2019年7月27日 星期六

Race/Related: Should Black People Wear Sunscreen?

The answer is complicated.
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Saturday, July 27, 2019

Hendrixx Love, 1, reacted as he got sprayed with sunscreen by his mother, Ashley Love, 23, at Coney Island Beach.

Hendrixx Love, 1, reacted as he got sprayed with sunscreen by his mother, Ashley Love, 23, at Coney Island Beach. Chang W. Lee for The New York Times

Kendra Pierre-Louis

Kendra Pierre-Louis

Little heralds the arrival of summer like the smell of open water, smokey grills and sunscreen.
Since the late 1970s, as medical researchers linked sun exposure to skin cancer, Americans have been told to dutifully slather, spray and rub on sunscreen as part of a broader package of sun protection. But does it make sense for me, a dark-skinned black woman, to wear it?
With record-breaking heat this summer, it's an especially relevant question, and you might even expect the answer to be "absolutely." It's more complicated than that.
The American Academy of Dermatology's official position on sunscreen, which is echoed by the Food and Drug Administration, is that everyone, regardless of skin tone, should wear it because, "anyone can get skin cancer, regardless of age, gender or race." But because people of color are often left out of clinical trials and treatments, there is very little research available about dark-skinned people and skin cancer, which raises questions about who is being considered when organizations make these public health recommendations.
Medicine, they say, is about balancing risks, and it turns out that the benefits and risks of wearing sunscreen when you have dark skin can be murky. Many experts believe that there is no clear link between sun exposure and skin cancer among people with dark skin, and there is also a growing body of research to suggest that using certain types of sunscreen may actually be harmful, no matter who uses it.
Now, let's get some — ahem — burning questions out of the way. Black people experience sunburn that can be painful and cause peeling. When their skin is exposed to too much sunlight, black people can suffer from hyperpigmentation and visible signs of aging, just like people with other skin types. And, of course, black skin comes in a variety of shades, some of which are more sensitive to the sun than others.
The way skin researchers often quantify different skin tones is by using a subjective measure called the Fitzpatrick scale, which breaks skin tones into six categories based on color and how easily it tans versus burns when exposed to sunlight. Under the Fitzpatrick scale, I, a person who has never had a painful sunburn in her life, rate a six. 
Continue reading this story here, and be sure to share your own story. Email us your thoughts on sunscreen and race at racerelated@nytimes.com.
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