Interventions to decrease skin cancer risk in outdoor workers: update to a 2007 systematic review

Background Outdoor workers are at high risk of harmful ultraviolet radiation exposure and are identified as an at risk group for the development of skin cancer. This systematic evidence based review provides an update to a previous review published in 2007 about interventions for the prevention of skin cancer in outdoor workers. Results This review includes interventions published between 2007-2012 and presents findings about sun protection behaviours and/or objective measures of skin cancer risk. Six papers met inclusion criteria and were included in the review. Large studies with extended follow-up times demonstrated the efficacy of educational and multi-component interventions to increase sun protection, with some higher use of personal protective equipment such as sunscreen. However, there is less evidence for the effectiveness of policy or specific intervention components. Conclusions Further research aimed at improving overall attitudes towards sun protection in outdoor workers is needed to provide an overarching framework.

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Outdoor workers’ perceptions of skin cancer risk and attitudes to sun‐protective measures: A qualitative study

Journal of Occupational Health ◽

10.1002/1348-9585.12083 ◽

2019 ◽

Vol 62 (1) ◽

Cited By ~ 2

Author(s):

Marc Rocholl ◽

Michaela Ludewig ◽

Swen Malte John ◽

Eva Maria Bitzer ◽

Annika Wilke

Keyword(s):

Skin Cancer ◽

Qualitative Study ◽

Cancer Risk ◽

Protective Measures ◽

Skin Cancer Risk ◽

Outdoor Workers

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Serum Antioxidants and Skin Cancer Risk: An 8-Year Community-Based Follow-up Study

Cancer Epidemiology Biomarkers & Prevention ◽

10.1158/1055-9965.epi-08-1211 ◽

2009 ◽

Vol 18 (4) ◽

pp. 1167-1173 ◽

Cited By ~ 25

Author(s):

Jolieke C. van der Pols ◽

Mirjam M. Heinen ◽

Maria Celia Hughes ◽

Torukiri I. Ibiebele ◽

Geoffrey C. Marks ◽

...

Keyword(s):

Skin Cancer ◽

Cancer Risk ◽

Community Based ◽

Follow Up Study ◽

Skin Cancer Risk

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Correction to: Skin cancer risk perception and sun protection behavior at work, at leisure, and on sun holidays: a survey for Danish outdoor and indoor workers

Environmental Health and Preventive Medicine ◽

10.1186/s12199-018-0749-5 ◽

2018 ◽

Vol 23 (1) ◽

Author(s):

Kasper Grandahl ◽

Kristina Sophie Ibler ◽

Gunnar Hellmund Laier ◽

Ole Steen Mortensen

Keyword(s):

Risk Perception ◽

Skin Cancer ◽

Cancer Risk ◽

Sun Protection ◽

Cancer Risk Perception ◽

Skin Cancer Risk

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Intake of Furocoumarins and Risk of Skin Cancer in 2 Prospective US Cohort Studies

Journal of Nutrition ◽

10.1093/jn/nxaa062 ◽

2020 ◽

Vol 150 (6) ◽

pp. 1535-1544 ◽

Cited By ~ 2

Author(s):

Weiyi Sun ◽

Megan S Rice ◽

Min K Park ◽

Ock K Chun ◽

Melissa M Melough ◽

...

Keyword(s):

Skin Cancer ◽

Cancer Risk ◽

Cohort Studies ◽

Cell Carcinoma ◽

Health Professionals ◽

Fixed Effects ◽

Health Study ◽

Skin Cancer Risk ◽

Increased Risk

ABSTRACT Background In prior studies, higher citrus consumption was associated with higher risk of cutaneous malignant melanoma, squamous cell carcinoma (SCC), and basal cell carcinoma (BCC). Furocoumarins, compounds with phototoxicity and photocarcinogenicity in citrus, may be responsible for the association. Objectives The objective of the study was to investigate the association between furocoumarin intake and skin cancer risk. Methods A total of 47,453 men from the Health Professionals Follow-Up Study (HPFS) and 75,291 women from the Nurses’ Health Study (NHS) with diet data collected every 2–4 y in the 2 prospective cohort studies were included. A furocoumarin food composition database for 7 common furocoumarins [bergaptol, psoralen, 8-methoxypsoralen, bergapten, 6',7'-dihydroxybergamottin (6'7'-DHB), epoxybergamottin, and bergamottin] was developed and used to calculate participants’ cumulative average and energy-adjusted furocoumarin intake. Multivariate HRs and 95% CIs of the associations between furocoumarin intake and skin cancer risk were estimated using Cox proportional hazards models. Analyses were performed separately in each cohort as well as pooled using a fixed-effects model. Results Throughout follow-up (1984–2012 in the NHS and 1986–2012 in the HPFS), we identified 1593 melanoma, 4066 SCC, and 28,630 BCC cases. Higher intake of total furocoumarins was associated with an increased risk of BCC; the pooled HR comparing the top with the bottom quintile was 1.16 (95% CI: 1.11, 1.21; P-trend = 0.002). Higher intakes of bergaptol, bergapten, 6'7'-DHB, and bergamottin were also significantly associated with increased BCC risk. No significant associations were found between intake of total furocoumarins and the risks of SCC or melanoma. Conclusions Intakes of total furocoumarins as well as some individual furocoumarins were associated with an increased risk of skin cancer, especially BCC, in 2 cohorts of US health professionals.

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