A cross-sectional survey study conducted in Manhattan, New York, and Athens, Ohio, has identified significant differences in the factors influencing sunscreen selection between urban and rural patients in the United States. While the Sun Protection Factor (SPF) is universally the most critical factor, other preferences may vary markedly between the two regions.
In the study, published in Journal of Drugs in Dermatology, researchers assessed the differences in factors influencing patient selection of sunscreen between urban and rural regions in the United States. A voluntary survey was administered to patients aged 18 years and older in two dermatology offices: one in Manhattan, New York and the second in Athens, Ohio. The survey was completed by 497 patients, with 242 from Manhattan and 255 from Athens. Among the patients, there were 203 males and 294 females. The average age of the patients was comparable between the two locations, with those in Manhattan averaging 53.6 years and those in Athens averaging 52.2 years. The patients were asked to select the top three characteristics influencing their sunscreen choices from a list of 13 options. Data analysis was performed using SPSS v29.0.1.0.
The results showed that SPF was the most important characteristic for both urban and rural patients (Manhattan: 75.2%, Athens: 73.7%). This preference aligned with dermatologist recommendations emphasizing subscreen with a higher SPF, broad-spectrum protection, and cosmetic feel. Patients in Manhattan prioritized dermatologist recommendations (29.8%), texture (24.4%), and ingredients (22.7%) more than those in Athens. Conversely, patients in Athens placed higher importance on cost (34.9%), broad-spectrum protection (29.0%), and brand (16.1%).
The researchers suggested a potential gap in sunscreen education. While SPF is widely recognized, other important characteristics such as broad-spectrum protection and water resistance are less emphasized, particularly in urban areas.
The authors reported no conflict of interest.