Table 1: Physical Barriers

• Cost of sunscreen, hats, sunglasses and sun protective clothing

• Cost of intervention programs, educational material, shade structures

• Forget to apply sunscreen

• Sunscreen messy

• Hats: interfere during sports activities, gang insignias, head lice transmission

• Inadequate application or infrequent application of sunscreen

• Lack of parent compliance

• Lack of general knowledge regarding risks of sun exposure

• Over reliance on sunscreen as magic bullet for sun protection1

• Concern for vitamin D deficiency

• Lack of counseling by pediatricians