Sun Exposure and Protection Behaviors among Long-term Melanoma Survivors and Population Controls
Sun Exposure and Protection Behaviors among Long-term Melanoma Survivors and Population Controls
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DOI：
10.1158/1055-9965.epi-16-0854
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发表时间：
2017-04-01
影响因子：
3.8
通讯作者：
Lazovich, DeAnn
中科院分区：
文献类型：
--
作者：
Vogel, Rachel Isaksson;Strayer, Lori G.;Lazovich, DeAnn
简介：黑色素瘤被认为是一种普遍可预防的癌症，过度的紫外线辐射（UVR）暴露是一个很强的致病因素。黑色素瘤诊断后的UVR暴露可以修改，以降低第二原发性黑色素瘤的风险。本研究的目的是比较措施的紫外线照射和保护行为之间的长期黑色素瘤幸存者和controls.Methods：参与者从以前进行的caseconcontrol研究招募的横断面调查。黑色素瘤病例在诊断时为25至59岁;对照组年龄和性别匹配。参与者被问及在过去一年中使用的紫外线照射和保护措施，黑色素瘤幸存者和对照组之间的比较进行了使用logistic回归模型，调整潜在的confersider.Results：共724（62.0%）长期黑色素瘤幸存者和660（59.9%）控制完成了后续调查。与对照组相比，黑色素瘤幸存者在典型的工作日报告高日照[OR，0.72（0.55-0.94）]，晒伤[OR，0.40（0.30-0.53）]或室内晒黑[OR，0.20（0.09-0.44）]的可能性显著降低;然而，在典型的周末高日照相似。与对照组相比，黑色素瘤幸存者的最佳防晒行为报告更高。然而，少数黑色素瘤幸存者报告室内晒黑，10%报告故意寻求阳光晒黑，20%报告晒伤。结论：尽管长期黑色素瘤幸存者报告与对照组相比更健康的UVR暴露和保护行为，但相当大比例的人仍然报告了更高的阳光暴露，晒伤和次优的UVR保护行为。改善防晒措施以降低黑色素瘤幸存者未来的黑色素瘤风险的机会仍然存在。(C)2017年AACR。
Introduction: Melanoma is considered a generally preventable cancer, with excessive ultraviolet radiation (UVR) exposure being a strong causal factor. UVR exposure following a melanoma diagnosis can be modified to reduce risk of second primary melanomas. The goal of this study was to compare measures of UVR exposure and protection behaviors between long-term melanoma survivors and controls.Methods: Participants from a previously conducted casecontrol study were recruited for a cross-sectional survey. Melanoma cases were 25 to 59 years old at diagnosis; controls were age and sex matched. Participants were asked about UVR exposure and protection measures used in the past year, and comparisons between melanoma survivors and controls were conducted using logistic regression models, adjusting for potential confounders.Results: A total of 724 (62.0%) long-term melanoma survivors and 660 (59.9%) controls completed the follow-up survey. Melanoma survivors were significantly less likely to report high sun exposure on a typical weekday [OR, 0.72 (0.55-0.94)], sunburns [OR, 0.40 (0.30-0.53)], or indoor tanning [OR, 0.20 (0.09-0.44)] than controls; however, high sun exposure on a typical weekend day was similar. Report of optimal sun protection behaviors was higher in melanoma survivors compared with controls. However, a few melanoma survivors reported indoor tanning, 10% reported intentionally seeking sun to tan, and 20% reported sunburns.Conclusions: Although long-term melanoma survivors reported healthier UVR exposure and protection behaviors compared with controls, a sizeable proportion still reported elevated sun exposure, sunburns, and suboptimal UVR protection behaviors.Impact: Opportunities remain for improving sun protection to reduce future melanoma risk among melanoma survivors. (C) 2017 AACR.