Estimation of the proportion of skin cancers attributable to occupational sun exposure in Reunion Island

IF 3.1 4区医学 Q2 DERMATOLOGY

Annales De Dermatologie Et De Venereologie Pub Date : 2025-03-08 DOI:10.1016/j.annder.2025.103351

C. Fera , A. Pausé , C. Louacheni , C. Kwan , C. Scalbert , E. Chirpaz , A. Bertolotti

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引用次数: 0

Abstract

Background

The increasing prevalence of cutaneous malignancies has led to their categorization as a public health concern. The main risk factor is ultraviolet (UV) radiation, which can be particularly high in certain overseas territories. As a result, outdoor workers constitute a high-risk population.

Objectives

The aim of this study was to determine the proportion of skin cancers potentially attributable to occupational sun exposure in Reunion Island.

The increasing prevalence of skin cancer in recent years has led to its recognition as a significant public health concern. The primary risk factor is ultraviolet (UV) radiation, which has been observed to reach elevated levels in certain overseas territories. Consequently, individuals engaged in outdoor work are considered a high-risk population. The objectives of this study were to determine the proportion of skin cancers potentially attributable to occupational sun exposure in Reunion Island and to identify factors associated with such exposure.

Methods

This study covers all melanomas, cutaneous squamous cell carcinomas and a representative sample of basal cell carcinomas, diagnosed over one year in subjects who had worked for at least 3 years on the island. Telephone interviews were conducted with each subject to gather data on their exposure to sunlight during childhood, leisure activities and work. Cancers were classified as potentially attributable to work if the time spent in the sun at work was greater than the time spent in the sun during leisure time, taking into account sun protection data and the site of the skin cancer (areas exposed during work).

Results

Of the 329 people included, 37.7% had skin cancer(s) attributable to occupational UV exposure. Several high-risk professions were identified, including farmers. Among people surveyed, 93% reported that their employers had taken any steps to prevent sun exposure and 73% had never used sunscreen at work.

Conclusion

The percentage of people with skin cancer potentially attributable to occupational sun exposure in Reunion Island is considerable. Prevention and education on photoprotection in the workplace are essential. Recognition of skin cancer in exposed workers as an occupational disease should be considered in Reunion Island.

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留尼汪岛职业性日晒导致皮肤癌比例的估计

背景：皮肤恶性肿瘤的日益流行导致其被归类为公共卫生问题。主要的风险因素是紫外线辐射，在某些海外地区紫外线辐射可能特别高。因此，户外工作者是高危人群。目的本研究的目的是确定留尼汪岛职业性日晒可能导致皮肤癌的比例。近年来，皮肤癌的发病率不断上升，已使人们认识到它是一个重大的公共卫生问题。主要的危险因素是紫外线辐射，据观察，某些海外地区的紫外线辐射水平较高。因此，从事户外工作的个人被认为是高危人群。本研究的目的是确定留尼汪岛职业性日晒可能导致的皮肤癌比例，并确定与这种日晒有关的因素。方法本研究涵盖所有黑色素瘤、皮肤鳞状细胞癌和具有代表性的基底细胞癌样本，在岛上工作至少3 年的受试者中诊断超过一年。研究人员对每位受试者进行了电话采访，以收集他们在童年、休闲活动和工作期间接受阳光照射的数据。考虑到防晒数据和皮肤癌的部位（工作时暴露在阳光下的部位），如果工作时在阳光下的时间超过休闲时间在阳光下的时间，癌症被归类为可能归因于工作。结果在329人中，37.7%的人因职业性紫外线暴露而患皮肤癌。确定了几个高风险职业，包括农民。在接受调查的人中，93%的人表示，他们的雇主采取了任何措施防止他们暴露在阳光下，73%的人从未在工作时使用防晒霜。结论留尼旺岛职业性日晒可能导致皮肤癌的人群比例相当高。工作场所的光防护预防和教育至关重要。留尼汪岛应考虑将暴露工人的皮肤癌视为一种职业病。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annales De Dermatologie Et De Venereologie 医学-皮肤病学

CiteScore

1.40

自引率

0.00%

发文量

审稿时长

81 days

期刊介绍： Les Annales de dermatologie sont le rendez-vous mensuel incontournable de toute la dermatologie francophone, grâce à leur comité de rédaction qui assure une sélection rigoureuse des articles selon les normes de l''édition scientifique internationale. Une revue didactique, véritable aide à la pratique médicale quotidienne Pour compléter et enrichir la partie scientifique, la rubrique Formation médicale continue propose aux lecteurs des textes didactiques et interactifs (Cas pour diagnostic, Notes de pharmacovigilance, la Question du praticien, Dermatologie chirurgicale, la Sélection bibliographique du mois...) qui les font bénéficier d''une formation post-universitaire diversifiée et de qualité. La revue consacre également un espace pour la publication de questions des lecteurs auxquelles des experts apportent une réponse.