A Gap in Knowledge: Patient Perspectives and Barriers to Sunscreen Use after Burn Injury

Burned skin remains highly sensitive to ultraviolet (UV) radiation for years after injury, increasing the risk of damage, pigmentary changes, and carcinogenesis. Although sun protection is crucial, many burn survivors are unsure of necessary measures or how to incorporate them into daily life. This study evaluated survivors' knowledge and use of sun protection to inform future educational efforts. A cross-sectional survey was conducted at a Level 1 ABA-verified burn center from June-September 2025. Adult burn patients attending outpatient clinic visits completed a seven-item survey assessing sunscreen use on burn scars, type of sunscreen used, and barriers to adherence. A total of 50 patients were surveyed. The majority of patients were English-speaking (n = 35, 70%). On a scale of 0-10, with 10 being the most important, 68% (n = 34) of patients rated their perceived importance of sunscreen use on burn scars between 7 and 10, but only 28% (n = 14) applied it to healed burn wounds. Sunscreen use on scars was significantly lower among Spanish-speaking patients (6.7%) compared to English-speaking patients (37.1%) (p = .04). The most common reasons for not applying sunscreen were a lack of awareness (n = 13, 36%) and the belief that it was not necessary (n = 9, 25%). Over half of the participants (n = 29, 58%) reported that their healthcare team had not informed them of sunscreen use at prior appointments. Despite recognizing its importance, many burn survivors do not consistently practice sun protection, suggesting a need for reinforced education strategies to improve long-term skin protection.