Abstract：
BACKGROUND: To understand the prevalence and types of publications addressing darker skin types within the existing evidence base for sunscreen use. Evidence Review: PubMed was searched from 1988, the time point at which the first skin of color (SOC) article was identified, through December 2022 using PubMed\'s Medical Subject Headings terms and keyword searches in title and abstract, with and without terms for SOC and ethnicity. Identified articles were reviewed for relevance, de-duplicated, and categorized; results are summarized.
RESULTS: Of the 5927 articles on sunscreen overall, only 314 (5.3%) articles addressed SOC, with the majority published since 2007 and representing only 4% to 7% of total publications annually except in 2022 when the proportion of SOC articles was 23.5%. Of the articles on SOC, many reported sunscreen knowledge and patient behaviors (29%), but very few reported clinical trials (5%). The 3 conditions most often discussed were melasma, post-inflammatory hyperpigmentation, and dyschromia. South Asian ethnicities (India, Pakistan, Bangladesh) had the highest representation within the literature, followed by Hispanics.
CONCLUSIONS: Although it was assumed there would be fewer papers discussing the use of sunscreen in darker skin types, the scale of the disparity revealed by this study is stark. The increase in a number of articles in 2022 suggests an increasing focus on SOC, but further discussion of the issues presented here will help the SOC community address gaps in the evidence base and better inform discussions on sunscreen and photoprotection between clinicians and patients.J Drugs Dermatol. 2024;23(7):575-577. doi:10.36849/JDD.8250.
RESULTS: Of the 5927 articles on sunscreen overall, only 314 (5.3%) articles addressed SOC, with the majority published since 2007 and representing only 4% to 7% of total publications annually except in 2022 when the proportion of SOC articles was 23.5%. Of the articles on SOC, many reported sunscreen knowledge and patient behaviors (29%), but very few reported clinical trials (5%). The 3 conditions most often discussed were melasma, post-inflammatory hyperpigmentation, and dyschromia. South Asian ethnicities (India, Pakistan, Bangladesh) had the highest representation within the literature, followed by Hispanics.
CONCLUSIONS: Although it was assumed there would be fewer papers discussing the use of sunscreen in darker skin types, the scale of the disparity revealed by this study is stark. The increase in a number of articles in 2022 suggests an increasing focus on SOC, but further discussion of the issues presented here will help the SOC community address gaps in the evidence base and better inform discussions on sunscreen and photoprotection between clinicians and patients.J Drugs Dermatol. 2024;23(7):575-577. doi:10.36849/JDD.8250.
摘要：
背景：在现有的防晒霜使用证据基础中，了解针对深色皮肤类型的出版物的普遍性和类型。证据审查:从1988年开始搜索PubMed,即识别第一篇肤色(SOC)文章的时间点,到2022年12月，在标题和摘要中使用PubMed的医学主题词和关键字搜索，有和没有SOC和种族的术语。已识别的文章进行了相关性审查，去重复，并进行分类；结果进行了总结。
结果：在5927篇关于防晒霜的文章中，只有314篇(5.3%)文章涉及SOC，大多数自2007年以来发表，每年仅占总出版物的4％至7％，但2022年SOC文章的比例为23.5％。在关于SOC的文章中，许多人报告了防晒知识和患者行为(29%)，但很少报道临床试验(5%)。最常讨论的3个条件是黄褐斑，炎症后色素沉着过度,和色素异常.南亚民族(印度，巴基斯坦,孟加拉国）在文学中的代表性最高，其次是西班牙裔。
结论：尽管人们认为讨论在深色皮肤中使用防晒霜的论文较少，这项研究揭示的差距是明显的。2022年多篇文章的增加表明人们越来越关注SOC，但进一步讨论此处提出的问题将有助于SOC社区解决证据基础上的差距,并更好地为临床医生和患者之间关于防晒和光防护的讨论提供信息.J药物Dermatol.2024；23（7）：575–577。doi:10.36849/JDD.8250。
结果：在5927篇关于防晒霜的文章中，只有314篇(5.3%)文章涉及SOC，大多数自2007年以来发表，每年仅占总出版物的4％至7％，但2022年SOC文章的比例为23.5％。在关于SOC的文章中，许多人报告了防晒知识和患者行为(29%)，但很少报道临床试验(5%)。最常讨论的3个条件是黄褐斑，炎症后色素沉着过度,和色素异常.南亚民族(印度，巴基斯坦,孟加拉国）在文学中的代表性最高，其次是西班牙裔。
结论：尽管人们认为讨论在深色皮肤中使用防晒霜的论文较少，这项研究揭示的差距是明显的。2022年多篇文章的增加表明人们越来越关注SOC，但进一步讨论此处提出的问题将有助于SOC社区解决证据基础上的差距,并更好地为临床医生和患者之间关于防晒和光防护的讨论提供信息.J药物Dermatol.2024；23（7）：575–577。doi:10.36849/JDD.8250。
