Supplementary Online Content Xu S, Kwa M, Agarwal A, Rademaker A, Kundu RV. Sunscreen s product performance and other determinants of consumer preferences. JAMA Dermatol. Published online July 6, 2016. doi:10.1001/jamadermatol.2016.2344. etable. Characteristics of the Top 1 Percentile Sunscreens on Amazon.com This supplementary material has been provided by the authors to give readers additional information about their work
Vehicle a Additional etable. Characteristics of the Top 1 Percentile Sunscreens on Amazon.com No. Product Price Consumer Reports Sunscreen Features AAD ($/oz) Reviews Rating Type a SPF Broad- Water Criteria a (No.) (1-5) Spectrum Resistant a Claims b Claim 1 NO-AD Sunscreen Lotion SPF 0.68 193 4.3 Chemical 45 Yes 80 min Lotion No Yes 45 2 NO-AD Sport Sunscreen 0.72 179 4.6 Chemical 50 Yes 80 min Lotion Yes Yes Lotion SPF 50 3 Banana Boat Sunscreen Sport 0.83 259 4.5 Chemical 50+ Yes 80 min Lotion Yes Yes Family Size Broad Spectrum Sun Care Sunscreen Lotion - SPF 50 4 Australian Gold SPF 30 Spray 0.90 254 4.6 Chemical 30 Yes 80 min Spray Yes Yes Gel with Bronzer 5 Banana Boat Sunscreen Sport 1.02 178 4.2 Chemical 30 Yes 80 min Spray Yes Yes Performance Quik Dri Broad Spectrum Sun Care Sunscreen Spray 6 Banana Boat Sunscreen Sport 1.23 474 4.3 Chemical 50+ Yes Yes Spray No Yes Performance Cool Zone Broad Spectrum Sun Care Sunscreen Spray 7 Hawaiian Tropic Sunscreen 1.33 1078 4.6 Chemical 30 Yes 80 min Lotion Yes Yes Silk Hydration SPF 30 8 Babyganics Mineral-Based 1.33 407 4.3 Combination 50+ Yes 80 min Lotion Yes Yes Baby Sunscreen Lotion, SPF 50 9 Zinc Oxide Powder 1.35 182 4.9 Physical Not Not listed No Powder No No 10 L'Oreal Paris Sublime Sun Advanced Sunscreen SPF 30 Crystal Clear Mist 11 Banana Boat Sunscreen Protect and Hydrate Moisturizing Broad Spectrum Sun Care Sunscreen Lotion - SPF 30 listed 1.41 279 4.4 Chemical 45 Yes Yes Spray Yes Yes 1.67 257 4.6 Chemical 30 Yes 80 min Lotion Yes Yes
12 Alba Botanica Hawaiian 1.68 293 4.5 Combination 40 Yes 80 min Cream Yes Yes Sunscreen, Green tea SPF 45 13 Sun Bum Moisturizing 1.75 298 4.7 Chemical 70+ Yes Yes Lotion Yes Yes Sunscreen Lotion 14 Eucerin Daily Protection 1.76 631 4.3 Physical 30 Yes No Lotion Yes No Moisturizing Face Lotion 15 L'Oreal Paris Advanced 1.77 330 4.1 Chemical 70 Yes 80 min Spray Yes Yes Suncare Alcohol-Free Clear Spray SPF 70 16 Alba Botanica Very Emollient, 1.82 488 4.3 Combination 45 Yes 80 min Cream Yes Yes Kids Sunscreen SPF 45 17 Neutrogena Cool Dry Sport 1.85 288 4.3 Chemical 70 Yes 80 min Lotion Yes Yes Sunscreen Lotion 18 Neutrogena Ultra Sheer 1.90 252 4.5 Chemical 45 Yes 80 min Spray Yes Yes Sunblock Body Mist, SPF 45 19 Alba Botanica Very Emollient, 1.90 208 4.1 Not listed 30 Yes 80 min Cream Yes Yes Fragrance Free Mineral Sunscreen SPF 30 20 Neutrogena Ultra Sheer Dry- 2.26 693 4.6 Chemical 55 Yes 80 min Cream Yes Yes Touch Sunscreen, SPF 55 21 Neutrogena Ultra Sheer 2.33 501 4.4 Chemical 45 Yes 80 min Lotion Yes Yes Sunscreen SPF 45 22 Sun Bum Continuous Spray 2.53 235 4.4 Chemical 30+ Yes 80 min Spray Yes Yes Sunscreen 23 Bull Frog Water Armor Sport 2.55 194 4.5 Chemical 50 Yes 80 min Gel No Yes Quik Gel Sunscreen, SPF 50 24 Blue Lizard Australian 2.56 389 4.7 Physical 30+ Yes No Cream Yes No Sunscreen SPF 30+, Baby 25 Neutrogena Oil Free Moisture 2.76 635 4.5 Chemical 35 Yes No Roll-on Yes No SPF 35 26 Thinksport SPF 50 Plus 3.00 189 4.1 Physical 50+ Yes 80 min Cream Yes Yes Sunscreen 27 Kiss My Face Factor Natural 3.03 208 4.4 Combination 30 Yes 40 min Cream Yes Yes Sunscreen SPF 30 28 Solbar Zinc SPF 38 3.07 213 4.5 Combination 38 Yes Yes Cream Yes Yes 29 Blue Lizard Face Sunscreen 3.12 475 4.7 Physical 30 Yes No Gel Yes No
SPF 30+ 30 Aveeno Active Naturals Ultra 3.15 291 4.4 Chemical 15 Yes No Cream Yes No Calming Daily Moisturizer, SPF 15, 4 Ounce 31 Thinksport Kids Safe 3.15 233 4.4 Physical 50+ Yes 80 min Cream Yes Yes Sunscreen SPF 50+ 32 Vanicream Sunscreen, 3.28 332 4.4 Physical 30 Yes 80 min Cream Yes Yes Sensitive Skin, SPF 30 33 Neutrogena Clear Face 3.32 261 4.5 Chemical 30 Yes 80 min Lotion Yes Yes Sunblock Lotion SPF 30 34 Blue Lizard Australian 3.41 812 4.5 Physical 30 Yes No Cream Yes No Sunscreen, Sensitive SPF 30+ 35 Vanicream Sunscreen Sport 3.43 189 4.5 Combination 35 Yes 80 min Cream Yes Yes SPF 35 36 Mineral Sunscreen SPF 25-3.50 549 4.4 Physical 25 No Yes Lotion Yes No Beauty by Earth Natural 37 Bain De Soleil Spf#4 Orange 3.65 259 4.8 Chemical 4 No No Cream No No Gelee 38 Neutrogena Age Shield Face 3.73 740 4.4 Chemical 110 Yes 80 min Lotion Yes Yes Lotion Sunscreen SPF 110 39 EltaMD UV shield SPF 45 3.95 399 4.7 Combination 45 Yes No Lotion No No 40 Neutrogena Healthy Skin Face 4.14 211 4.4 Not listed 15 No No Lotion Yes No Lotion, SPF 15 41 SPF 30 Sunscreen Lotion 4.37 504 4.4 Physical 30 Yes No Lotion Yes No 42 EltaMD SPF 50 UV Sport 4.66 374 4.4 Combination 50 Yes 80 min Cream Yes Yes Water-resistant Sunscreen 43 Badger Baby Sunscreen Cream 4.69 428 4.2 Physical 30 Yes 40 min Cream Yes Yes - SPF 30 44 Badger Balm SPF 30 Kids 4.69 240 4.3 Physical 30 Yes 40 min Cream Yes Yes Sunscreen Cream 45 TruKid Sunny Days Daily SPF 4.95 183 4.4 Physical 30+ Yes No Lotion Yes No 30 Plus UVA/UVB Sunscreen Lotion 46 Cotz Pediatric SPF 40 5.28 211 4.3 Physical 40 Yes 40 min Cream Yes Yes 47 Neutrogena Sunscreen Ultra Sheer Stick SPF 70 5.91 647 4.6 Chemical 70 Yes 80 min Roll-on Yes Yes
48 SPF 30 Daily Oil-Free Face 5.98 786 4.7 Chemical 30 Yes No Cream Yes No Moisturizer 49 Coui Moisturizing SPF 30 6.49 279 4.5 Combination 30 Yes No Lotion Yes No Facial Sunscreen 50 EltaMD UV Physical SPF 41 6.57 715 4.7 Physical 41 Yes 40 min Lotion Yes Yes 51 Nu Derm Healthy Skin 6.66 180 4.6 Combination 35 Yes No Cream Yes No Protection SPF 35 52 Andre Lorent Daily 7.34 195 5.0 Chemical 30+ Yes No Cream Yes No Rehydrating sunscreen SPF 30+ 53 Sun Si'belle Broad Spectrum 7.57 206 4.6 Physical 30 Yes No Cream Yes No Mineral Moisturizer with SPF 30 54 La Roche-Posay Anthelios SX 7.64 281 4.6 Chemical 15 Yes No Cream Yes No Daily Moisturizing Cream SPF 15 with Mexoryl 55 Cotz Face Natural Skin Tone 11.39 431 4.5 Physical 40 Yes Yes Cream Yes Yes SPF 40 56 EltaMD UV Daily SPF 40 11.65 365 4.7 Combination 40 Yes No Cream Yes No 57 EltaMD Daily Broad-Spectrum 11.76 293 4.5 Combination 40 Yes No Cream Yes No SPF 40 Tinted 58 Badger SPF 35 Plus Sunscreen 12.15 185 4.1 Physical 35 Yes 80 min Roll-on No Yes All Season Face Stick Unscented 59 Coola Mineral Face SPF 30 12.59 200 4.6 Physical 30 Yes 40 min Cream Yes Yes Sunscreen Matte Tint 60 EltaMD UV Clear SPF 46 13.38 1792 4.4 Combination 46 Yes No Cream Yes No 61 Skinceuticals Sheer Physical 13.47 207 4.1 Physical 50 Yes No Solution Yes No UV Defense SPF 50 Broad-spectrum Sunscreen Fluid 62 Skinceuticals Physical Fusion 15.48 322 4.5 Physical 50 Yes 40 min Cream Yes Yes UV Defense 63 Murad Oil-control Mattifier 22.79 345 4.3 Combination 15 No No Cream No No SPF 15 64 Murad Essential-C Day 22.94 179 4.5 Combination 30 Yes No Cream Yes No
Moisture Broad Spectrum SPF 30 65 Revision Intellishade SPF 45 23.47 342 4.5 Combination 45 Yes No Cream Yes No Abbreviations: AAD, American Academy of Dermatology; SPF, sun protection factor. a Sunscreen type (eg, physical vs chemical), vehicle, water resistance, and fulfillment of AAD criteria were associated with higher price at a statistically significant level (P <.05). b Nearly all products (88%; 57 of 65) had additional claims associated with being sensitive skin friendly, preservative-free, noncomedogenic, or animal safe. In total, the top 1 percentile of sunscreens categorized by Amazon.com, Inc, have received more than 24 400 customer reviews. The AAD criteria for preferred sunscreens were met if the product had an SPF rating of 30 or greater, a broad-spectrum protection claim, and water resistance. Of the highest rated sunscreen products on Amazon.com, 40% (26 of 65) did not meet AAD recommendations. The primary reason for not meeting AAD criteria was a lack of water or sweat resistance (73%; 19 of 26 products). The median customer rating was 4.5 with a median of 288 customer reviews. The median price per ounce was $3.32 with a wide range ($0.68-$23.47).