五分之一的美国人在一生中会患上皮肤癌。虽然使用防晒霜有助于预防皮肤癌，但全国范围内的经常使用率仍然很低。为了评估和更好地了解医疗保健消费者对防晒产品的偏好以及基于社会经济因素、种族和民族的感知产品的可及性和可用性。这项定量调查研究于 2023 年 3 月至 6 月进行。参与者是从纽约州布法罗地区的两所大学家庭医学临床中心招募的，一所位于低社会经济社区，一所位于中上社会经济社区。符合资格的参与者年龄为 18 岁或以上，英语流利，并且是纽约州布法罗地区的居民。调查和同意书通过书面口头邀请分发，邀请所有符合资格标准的诊所患者参与。参与者被要求自我报告他们的种族/族裔群体以及其他人口统计信息，包括年龄、性别认同、家庭收入和家庭规模。通过多项选择和是/否问题的组合获得有关阳光照射行为和负担能力/获取的信息。总共招募了 405 名参与者。排除 235 份不完整的答复后，有 170 份调查可用于分析。无。我们的研究目的是揭示医疗保健消费者的偏好以及基于社会经济因素、种族和族裔的获取障碍。使用包含 25 个问题的匿名调查，405来自代表低收入和中高收入社区的两个大学家庭医学临床中心的参与者参加了这项调查。 170 名参与者完成了调查问题并被纳入分析。其中，61.8% 为女性，37.6% 为男性，0.6% 为其他。 51.2%的参与者认为自己属于低收入，38.2%属于中等收入，10.6%属于高收入。调查结果揭示了不同人口群体在防晒霜使用和负担能力认知方面的差异。与西班牙裔相比，白人的防晒霜使用率更高（85 名白人，7 名西班牙裔；p = 0.0073），优先考虑 SPF（95 名白人，10 名西班牙裔；p = 0.0178），并且更有可能认为防晒霜买不起（6 名白人， 4 西班牙裔；p = 0.0269)。 Fitzpatrick 皮肤类型的分析表明，防晒霜使用量存在差异，I-III 型皮肤使用的防晒霜多于 IV-VI 型皮肤类型（70 种 I-III 型，51 种 IV-VI 型；p = 0.0173）；此外，I-III 型个体更有可能将成本作为购买防晒霜的障碍（40 名 I-III 型，65 名 IV-VI 型；p<0.0001）。此外，低收入人群更有可能认为防晒霜买不起（12 名低收入人群、1 名中收入人群）

One in five Americans will develop skin cancer during their lifetime. While use of sunscreen can help prevent the development cutaneous cancer, regular use remains low nationwide.To assess and better understand health care consumer preferences for sun protection products and perceived product accessibility and availability based on socioeconomic factors, race, and ethnicity.This quantitative survey study was conducted March through June of 2023.Participants were recruited from two university family medicine clinical sites in the Buffalo, New York area, one located in a low and one located in a middle-to-upper socioeconomic neighborhood.Eligible participants were 18 years or older, fluent in English, and residents of the Buffalo, New York area. Surveys and consent forms were distributed by scripted verbal invitation, inviting all clinic patients who met eligibility criteria to participate. Participants were asked to self-report their racial/ethnic group as well as other demographic information including age, gender identification, household income, and household size. Information regarding sun exposure behaviors, and affordability/access was obtained using a combination of multiple choice and yes/no questions. A total of 405 participants were recruited. After excluding 235 incomplete responses, 170 surveys were available for analysis.None.Our study aim was to expose health care consumer preferences as well as barriers to access based on socioeconomic factors, race, and ethnicity.Using a 25-question anonymous survey, 405 participants from two university family medicine clinical sites representing low- and middle-to-high-income neighborhoods, participated in the survey. 170 participants completed the survey questions and were included for analysis. Of those, 61.8% identified as female, 37.6% as male, and 0.6% as other. 51.2% of participants identified as lower income, 38.2% as middle-income, and 10.6% as upper income. The results of the survey revealed disparities in sunscreen use and affordability perceptions across demographic groups. Compared with Hispanics, Caucasians exhibited higher rates of sunscreen use (85 Caucasians, 7 Hispanics; p = 0.0073), prioritized SPF (95 Caucasians, 10 Hispanics; p = 0.0178), and were more likely to perceive sunscreen as unaffordable (6 Caucasians, 4 Hispanics; p = 0.0269). Analysis by Fitzpatrick Skin Type demonstrated differences in sunscreen utilization, with Types I-III using more compared to Types IV-VI (70 Types I-III, 51 Types IV-VI; p = 0.0173); additionally, Type I-III individuals were significantly more likely to cite cost as barrier to sunscreen purchase (40 Type I-III, 65 Types IV-VI; p < 0.0001). Moreover, lower-income individuals were significantly more likely to perceive sunscreen as unaffordable (12 lower-income, 1 middle & upper income; p = 0.0025) and cited cost as a barrier to purchase (46 lower-income, 59 middle & upper income; p = 0.0146) compared to middle-to-upper income counterparts. Though statistical significance was not established, respondents from middle & upper income groups reported higher sunscreen usage rates compared with their lower-income peers.These findings highlight the importance of socioeconomic factors and ethnicity on accessibility to sunscreen and the impact of disparities in utilization among different ethnic and socioeconomic groups.© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.