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Culture War Roundup for the week of April 8, 2024

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I just saw "child safety guidelines" from a pediatrician visit which said not to allow your child out to play from 11AM to 3PM, because of the sun.

Didn't anti-sunlight safetyism peak years ago? Why has the advice continued to get crazier? Is this pediatrician a lone vampire groomer, or is the whole AMA like this?

It wouldn't make me so angry if the children in question weren't pasty obese maggots who desperately need sun and exercise. The doc made a choice to ask "so, are they being exposed to the evils of natural light? Oh, they sit inside and play Minecraft, eating Totino's™ Pizza Rolls™ all day? Good, good, check that health problem off the list. Now, are there any guns or motorcycles in the house? Because they can lead to dangers like going outside and doing things."

I'm not a parent, but everything I've seen of education and child-raising recently has been throwing up giant red flags. How are motte parents dealing with this stuff?

As always, a kernel of truth grows into a turd of idiocy.

Motte: Wearing SPF30 sunscreen is probably among the cheaper interventions in terms of cost/inconvenience compared to QOL saved. Even if you can't do it 100% of the time, do it 90% of the time since the damage is additive.

Bailey: Avoid the sun, wear a thick knit sweater, reapply sunscreen hourly.

Motte: Wearing SPF30 sunscreen is probably among the cheaper interventions in terms of cost/inconvenience compared to QOL saved. Even if you can't do it 100% of the time, do it 90% of the time since the damage is additive.

This is harmful advice. Skin cancer kills almost no one. If I recall correctly skin cancers only lower U.S. life expectancy by a few days.

On the other hand, people who get more sun live years longer.

https://www.health.harvard.edu/blog/heres-something-unexpected-sunbathers-live-longer-201606069738

Supplement with Vitamin D you say? Not so easy: https://www.outsideonline.com/health/wellness/sunscreen-sun-exposure-skin-cancer-science/

Sunlight is good for you. Go get some. Personally, I use sunscreen on my face because I don't want to look old. I compensate by sunbathing the rest of my body.

On the other hand, people who get more sun live years longer.

Observational studies without clear mechanisms of action are almost completely worthless. Reading the study it's just the classic thing where they controlled for a handful of factors that they thought of and then declared whatever was left over the effect of the thing they're studying. Rather than it being any of the countless variations across the population that aren't included in the arbitrary list of controls. (I think Scott has a post somewhere where he mentioned how little he trusts studies like this.) For instance this is how they controlled for comorbidity:

As a measure of comorbid illness at the start of the study, we created a dummy variable termed ‘comorbidity’ to identify women who had been treated with antidiabetic or anticoagulant drugs or medication for CVD for more than 1 month.

I wonder if any illnesses not prescribed those drugs might both increase mortality and decrease sunbathing? Or general variation in health below the level of actual illness?

This is in contrast to the skin cancer risk where the mechanism of action is very straightforward. It seems like a serious failure of both science and science communication that this sort of largely-meaningless observational study gets put on the same level.

I agree that it's very hard to tease out the direct impact of sun exposure from all the other things that come with it, but if that's really the case then clearly it isn't a big deal and it's definitely not worth shifting your attitude to favour indoor activities over outdoor ones.