Evidence map›Paper›PMID 32142856›Full record

ArticlePreventive medicine2020

Incidence and public health burden of sunburn among beachgoers in the United States.

Stephanie DeFlorio-Barker, Dawn Holman, Robert Landolfi, Benjamin F Arnold, John M Colford, Stephen B Weisberg, Kenneth C Schiff, Elizabeth A Sams, Timothy J Wade

Open access · greenAbstract read
In one paragraph

Article in Preventive medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.9field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. A review of ultraviolet filters and their impact on aquatic environments.Photochemical & photobiological sciences : Official journal of the European Photochemistry Association and the European Society for Photobiology · 2025
    Review
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Stephanie DeFlorio-BarkerCenter for Public Health and Environmental Assessment, Office of Research and Development, U.S. Environmental Protection Agency, 109 T.W. Alexander Drive M/D B243-01, Research Triangle Park, NC 27709, USA. Electronic address: Deflorio-Barker.Stephanie@epa.gov.
Dawn HolmanDivision of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, USA. Electronic address: isc6@cdc.gov.
Robert LandolfiOffice of Atmospheric Programs, Office of Air and Radiation, U.S. Environmental Protection Agency, Washington, DC, USA. Electronic address: Landolfi.Robert@epa.gov.
Benjamin F ArnoldDivision of Epidemiology & Biostatistics, School of Public Health, University of California, Berkeley, Berkeley, CA, USA. Electronic address: benarnold@berkeley.edu.
John M ColfordDivision of Epidemiology & Biostatistics, School of Public Health, University of California, Berkeley, Berkeley, CA, USA. Electronic address: jcolford@berkeley.edu.
Stephen B WeisbergSouthern California Coastal Water Research Project Authority, Costa Mesa, CA, USA. Electronic address: stevew@sccwrp.org.
Kenneth C SchiffSouthern California Coastal Water Research Project Authority, Costa Mesa, CA, USA. Electronic address: kens@sccwrp.org.
Elizabeth A SamsCenter for Public Health and Environmental Assessment, Office of Research and Development, U.S. Environmental Protection Agency, 109 T.W. Alexander Drive M/D B243-01, Research Triangle Park, NC 27709, USA. Electronic address: Sams.elizabeth@epa.gov.
Timothy J WadeCenter for Public Health and Environmental Assessment, Office of Research and Development, U.S. Environmental Protection Agency, 109 T.W. Alexander Drive M/D B243-01, Research Triangle Park, NC 27709, USA. Electronic address: Wade.Tim@epa.gov.
Environmental Protection Agency · USSouthern California Coastal Water Research Project · USUniversity of California, Berkeley · USCenters for Disease Control and Prevention · US

Funding

Child health risks attributable to swimming in contaminated water at beaches in tR03HD076066 · NICHD · UNIVERSITY OF CALIFORNIA BERKELEY · PI COLFORD, JOHN M · 2013 to 2014
$154k
Intramural EPA EPA999999NICHD NIH HHS R03 HD076066
6 · The paper itself

Abstract

The beach environment creates many barriers to effective sun protection, putting beachgoers at risk for sunburn, a well-established risk factor for skin cancer. Our objective was to estimate incidence of sunburn among beachgoers and evaluate the relationship between sunburn incidence and sun-protective behaviors. A secondary analysis, of prospective cohorts at 12 locations within the U.S. from 2003 to 2009 (n = 75,614), were pooled to evaluate sunburn incidence 10-12 days after the beach visit. Behavioral and environmental conditions were cross-tabulated with sunburn incidence. Multivariable logistic regression was used to estimate the association between new sunburn and sun-protective behaviors. Overall, 13.1% of beachgoers reported sunburn. Those aged 13-18 years (16.5%), whites (16.0%), and those at beach locations along the Eastern Seaboard (16.1%), had the highest incidence of sunburn. For those spending ≥5 h in the sun, the use of multiple types of sun protection reduced odds of sunburn by 55% relative to those who used no sun protection (Odds Ratio = 0.45 (95% Confidence Interval:0.27-0.77)) after adjusting for skin type, age, and race. Acute health effects of sunburn tend to be mild and self-limiting, but potential long-term health consequences are more serious and costly. Efforts to encourage and support proper sun-protective behaviors, and increase access to shade, protective clothing, and sunscreen, can help prevent sunburn and reduce skin cancer risk among beachgoers.

Indexed as

Health BehaviorProtective ClothingPublic HealthAdolescentAdultFemaleHumansIncidenceMaleMiddle AgedProspective StudiesSkin NeoplasmsSunburnSunlightSunscreening AgentsUnited StatesSunscreening AgentsBeachSunburnSun-protective behaviors

Identifiers

PMID32142856
PMCPMC7271251
OpenAlexW3009454802

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.