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Average midrange ultraviolet radiation flux and time outdoors predict melanoma risk.
Cancer Res 2002; 62(14):3992-6CR

Abstract

Sunlight is the major environmental risk factor for melanoma. Descriptive studies have shown latitudinal variation in population incidence and mortality rates [D. C. Whiteman and A. C. Green, Int. J. Dermatol., 38: 481-489, 1999, and B. K. Armstrong, Australian J. Dermatol., 38 (Suppl. 1): 51-56, 1997]. In analytic studies, individual exposure has been particularly difficult to quantify. Lifetime residential history was coupled with levels of midrange UV radiation (UVB flux) to provide a measure of individual exposure to sunlight thought to be less subject to misclassification and recall bias. Data were analyzed from 718 non-Hispanic white patients with invasive cutaneous melanoma from melanoma clinics in Philadelphia and San Francisco. Matched controls were 945 patients from outpatient clinics with similar catchment areas. The association of melanoma risk and history of UVB flux along with the usual outdoor exposure risk factors were studied. A 10% increase in the average annual UVB flux was associated with a 19% [95% confidence interval (CI), 5-35%] increase in individual odds for melanoma for men and 16% (95% CI, 2-32%) for women. In men, a 10% increase in hours outdoors was associated with a 2.8% (95% CI, 1.2-4.5%) increase in odds. Even in women who could develop a deep tan, a 10% increase in hours outdoors was associated with a 5.8% increase in odds (95% CI, 1.4-10.4%). The association between melanoma risk and average annual UVB flux was strong and consistent for men and for women. The association with total adult hours outdoors was notable for men of all skin types and women who develop a suntan.

Authors+Show Affiliations

Division of Cancer Epidemiology and Genetics, National Cancer Institute, NIH, Bethesda, Maryland 20892, USA. fears@epndce.nci.nih.govNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

12124332

Citation

Fears, Thomas R., et al. "Average Midrange Ultraviolet Radiation Flux and Time Outdoors Predict Melanoma Risk." Cancer Research, vol. 62, no. 14, 2002, pp. 3992-6.
Fears TR, Bird CC, Guerry D, et al. Average midrange ultraviolet radiation flux and time outdoors predict melanoma risk. Cancer Res. 2002;62(14):3992-6.
Fears, T. R., Bird, C. C., Guerry, D., Sagebiel, R. W., Gail, M. H., Elder, D. E., ... Tucker, M. A. (2002). Average midrange ultraviolet radiation flux and time outdoors predict melanoma risk. Cancer Research, 62(14), pp. 3992-6.
Fears TR, et al. Average Midrange Ultraviolet Radiation Flux and Time Outdoors Predict Melanoma Risk. Cancer Res. 2002 Jul 15;62(14):3992-6. PubMed PMID: 12124332.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Average midrange ultraviolet radiation flux and time outdoors predict melanoma risk. AU - Fears,Thomas R, AU - Bird,Cameron C, AU - Guerry,DuPont,4th AU - Sagebiel,Richard W, AU - Gail,Mitchell H, AU - Elder,David E, AU - Halpern,Allan, AU - Holly,Elizabeth A, AU - Hartge,Patricia, AU - Tucker,Margaret A, PY - 2002/7/19/pubmed PY - 2002/8/14/medline PY - 2002/7/19/entrez SP - 3992 EP - 6 JF - Cancer research JO - Cancer Res. VL - 62 IS - 14 N2 - Sunlight is the major environmental risk factor for melanoma. Descriptive studies have shown latitudinal variation in population incidence and mortality rates [D. C. Whiteman and A. C. Green, Int. J. Dermatol., 38: 481-489, 1999, and B. K. Armstrong, Australian J. Dermatol., 38 (Suppl. 1): 51-56, 1997]. In analytic studies, individual exposure has been particularly difficult to quantify. Lifetime residential history was coupled with levels of midrange UV radiation (UVB flux) to provide a measure of individual exposure to sunlight thought to be less subject to misclassification and recall bias. Data were analyzed from 718 non-Hispanic white patients with invasive cutaneous melanoma from melanoma clinics in Philadelphia and San Francisco. Matched controls were 945 patients from outpatient clinics with similar catchment areas. The association of melanoma risk and history of UVB flux along with the usual outdoor exposure risk factors were studied. A 10% increase in the average annual UVB flux was associated with a 19% [95% confidence interval (CI), 5-35%] increase in individual odds for melanoma for men and 16% (95% CI, 2-32%) for women. In men, a 10% increase in hours outdoors was associated with a 2.8% (95% CI, 1.2-4.5%) increase in odds. Even in women who could develop a deep tan, a 10% increase in hours outdoors was associated with a 5.8% increase in odds (95% CI, 1.4-10.4%). The association between melanoma risk and average annual UVB flux was strong and consistent for men and for women. The association with total adult hours outdoors was notable for men of all skin types and women who develop a suntan. SN - 0008-5472 UR - https://www.unboundmedicine.com/medline/citation/12124332/Average_midrange_ultraviolet_radiation_flux_and_time_outdoors_predict_melanoma_risk_ L2 - http://cancerres.aacrjournals.org/cgi/pmidlookup?view=long&pmid=12124332 DB - PRIME DP - Unbound Medicine ER -