Fitzmaurice William, Howard Jade, King Aliyah, Firek Alexandra, Deligonul Fatma Zeynep, Silverberg Nanette B
SUNY Upstate Medical University, Syracuse, New York.
Emory University School of Medicine, Atlanta, Georgia.
Int J Womens Dermatol. 2025 Mar 10;11(1):e199. doi: 10.1097/JW9.0000000000000199. eCollection 2025 Mar.
Early childhood sun exposure contributes to lifetime risk of skin cancer. Many individuals from diverse ethnic backgrounds believe their skin tone confers immunity to sun damage; however, evidence of negative outcomes exists. Best practice in photoprotection for children of color is unclear.
We sought to address the risks, benefits, and needs for sun protection and education in children of color.
An English-language systematic literature review was conducted. Inclusion criteria were data on children of color and content relevant to photodamage and photoprotection.
Photoprotection is needed for children of all skin tones with photosensitivity. Individuals with darker skin tones have more innate photoprotection compared with lighter skin tone individuals, but both have incomplete photoprotection. Risk of nevus formation, skin cancer, and dyspigmentation are universal with varying degrees. Hispanic and Black communities are less likely to practice sun protection. Studies demonstrate need for early, culturally appropriate education about sun exposure in all communities.
Studies reviewed were of varied design and populations.
This review determined that photoprotection has benefits for all patients, and the benefits of photoprotection should be taught early to children, caregivers, and parents of all skin tones using culturally appropriate approaches.
儿童时期早期暴露于阳光下会增加患皮肤癌的终生风险。许多不同种族背景的人认为他们的肤色能使他们免受阳光伤害；然而，存在负面结果的证据。针对有色人种儿童的最佳光保护做法尚不清楚。
我们试图探讨有色人种儿童防晒的风险、益处以及防晒教育的需求。
进行了一项英文系统文献综述。纳入标准是关于有色人种儿童的数据以及与光损伤和光保护相关的内容。
所有具有光敏感性的肤色儿童都需要进行光保护。与肤色较浅的个体相比，肤色较深的个体具有更多的先天光保护能力，但两者的光保护都不完整。痣形成、皮肤癌和色素沉着异常的风险在不同程度上普遍存在。西班牙裔和黑人社区进行防晒的可能性较小。研究表明，所有社区都需要针对阳光暴露进行早期的、适合文化背景的教育。
所审查的研究设计和人群各不相同。
本综述确定光保护对所有患者都有益处，应采用适合文化背景的方法，尽早向所有肤色儿童、护理人员和家长传授光保护的益处。
