The effects of sport, setting, and demographics on sunscreen use and education in young athletes.

Participation in outdoor sports increases exposure to ultraviolet radiation, necessitating mitigation through sunscreen use. This prospective study examined the effects of sport, setting (practice vs. competition), gender, age and geographic location on sunscreen use and education among youth athletes in various sports. Six hundred and twelve athletes ≤18 years old completed an online survey on sunscreen education and use during competitions and practices. Regardless of sport, reported sunscreen use was higher during practices than competition ( p  < 0.0001). Sunscreen was used most by swimmers/divers (odds ratio: OR ≥ 1.9, p  < 0.001) and least by American football players (OR ≤ 0.57, p  ≤ 0.001). Coaches mentioned sunscreen use the most in track and field (OR 1.84, p  = 0.001) and the least in American football (OR 0.67, p  = 0.03). Athletes used sunscreen more if they were female (OR ≥ 1.9 1.38, p  ≤ 0.06) and younger (age OR ≤ 0.88, p  < 0.001). In conclusion, youth athletes differ in sunscreen use by sport and setting, highlighting the need for continued photoprotective education.