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December 8, 2025International Journal of Environmental Research and Public Health6 citationsOpen Access

The Environmental Determinants of Skin Health: Linking Climate Change, Air Pollution, and the Dermatologic Disease Burden

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TZTarek ZieneldienSMSophia MaITIsabella J. Tan

Key Points

  • Climate change influences immunologic responses and skin diseases, increasing the burden of conditions like melanoma.
  • Air pollution significantly correlates with skin disease onset, leading to heightened risks of psoriasis and melasma.
  • Assessment of dermatologic impacts emphasizes environmental factors, linking ozone depletion to rising melanoma rates.
  • This review aims to address critical research gaps and encourage practitioner awareness of climate-related skin health issues.

Abstract

Climate change has a widespread impact on health across the continuum, influencing skin disease patterns, access to dermatologic care, and the burden of climate-sensitive conditions. Environmental changes driven by climate change impact the skin’s ability to maintain homeostasis, contributing to the onset and exacerbation of various dermatologic diseases. Psoriasis, acne vulgaris, atopic dermatitis, photoaging, melasma, and skin cancers have been associated with repeated exposure to rising levels of pollutants. Furthermore, the depletion of the stratospheric ozone layer has contributed to an elevated risk of developing skin cancer—including melanoma, basal cell carcinoma, and squamous cell carcinoma—due to increased exposure to ultraviolet radiation. Notably, while melanoma is linked to intense, intermittent UV exposure and sunburns, basal cell and squamous cell carcinomas are more strongly associated with cumulative or chronic sun exposure over a lifetime. According to the World Health Organization, air pollution contributes to more than 700,000 premature deaths each year, and a 1% decrease in ozone thickness corresponds with a 2% rise in melanoma incidence. This review also identifies research gaps, such as limited longitudinal studies, underrepresentation of pediatric and elderly populations, and limited exploration of nitrosative stress mechanisms. Due to these factors, practitioners should be aware of both the current and projected impacts of climate change in their regions to effectively identify and manage associated conditions and exacerbations.

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Cite This Study

Zieneldien et al. (2025) studied this question.

synapsesocial.com/papers/693624c34fa91c937236cb48https://doi.org/10.3390/ijerph22121820
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