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many people believe that sunscreen isn’t required for those with darker skin tones because they cannot experience sun damage. however, that sentiment is simply not true. the worst kind of damage caused by the sun, skin cancer, is less common in people with darker skin, particularly people who are black, but when it occurs, the prognosis is often worse.
“people of colour, they tend to be diagnosed at later stages, and so their survival rates are significantly decreased compared to whites,” said krista rubin, melanoma nurse practitioner at mass general brigham, noting that on the opposite end, when found early, the success rates of curing or treating skin cancer are just as high across all racial ethnicities.
why sun protection is equally important for people with darker skin tones
human beings are exposed to the sun year-round, anytime they’re outside, even if it’s cloudy and even if it’s snowy.
“every day we go out, we run out to the mailbox, we go to our cars, we are getting exposure, and it’s chronic ultraviolet exposure,” said rubin. “that all adds up and causes damage to the dna, and if dna is damaged enough, it turns into abnormal cells, i.e. skin cancer.”
there are three types of uv rays: a, b, and c. uva rays “penetrate deeper into the skin” and are associated with long-term skin damage, such as signs of aging and wrinkles. uvb rays don’t penetrate as deeply into the skin and are associated with sunburn and other more serious damage.
just because a person has a darker skin tone doesn’t mean that they’re exempt from the exposure, and they can still get sunburns and skin cancer, even if it may present a little differently than how it does on people with lighter skin tones.
it all has to do with melanocytes, specialized skin cells that determine a person’s skin colour. people, regardless of race, have roughly the same number of melanocytes, but in those with darker skin, those cells are more active, producing more black or brown pigment.