Publication date: Jul 29, 2018
UV exposure is strongly associate to the incidence of non-melanoma skin cancers (NMSC), both basal and squamous cell carcinoma. The aim of our study was to analyze risk perception, UV exposure, preventive habits and occupation in 126 subjects affected by NMSC and 187 controls.
Consecutive cases with incident NMSC were recruited in Dermatologic Unit at University of Trieste; controls were recruited in Unit of Occupational Medicine All had a medical examination to define Fitzpatrick skin type and skin lesions, filled a standardized questionnaire on sun exposure habits, sun protection, occupational exposures, sunburns in adulthood and childhood.
in multivariate regression analysis, NMSC resulted significantly associated with age (OR 1.03; 95% CI, 1.01-1.05), with a positive feeling for tan (OR 1.10; 95% CI, 1.01-1.20), sunbath numbers per year (OR 1.02; 95% CI, 1.001-1.03). A protective effect was demonstrated for Fitzpatrick phototype III-IV compared to I and II (OR 0.31; 95% CI, 0.18-0.55), sunscreen use (OR 0.35; 95% CI, 0.22-0.58) and risk perception (OR 0.98; 95% CI, 0.97-0.99). In univariate analysis, we demonstrated an increased risk for fishermen, sailors, and lifeguards (OR 4.3; 95% CI, 1.1-16.4); foundry and metallurgy workers (OR 5.58; 95% CI, 1.14-27.3); mechanics, fixers and welders (OR 8.2; 95% CI, 1.76-37.9).
Our study demonstrated that protective behavior must be implemented in people living in Trieste. Workers must avoid direct UV exposure and must use protective equipment. More efforts are needed to increase knowledge on this risk and to raise awareness among at-risk people. This article is protected by copyright. All rights reserved.
Larese Filon, F., Buric, M., and Fluehler, C. UV exposure, preventive habits, risk perception and occupation in NMSC patients: a case controls study in Trieste (NE-Italy). 19493. 2018 Photodermatol Photoimmunol Photomed.
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