M. Trakatelli|K. Barkitzi|C. Apap|S?awomir Majewski|Esther de Vries
Skin cancer risk in outdoor workers: a European multicenter case–control study
Papageorgiou General Hospital|Aristotle University of Thessaloniki|Centre Hospitalier Universitaire de Saint-Pierre|Aristotle University of Thessaloniki|Sir Paul Boffa Hospital|Medical University of Warsaw|Pontificia Universidad Javeriana
exposure ultraviolet radiation uvr important external risk factor skin cancer outdoor workers exposed high ambient uvr levels increased riskto compare outdoor indoor workers terms skin cancer risk factors ii risk developing skin cancerusing descriptive methods large multicenter european casecontrol study compared risk factor patterns outdoor n 1416 indoor workers n 1863 risk developing basal cell carcinoma bcc squamous cell carcinoma scc melanoma actinic keratosis ak analysed type work using multivariate logistic regression models three categories work indoor farmingconstruction outdoor workalthough skin phototype equally distributed type work significantly less outdoor indoor workers used sunscreen country 443 vs 602 outdoor hobbies 662 vs 582 outdoor workers lower educational levels felt less confident understanding medical information filling medical forms p 0001 outdoor workers signs photodamage 781 vs 655 among skin cancer patients 377 outdoor workers vs 286 indoor workers 2 skin cancers diagnosed lifetime multivariate logistic regression models showed significantly increased risk outdoor vs indoor work ak orother outdoor 155 orfarmingconstruction 258 scc orother outdoor 132 orfarmingconstruction 277 bcc orother outdoor 153 orfarmingconstruction 183 significant associations found melanoma risk types skin cancer ak significantly increased workers 5 years outdoor workoutdoor workers risk behaviour similar constitutional skin cancer risk factors uv exposure occupational leisure less sunscreen use lower health literacy results higher exposure photodamage increased risk developing ak bcc scc