Skin cancer prevalence in farm workers in Spain
Skin cancer prevalence in farm workers in Spain.
skin neoplasms
non-melanoma skin cancer
farm workers
actinic keratosis
photoprotective measures
epidemiology
solar ultraviolet radiation
Journal
European journal of dermatology : EJD
ISSN: 1952-4013
Titre abrégé: Eur J Dermatol
Pays: France
ID NLM: 9206420
Informations de publication
Date de publication:
01 11 2022
01 11 2022
Historique:
entrez:
1
3
2023
pubmed:
2
3
2023
medline:
4
3
2023
Statut:
ppublish
Résumé
Solar ultraviolet radiation (UVR) is one of the main risk factors for non-melanoma skin cancer. In Spain, 11% of the population are outdoor workers. Farmers are among the outdoor workers with the highest levels of chronic sun exposure. To study the prevalence of skin cancer in farmers and evaluate their photoprotection habits. We performed an observational cross-sectional prospective study of farmers who completed a validated questionnaire on UVR exposure and protective behaviour and underwent a skin examination and skin colorimetry overseen by a dermatologist. The study population consisted of 215 farm workers (84.4% male; mean age: 65.8 ± 14 years; mean years working: 45 ± 18). Actinic keratosis (AK) was detected in 41.4%, basal cell carcinoma (BCC) in 9.8%, and squamous cell carcinoma (SCC) in 1.4%. The most frequent photoprotection measure was the shade (69.3%). Photoaging type was significantly associated with the presence of AK and BCC, and Olson Grade II and III AK lesions correlated with SCC. The number of nevi on the lower extremities was the only predictor of the appearance of BCC. Photoprotection measures were not regularly used by most farm workers and the prevalence of skin cancer lesions was high. The findings underscore the need to improve photoprotection habits and early detection of skin cancer in this population.
Sections du résumé
Background
Solar ultraviolet radiation (UVR) is one of the main risk factors for non-melanoma skin cancer. In Spain, 11% of the population are outdoor workers. Farmers are among the outdoor workers with the highest levels of chronic sun exposure.
Objectives
To study the prevalence of skin cancer in farmers and evaluate their photoprotection habits.
Materials & Methods
We performed an observational cross-sectional prospective study of farmers who completed a validated questionnaire on UVR exposure and protective behaviour and underwent a skin examination and skin colorimetry overseen by a dermatologist.
Results
The study population consisted of 215 farm workers (84.4% male; mean age: 65.8 ± 14 years; mean years working: 45 ± 18). Actinic keratosis (AK) was detected in 41.4%, basal cell carcinoma (BCC) in 9.8%, and squamous cell carcinoma (SCC) in 1.4%. The most frequent photoprotection measure was the shade (69.3%). Photoaging type was significantly associated with the presence of AK and BCC, and Olson Grade II and III AK lesions correlated with SCC. The number of nevi on the lower extremities was the only predictor of the appearance of BCC.
Conclusion
Photoprotection measures were not regularly used by most farm workers and the prevalence of skin cancer lesions was high. The findings underscore the need to improve photoprotection habits and early detection of skin cancer in this population.
Identifiants
pubmed: 36856390
doi: 10.1684/ejd.2022.4374
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM