Less Access to Internet-Aspe.” Department of Health & Human Services, May 2020, aspe.hhs.gov/sites/default/files/private/pdf/263601/Internet_Access_Among_Low_Income.pdf.
Department of Agriculture, Economic Research Service. Food access research atlas: overview [Internet]. Washington (DC): USDA; [last updated 2022 Oct 20; cited 2022 Nov 21]. Available from: https://www.ers.usda.gov/data-products/food-access-research-atlas/documentation/
Funding
This study was funded by the Pfizer Dermatology Research Fellowship in Skin of Color Grant.
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Conceptualization: TO, TS, BC. Methodology: TO, TS, BC. Formal analysis and investigation: TO, CW, KK, YK, TS, BC. Writing—original draft preparation: TO, CW, KK Writing—review and editing: TO, TS, BC. Funding acquisition: TS, BC. Supervision: TS, BC.
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Informed consent was obtained from all individual participants included in the study.
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Onamusi, T.A., Wilkowski, C.M., Curtis, K.K. et al. Identifying sunscreen deserts in Cuyahoga County. Arch Dermatol Res 316, 32 (2024). https://doi.org/10.1007/s00403-023-02778-0
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DOI: https://doi.org/10.1007/s00403-023-02778-0