disorders," Dr. Bergfeld said. "People need to be aware of the impact these hazards have on the skin, and measures need to be taken to prevent, treat and control them." More than half of the survey respondents believed additional research and public education would assist in controlling or preventing skin-related problems. Other actions respondents indicated might help included: better product labeling (41 percent) and government regulation (33 percent). Almost two-thirds (59 percent) believed industry should be responsible for the clean up of environmental hazards affecting the skin. Factors The AAD consumer survey gathered information and opinions from 1,008 adults 18 and over. Overall, the higher the household income, the more frequent the experience with environmental skin problems. For example, household incomes of $50,000 or more had the highest incidence rates for sun-related injuries (59 percent), poison ivy (42 percent), and insects and spiders (41 percent). Women respondents more frequently reported experience with skin problems perceived to be related to cosmetic products (21 percent) and response to metal jewelry (20 percent). Men, on the other hand, more frequently mentioned problems with industrial chemicals (13 percent). "This survey confirms how widespread environmental skin damage is," Dr. Bergfeld said. She added that some types of environmental problems were cited far more frequently than expected. "Only about 2 percent of the patients we dermatologists see come to us because of actual reactions to cosmetics, while 12 percent of the men and -more