title: Sunscreen compliance with regional clinical practice guidelines and product labeling standards in New Zealand.
abstract: INTRODUCTION For general practitioners, practice nurses and community pharmacists in New Zealand, a core duty is to educate patients about sun protection. We aimed to evaluate compliance of locally available sunscreens with regional clinical practice guidelines and sunscreen labelling standards, to assist clinicians in advising consumers on sunscreen selection. METHODS We audited all sunscreens available at two Auckland stores for three New Zealand sunscreen retailers. We then assessed compliance with accepted regional clinical practice guidelines for sun protection from the New Zealand Guidelines Group. We further assessed compliance with regional Australia/New Zealand consumer standards for sunscreen labelling. RESULTS All sunscreens satisfied clinical guidelines for broad-spectrum protection, and 99% of sunscreens met or exceeded clinical guidelines for minimal Sun Protection Factor. Compliance with regional standardized labelling guidelines is voluntary in New Zealand and 27% of audited sunscreens were not fully compliant with SPF labelling standards. DISCUSSION Sunscreens were generally compliant with clinical guidelines for minimal sun protection. However there was substantial noncompliance with regional recommendations for standardized sunscreen labelling. Primary health care clinicians should be aware that this labelling noncompliance may mislead patients into thinking some sunscreens offer more sun protection than they do. Mandatory compliance with the latest regional labelling standards would simplify sunscreen selection by New Zealand consumers. KEYWORDS Sunscreen; Sun Protection Factor; SPF; Skin Neoplasms; Melanoma; Skin Cancer Prevention.
authors.affiliation: Auckland Regional Plastic, Reconstructive & Hand Surgery Unit, Auckland, New Zealand.
authors.forename: Matthias E
authors.initials: ME
authors.lastname: Sporer
authors.affiliation: School of Biological Sciences, University of Auckland, Auckland, New Zealand.
authors.forename: Joanna E
authors.initials: JE
authors.lastname: Mathy
authors.affiliation: Auckland Regional Plastic, Reconstructive & Hand Surgery Unit, Auckland, New Zealand.
authors.forename: John
authors.initials: J
authors.lastname: Kenealy
authors.affiliation: Auckland Regional Plastic, Reconstructive & Hand Surgery Unit, Auckland, New Zealand and University of Auckland School of Medicine, Auckland, New Zealand. Email: Jon.Mathy@ Middlemore.co.nz.
authors.forename: Jon A
authors.initials: JA
authors.lastname: Mathy
mesh_terms: D001315:Australia; D058006:General Practice / Q000592:standards; D017408:Guidelines as Topic; D006801:Humans; D008545:Melanoma / Q000517:prevention & control; D009520:New Zealand; D011356:Product Labeling / Q000592:standards*; D012878:Skin Neoplasms / Q000517:prevention & control; D059405:Sun Protection Factor / Q000592:standards; D013473:Sunscreening Agents / Q000592:standards*
chemical_list: D013473:Sunscreening Agents