在户外工作的工人中暴露于太阳紫外线辐射:系统审查和呼吁采取行动
Victoria Slavinsky1, John Helmy2, Jenna Vroman2
1Georgetown University School of Medicine, Washington, DC, USA.
International journal of dermatology
|October 19, 2023
概括
户外工作者由于长期暴露于太阳紫外线辐射 (sUVR) 而面临非黑色素瘤皮肤癌 (NMSC) 的更高风险. 实施有效的防晒策略对于这种高风险人群至关重要.
科学领域:
- 皮肤病学和职业健康学
- 环境健康和安全环境健康和安全
背景情况:
- 长期暴露于太阳紫外线辐射 (sUVR) 显著增加非黑色素瘤皮肤癌 (NMSC) 的风险.
- 建筑,农业,邮政服务和军事等行业的户外工作者经历累积的sUVR暴露,提高了他们的风险概况.
研究的目的:
- 评估户外工作者的sUVR暴露与皮肤癌风险之间的关系.
- 在这个职业群体中定义NMSC的预防策略.
- 评估紫外线指数在改变防晒行为中的有用性.
主要方法:
- 使用PubMed进行了一项文献审查.
- 研究问题集中在紫外线测量,紫外线指数,NMSC风险,皮肤癌患病率,以及户外工作者中子和太阳光虫的存在.
主要成果:
- 户外工作者暴露于超出职业安全限制的紫外线水平.
- 与室内工作者相比,高风险职业中的个人显示出明显更高的sUVR暴露.
- 观察到皮肤癌,前体病变和有色素病变 (nevi,太阳光) 的风险增加.
结论:
- 临床医生应该为户外工作者提供有针对性的防晒咨询.
- 雇主必须促进可行的变化,以减轻职业sUVR风险.
- 有效的太阳保护方法对于预防高风险户外职业的皮肤癌是必不可少的.
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