Attitudes and behaviors regarding sun exposure in Japan compared to Europe and North America

Author:

Morita A.1ORCID,Lim H. W.2,Passeron T.34,Goh C. L.5,Kang H. Y.6,Ly F.7,Ocampo‐Candiani J.8,Puig S.9,Schalka S.10,Wei L.11,Demessant A. L.12ORCID,Le Floc’h C.12,Kerob D.12,Dreno B.13,Krutmann J.1415

Affiliation:

1. Department of Geriatric and Environmental Dermatology Nagoya City University Graduate School of Medical Sciences Nagoya Japan

2. Department of Dermatology Henry Ford Health Detroit Michigan USA

3. Department of Dermatology Côte d'Azur University, Nice University Hospital Center Nice France

4. INSERM U1065, C3M Côte d'Azur University Nice France

5. National Skin Centre Singapore Singapore

6. Department of Dermatology University School of Medicine Suwon South Korea

7. Department of Dermatology Cheikh Anta Diop Dakar University, EPS Institute of Social Hygiene Dakar Senegal

8. Universidad Autonoma de Nuevo León, Facultad de Medicina University Hospital "Dr. Jose E. González" Monterrey Mexico

9. Dermatology Department Hospital Clinic de Barcelona, Barcelona University Barcelona Spain

10. Medecin Skin Research Center and Biochemistry Department Chemistry Institute of Sao Paulo University Sao Paulo Brazil

11. Department of Dermatology The General Hospital of air Force PLA Beijing China

12. La Roche‐Posay International Levallois‐Perret France

13. Univ Angers, INSERM, Immunology and New Concepts in ImmunoTherapy, INCIT, UMR 1302 Nantes University Nantes France

14. IUF Leibniz Research Institute for Environmental Medicine Duesseldorf Germany

15. Medical Faculty Heinrich‐Heine‐University Duesseldorf Germany

Abstract

AbstractThe objective of our study was to assess the attitudes and behaviors in Japan regarding sun exposure and compare them to those in Europe and North America. The study population was a representative sample of individuals aged >18 years from Ipsos panels in Japan (N = 1000), North America (N = 1000), and Europe (N = 6000) using the quota method. Questionnaires covered habits, practices, and perceptions regarding sun exposure. Results revealed that the majority of people (80.1%) believed that the sun gives them energy, and 61.1% considered that being tanned made them look healthier. However, there was a significant difference between men and women regarding the appeal of tanned skin, with 54.95% of men versus 34.67% (p < 0.001) of women seeing a tan as an aesthetic asset. People aged <40 years were less likely to find a tan attractive (30.3%) compared to those aged ≥40 years (48.9%) (p < 0.001). Of those questioned, 45.70% of used sunscreen with a much higher use among women (70.10%) than men (18.74%) (p < 0.001). Almost 54% of people said they stayed in the shade to protect themselves from the sun with this behavior being more prevalent among women (67.05%) and fair‐skinned individuals (56.13%). Fear of the risks of sun exposure was more common among women, with 84.8% fearing premature skin aging, compared to 71.8% of men (p < 0.001). In Japan, 44.30% of those questioned said tanned skin was attractive (p < 0.001); for Europeans and North Americans the proportions were 81.1% and 77.6%, respectively. Only a quarter (25.80%) thought it essential to return from vacation with a tan. On the other hand, Europeans showed a strong recognition of the energy the sun brings (83.18%), and widely believed that tanned skin is attractive (82.32%) and healthy (73.15%). In North America, attitudes were similar to those in Europe regarding the attractiveness of tanned skin (77.65%) and the importance of returning tanned from vacation (48.15%). Compared to Europeans and North Americans, the Japanese seemed to be more cautious about sun‐induced hazards and considered lighter skin to be more attractive.

Publisher

Wiley

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