Skin cancer and photoprotection in people of color: A review and recommendations for physicians and the public

Oma Agbai, Kesha Buster, Miguel Sanchez, Claudia Hernandez, Roopal V. Kundu, Melvin Chiu, Wendy E. Roberts, Zoe D. Draelos, Reva Bhushan, Susan C. Taylor, Henry W. Lim

Research output: Contribution to journalReview article

106 Scopus citations

Abstract

Skin cancer is less prevalent in people of color than in the white population. However, when skin cancer occurs in non-whites, it often presents at a more advanced stage, and thus the prognosis is worse compared with white patients. The increased morbidity and mortality associated with skin cancer in patients of color compared with white patients may be because of the lack of awareness, diagnoses at a more advanced stage, and socioeconomic factors such as access to care barriers. Physician promotion of skin cancer prevention strategies for all patients, regardless of ethnic background and socioeconomic status, can lead to timely diagnosis and treatment. Public education campaigns should be expanded to target communities of color to promote self-skin examination and stress importance of photoprotection, avoidance of tanning bed use, and early skin cancer detection and treatment. These measures should result in reduction or earlier detection of cutaneous malignancies in all communities. Furthermore, promotion of photoprotection practices may reduce other adverse effects of ultraviolet exposure including photoaging and ultraviolet-related disorders of pigmentation.

Original languageEnglish (US)
Pages (from-to)748-762
Number of pages15
JournalJournal of the American Academy of Dermatology
Volume70
Issue number4
DOIs
StatePublished - 2014
Externally publishedYes

Keywords

  • basal cell carcinoma
  • Bowen disease
  • dermatofibrosarcoma protuberans
  • dyspigmentation
  • melanoma
  • Merkel cell carcinoma
  • mycosis fungoides
  • people of color
  • photoprotection
  • radiation
  • skin cancer
  • skin of color
  • squamous cell carcinoma
  • sun protection
  • sunscreen
  • ultraviolet

ASJC Scopus subject areas

  • Dermatology

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  • Cite this

    Agbai, O., Buster, K., Sanchez, M., Hernandez, C., Kundu, R. V., Chiu, M., Roberts, W. E., Draelos, Z. D., Bhushan, R., Taylor, S. C., & Lim, H. W. (2014). Skin cancer and photoprotection in people of color: A review and recommendations for physicians and the public. Journal of the American Academy of Dermatology, 70(4), 748-762. https://doi.org/10.1016/j.jaad.2013.11.038