Allyson Spence-Shishido, M.D., is a board-certified pediatric dermatologist and secretary-treasurer of the Hawaii Dermatological Society.
The death rate from melanoma for Native Hawaiians and Pacific Islanders is twice the statewide average.
As we enjoy our summer, we鈥檙e all eager to spend more time outdoors, enjoying the sunshine, the ocean, and our beautiful islands. While many of us love being outside, it鈥檚 important to remember that excessive sun exposure can lead to skin damage and increase our risk of skin cancer.
In fact, Hawaii is when it comes to UV-induced melanoma. And it鈥檚 important to remember that sun damage is cumulative in nature, which means that sunburns in childhood and adolescence can catch up with you later in life.
Skin cancer is the most common cancer in the U.S., with Americans being diagnosed by age 70. Hawaii has the UV index in the nation, making it vital that we practice sun safety all year long.
As dermatologists who manage sun-related skin conditions, we want to share four essential facts about skin health and sun safety:
Skin cancer affects people of all skin tones, gender and age: It鈥檚 important to remember that melanoma can affect individuals of all skin tones. Darker-skinned individuals, including Native Hawaiians and Pacific Islanders, are not exempt from skin cancer.
In fact, according to data from the Department of Health, the death rate from melanoma for Native Hawaiians and Pacific Islanders . This may be due to late detection, as many people wrongly assume that those with darker skin tones don鈥檛 need to worry about skin cancer.
Additionally, the melanoma death rate for men in Hawaii is even more concerning 鈥 the death rate of women. This is why it’s crucial to be vigilant about sun protection and skin examinations, regardless of your skin tone, gender or age.
Preventative measures may reduce the risk of skin cancer : Men and women should take proactive steps to protect their skin from the sun’s harmful UV rays. Seek shade, wear wide-brimmed hats, wear sunglasses, and use a broad-spectrum sunscreen with at least 30 SPF on exposed skin whenever you鈥檙e outside. Apply one ounce of sunscreen and reapply every two hours, especially after swimming or sweating.
Choose the right sunscreen for you: Sunscreens tend to fall under one of two consumer categories: . The term 鈥渞eef-safe鈥 sunscreen has been recently popularized, but it鈥檚 important to note that there鈥檚 no regulatory definition for what constitutes 鈥渞eef-safe鈥 sunscreen.
Some people use mineral sunscreens when in the ocean because they tend to stick better when swimming, and use chemical sunscreens in everyday situations because they feel lighter on the skin. What鈥檚 important is that you find a sunscreen that feels right for you and make it a part of your daily routine.
Early detection is crucial: When detected early, melanoma has a . We recommend performing monthly self-skin examinations, paying attention to in size, color, or texture of moles, or any lesions that appear.
Keep in mind that skin cancer can occur on any part of your body, including your scalp, ears, and even your feet. Take photos to track changes and share them with your healthcare provider if needed.
Here in Hawaii, we have a fond relationship with the sun, but that doesn’t mean we should take its threatening potential for granted. Be proactive about your skin health by practicing sun safety, conducting regular self-examinations, and scheduling annual check-ups with a physician.
Together, let’s prioritize our skin health and ensure a sun-safe, happy, and healthy Hawaii
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Thank you for this. Sunscreen is an important tool in protecting us against the harmful effects of overexposure to UV rays from the sun, and there can be a lot of confusing misinformation. Australia also had a "slip-slop-slap" campaign to suggest other sun protective measures: slip on a rashguard, slop on sunscreen, and slap on a sun hat. Clothing and staying in the shade also go a long way in helping protect skin from the sun.
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