1,621 adults in Nambour, Australia, were randomised to daily or discretionary use of an SPF 15+ sunscreen for 4.5 years. Daily use cut the number of squamous-cell carcinomas by about 39% (rate ratio 0.61) but did not change basal-cell carcinoma, and caused no harm. The trial sunscreen combined octinoxate 8% and avobenzone 2%.