Axelson Grace E, Constanza Jemima, Rezaee Ryan, Axelson Ava, Cenci Ally, Khan Ava, Weimann Rina, Ilyas Erum N
Department of Dermatology, Drexel University College of Medicine, 860 1St Avenue, Suite 8B, Philadelphia, PA, 19406, USA.
UVtec, King of Prussia, PA, USA.
Arch Dermatol Res. 2025 Jan 18;317(1):294. doi: 10.1007/s00403-024-03771-x.
UV-A exposure is a major risk factor for melanoma, nonmelanoma skin cancer, photoaging, and exacerbation of photodermatoses. Since people spend considerable time in cars daily, inadequate UV-A attenuation by car windows can significantly contribute to the onset or exacerbation of these skin diseases. Given recent market trends in the automobile industry and known impact of car windows on cumulative lifelong UV damage to the skin, there is a need to comparatively evaluate UV transmission across windows in electric vehicles (EV), hybrid vehicles (HV), and gas vehicles (GV) as well as variability based on year of manufacture and mileage to inform car manufacturers and consumers of the potential for UV exposure to the skin based on vehicle. To compare UV-A and UV-B transmission through EV, HV, and GV windows to evaluate differences in UV protection offered by various vehicle types. Comparative observational study that took place between June 10, 2024 and August 2, 2024. Outdoor setting with natural light exposure at car dealerships in Philadelphia, PA and New York, NY. 34 vehicles-15 gas vehicles (GV), 9 hybrid vehicles (HV), 10 electric vehicles (EV)-ranging from 2015 to 2025. Window status, with UV transmission measurements recorded with windows open and closed. UV-A and UV-B transmission through car windows was measured using UV transmission meters. The percent reduction in transmission was calculated. The front windshield and driver side window have statistically significant differences in UV-A attenuation across all vehicles with an average of 99.25% and 88.78% (p < 0.001), respectively. GV, HV, and EV all demonstrated significant differences in UV-A attenuation in most other vehicle windows compared to the front windshield. For GV, the front windshield, rear side windows (p = .176, p = .578) and back windshield (p = .457) blocked more UV-A than the front side windows. EV offered greater UV-A attenuation at the front and back windshield (p = .09) but not for any side windows, and HVs showed consistent differences in UV-A protection between the front windshield and all other windows. Domestic GV, trucks and luxury vehicles had no significant differences in UV-A attenuation across windows indicating reduced UV-A exposure for driver and passengers, whereas non-luxury vehicles had a notable difference in UV-A protection between the front windshield and all other windows. Regression analysis found mileage, not year of manufacture, to be a significant predictor of driver's side UV-A attenuation, with more UV-A attenuation as vehicle mileage increases. Most vehicles evaluated offer effective UV-A and UV-B protection from the front windshield but lack sufficient UV-A protection for drivers nor consistently to other passengers with notable exceptions seen with domestic GV, trucks, and luxury vehicles. Mileage and not year of manufacture also contributed to additional UV-A attenuation. This underscores the importance of patient education on this known source for cumulative lifetime UV exposure and need for continued sun safety measures even while driving given potential UV-A impact on the skin.
紫外线A(UV-A)照射是黑色素瘤、非黑色素瘤皮肤癌、光老化以及光皮肤病恶化的主要风险因素。由于人们每天在车内花费大量时间,车窗对UV-A的衰减不足会显著导致这些皮肤疾病的发生或恶化。鉴于汽车行业最近的市场趋势以及车窗对皮肤累积终身紫外线损伤的已知影响,有必要对电动汽车(EV)、混合动力汽车(HV)和汽油车(GV)的车窗紫外线透过率进行比较评估,并根据制造年份和里程数评估其变化,以便向汽车制造商和消费者告知基于车辆的皮肤紫外线暴露可能性。为了比较通过电动汽车、混合动力汽车和汽油车车窗的UV-A和UV-B透过率,以评估不同车型提供的紫外线防护差异。于2024年6月10日至2024年8月2日进行了比较观察研究。在宾夕法尼亚州费城和纽约州纽约市的汽车经销商处进行户外自然光照射的设置。34辆车——15辆汽油车(GV)、9辆混合动力汽车(HV)、10辆电动汽车(EV)——制造年份从2015年到2025年。记录车窗打开和关闭时的紫外线透过率测量值的车窗状态。使用紫外线透过率计测量通过车窗的UV-A和UV-B透过率。计算透过率的降低百分比。所有车辆的前挡风玻璃和驾驶员侧车窗在UV-A衰减方面存在统计学显著差异,平均分别为99.25%和88.78%(p < 0.001)。与前挡风玻璃相比,GV、HV和EV在大多数其他车窗的UV-A衰减方面也都表现出显著差异。对于GV,前挡风玻璃、后侧车窗(p = 0.176,p = 0.578)和后挡风玻璃(p = 0.457)比前侧车窗阻挡更多的UV-A。EV在前挡风玻璃和后挡风玻璃处提供了更大的UV-A衰减(p = 0.09),但在任何侧车窗处均未提供,并且HV在前挡风玻璃和所有其他车窗之间的UV-A防护方面表现出一致的差异。国产GV、卡车和豪华车在车窗之间的UV-A衰减方面没有显著差异,这表明驾驶员和乘客的UV-A暴露减少,而非豪华车在前挡风玻璃和所有其他车窗之间的UV-A防护方面存在显著差异。回归分析发现,里程数而非制造年份是驾驶员侧UV-A衰减的重要预测因素,随着车辆里程数增加,UV-A衰减更多。大多数评估车辆的前挡风玻璃能有效提供UV-A和UV-B防护,但缺乏对驾驶员以及对其他乘客一致的足够UV-A防护,国产GV、卡车和豪华车是明显例外。里程数而非制造年份也导致了额外的UV-A衰减。这凸显了对患者进行关于这种已知的累积终身紫外线暴露源的教育的重要性,以及即使在驾驶时鉴于UV-A对皮肤的潜在影响仍需持续采取防晒安全措施的必要性。