Estimating the contribution of occupational solar ultraviolet exposure to skin cancer

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State: Public
Version: Author's accepted manuscript
Serval ID
serval:BIB_FA17EFCAA660
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Estimating the contribution of occupational solar ultraviolet exposure to skin cancer
Journal
British Journal of Dermatology
Author(s)
Milon Antoine, Bulliard Jean-Luc, Vuilleumier Laurent, Danuser Brigitta, Vernez David
ISSN
1365-2133 (Electronic)
ISSN-L
0007-0963
Publication state
Published
Issued date
01/2014
Peer-reviewed
Oui
Volume
170
Number
1
Pages
157-164
Language
english
Abstract
BACKGROUND: Exposure to solar ultraviolet (UV) light is the main causative factor for skin cancer. Outdoor workers are at particular risk because they spend long working hours outside, may have little shade available and be bound to take their lunch at their workplace. Despite epidemiological evidence of a doubling in risk of squamous cell carcinoma in outdoor workers, the recognition of skin cancer as an occupational disease remains scarce.
OBJECTIVE: To assess occupational solar UV doses and its contribution to skin cancer risk.
METHODS: A numerical model (SimUVEx) was used to assess occupational and lunch break exposures, characterize exposure patterns and anatomical distribution. Risk of squamous cell carcinoma (SCC) was estimated from an existing epidemiological model.
RESULTS: Horizontal body locations received 2.0-2.5 times more UV than vertical locations. Dose associated to lunch outdoor every day was similar to outdoor work one day per week but only half of a seasonal worker. Outdoor workers are associated with an increased risk of SCC but also of frequent acute episodes.
CONCLUSION: Occupational solar exposure contributes largely to the overall lifetime UV dose, resulting in an excess risk of SCC. The magnitude of the estimated excess in risk supports the recognition of SCC as an occupational disease.
Keywords
Skin Neoplasms , Occupational Exposure , Ultraviolet Rays , Models, Biological ,
Pubmed
Web of science
Open Access
Yes
Create date
19/09/2013 15:28
Last modification date
20/08/2019 16:25
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