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日光浴床的定量风险评估:新型高功率灯的影响。

Quantitative risk assessment of sunbeds: impact of new high power lamps.

作者信息

Oliver H, Ferguson J, Moseley H

机构信息

The Photobiology Unit, University of Dundee, Ninewells Hospital & Medical School, Dundee DD1 9SY, UK.

出版信息

Br J Dermatol. 2007 Aug;157(2):350-6. doi: 10.1111/j.1365-2133.2007.07985.x.

Abstract

BACKGROUND

A survey of all sunbeds in a local authority area was carried out in 1998. Since then, there have been technological developments leading to new 'fast-tan' sunlamps which have become increasingly popular, along with unmanned sun parlours. In addition, new British and European sunbed standards have been set.

OBJECTIVES

To discover the commercial uptake of new high power sunlamps and to determine the impact on carcinogenic risk from sunbeds.

METHODS

Onsite spectral measurements, traceable to national standards, were conducted at all commercial sunbed premises within two local authorities and a quantitative risk assessment applied to the findings using a skin cancer model. Sunbed users were asked to complete a questionnaire regarding their reasons for using a sunbed and the risk associated with its use.

RESULTS

We found a 30% increase in the number of privately operated sunbeds since our 1998 survey. The median cancer-weighted exposure of all 133 sunbeds was comparable to that of Mediterranean sunlight. This was a significant increase compared to 1998. Moreover, 83% of sunbeds produced ultraviolet (UV) B radiation levels that exceeded the European standard. Fifteen per cent of respondents thought that there were no risks from use of sunbeds.

CONCLUSIONS

Sunbeds in current use carry a cancer risk comparable to Mediterranean sunlight. This is due to the use of new high power lamps. New British and European standards are being largely ignored with more than four out of five sunbeds exceeding the limit specified in the standard. There is a strong case for regulation of sunbed operators coupled to improved public education.

摘要

背景

1998年对当地政府辖区内的所有日光浴床进行了一次调查。从那时起,技术不断发展,催生了新型“快速美黑”日光灯管,这种灯管越来越受欢迎,同时无人日光浴室也日益普及。此外,英国和欧洲制定了新的日光浴床标准。

目的

了解新型高功率日光灯管在商业上的应用情况,并确定日光浴床对致癌风险的影响。

方法

在两个地方政府辖区内的所有商业日光浴床场所进行了可追溯至国家标准的现场光谱测量,并使用皮肤癌模型对测量结果进行了定量风险评估。日光浴床使用者被要求填写一份问卷,说明他们使用日光浴床的原因以及使用日光浴床相关的风险。

结果

我们发现,自1998年我们的调查以来,私人经营的日光浴床数量增加了30%。所有133张日光浴床的癌症加权暴露中位数与地中海阳光的暴露中位数相当。与1998年相比,这是一个显著的增加。此外,83%的日光浴床产生的紫外线B辐射水平超过了欧洲标准。15%的受访者认为使用日光浴床没有风险。

结论

目前使用的日光浴床带来的癌症风险与地中海阳光相当。这是由于新型高功率灯管的使用。英国和欧洲的新标准在很大程度上被忽视,五分之四以上的日光浴床超过了标准规定的限值。有充分的理由对日光浴床经营者进行监管,并加强公众教育。

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