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Cutaneous malignant melanoma and sun exposure in Spain.

Abstract

Cutaneous malignant melanoma has an increasing importance all over the world. However very few epidemiological studies have been published from Spain, and Spanish people have not become aware of the problem. This study was designed to examine sun exposure patterns and other related items among 116 consecutive patients with melanoma and 235 controls. Each subject answered a questionnaire covering the place of residence, sun exposure details and other risk factors, and underwent a skin examination. Continuous sun exposure due to residence or occupation was associated with an odds ratio (OR) of 2.0 (95% confidence interval [CI] = 1.2-3.3). People who lived in the city but spent 50% of their time in rural areas for holidays had an OR of 2.2 (95% CI = 1.3-3.8) when compared with those living in urban and rural areas. The OR for people who sunbathed more than 30 times a year was 1.8 (95% CI = 1.2-2.8), and outdoor leisure time was also associated with melanoma appearance when exposure was greater than 60 units in the last 2 years, with an OR of 3.0 (95% CI = 1.6-5.5); 1 unit is equivalent to total body sun exposure for at least 2 h. These OR estimates were adjusted for age, skin type and the number of naevi. Construction workers (OR = 1.6; 95% CI = 0.5-5.6) had increased risk after adjustment for skin type, age and freckle count (OR = 4.3; 95% CI = 1.8 9.9) or mole count (OR = 2.8; 95% CI = 1.4-5.8). Working as a farmer was a protective factor after adjustment (OR = 0.5; 95% CI = 0.3-0.8). The use of sunscreens was a protective factor against melanoma (OR = 2.6; 95% CI = 1.6-3.6 for non-users). Campaigns should focus on advising people to avoid sun exposure in sunny places and to use sunscreens every time they are exposed to the sun.

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  • Authors+Show Affiliations

    ,

    Medical Oncology Unit, Clínica Ruber, Madrid, Spain.

    , , , , , ,

    Source

    Melanoma research 9:2 1999 Apr pg 199-205

    MeSH

    Adult
    Aged
    Aged, 80 and over
    Female
    Heliotherapy
    Humans
    Male
    Melanoma
    Middle Aged
    Neoplasms, Radiation-Induced
    Occupations
    Skin Neoplasms
    Spain
    Sunburn
    Sunlight
    Sunscreening Agents

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    10380943

    Citation

    Espinosa Arranz, J, et al. "Cutaneous Malignant Melanoma and Sun Exposure in Spain." Melanoma Research, vol. 9, no. 2, 1999, pp. 199-205.
    Espinosa Arranz J, Sanchez Hernandez JJ, Bravo Fernandez P, et al. Cutaneous malignant melanoma and sun exposure in Spain. Melanoma Res. 1999;9(2):199-205.
    Espinosa Arranz, J., Sanchez Hernandez, J. J., Bravo Fernandez, P., Gonzalez-Baron, M., Zamora Auñon, P., Espinosa Arranz, E., ... Ordoñez Gallego, A. (1999). Cutaneous malignant melanoma and sun exposure in Spain. Melanoma Research, 9(2), pp. 199-205.
    Espinosa Arranz J, et al. Cutaneous Malignant Melanoma and Sun Exposure in Spain. Melanoma Res. 1999;9(2):199-205. PubMed PMID: 10380943.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Cutaneous malignant melanoma and sun exposure in Spain. AU - Espinosa Arranz,J, AU - Sanchez Hernandez,J J, AU - Bravo Fernandez,P, AU - Gonzalez-Baron,M, AU - Zamora Auñon,P, AU - Espinosa Arranz,E, AU - Jalon Lopez,J I, AU - Ordoñez Gallego,A, PY - 1999/6/25/pubmed PY - 1999/6/25/medline PY - 1999/6/25/entrez SP - 199 EP - 205 JF - Melanoma research JO - Melanoma Res. VL - 9 IS - 2 N2 - Cutaneous malignant melanoma has an increasing importance all over the world. However very few epidemiological studies have been published from Spain, and Spanish people have not become aware of the problem. This study was designed to examine sun exposure patterns and other related items among 116 consecutive patients with melanoma and 235 controls. Each subject answered a questionnaire covering the place of residence, sun exposure details and other risk factors, and underwent a skin examination. Continuous sun exposure due to residence or occupation was associated with an odds ratio (OR) of 2.0 (95% confidence interval [CI] = 1.2-3.3). People who lived in the city but spent 50% of their time in rural areas for holidays had an OR of 2.2 (95% CI = 1.3-3.8) when compared with those living in urban and rural areas. The OR for people who sunbathed more than 30 times a year was 1.8 (95% CI = 1.2-2.8), and outdoor leisure time was also associated with melanoma appearance when exposure was greater than 60 units in the last 2 years, with an OR of 3.0 (95% CI = 1.6-5.5); 1 unit is equivalent to total body sun exposure for at least 2 h. These OR estimates were adjusted for age, skin type and the number of naevi. Construction workers (OR = 1.6; 95% CI = 0.5-5.6) had increased risk after adjustment for skin type, age and freckle count (OR = 4.3; 95% CI = 1.8 9.9) or mole count (OR = 2.8; 95% CI = 1.4-5.8). Working as a farmer was a protective factor after adjustment (OR = 0.5; 95% CI = 0.3-0.8). The use of sunscreens was a protective factor against melanoma (OR = 2.6; 95% CI = 1.6-3.6 for non-users). Campaigns should focus on advising people to avoid sun exposure in sunny places and to use sunscreens every time they are exposed to the sun. SN - 0960-8931 UR - https://www.unboundmedicine.com/medline/citation/10380943/Cutaneous_malignant_melanoma_and_sun_exposure_in_Spain_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=10380943.ui DB - PRIME DP - Unbound Medicine ER -