Haack Ricardo Lanzetta, Horta Bernardo Lessa, Cesar Juraci Almeida
Programa de Pós-Graduação em Epidemiologia, Faculdade de Medicina, Universidade Federal de Pelotas, Pelotas, RS, Brasil.
Rev Saude Publica. 2008 Feb;42(1):26-33. doi: 10.1590/s0034-89102008000100004.
To assess the prevalence and risk factors for sunburn in young people.
Population-based cross-sectional study using a multiple-stage sampling carried out with people living in the urban area of Pelotas, Southern Brazil, between October and December 2005. Data was collected from interviews with 1.604 subjects using a standardized pre-coded questionnaire about their family and another questionnaire applied to those aged between ten and 29 years for assessing the occurrence of sunburn episodes. Sunburn was defined as skin burning after sun exposure. Chi-square test with Yates' correction was used to compare proportions and Poisson regression with design effect control and robust adjustment of variance was applied in the multivariate analysis.
Of those aged between 10 and 29 years, 1,412 reported sun exposure in the last summer. Losses and refusals were 5.5%. A total of 48.7% of the interviewees reported sunburn in the last year. The following variables were associated with sunburn in the multivariate analysis: white skin (PR=1.41; 95% CI: 1.12;1.79); higher skin sensitivity to sun exposure (PR=1.84; 95% CI: 1.64;2.06); age between 15 and 19 years (PR=1.30; 95% CI: 1.12;1.50); belonging to the higher quartile of income (PR=1.20; 95% CI: 1.01;1.42); and irregular use of sunscreens (PR=1.23; 95% CI: 1.08;1.42).
The prevalence of sunburn in the population studied was high mainly among white young people with higher skin sensitivity, higher income and who used sunscreens irregularly. Sun exposure during safe times and with adequate protection should be promoted.
评估年轻人晒伤的患病率及危险因素。
采用多阶段抽样的基于人群的横断面研究,于2005年10月至12月对居住在巴西南部佩洛塔斯市区的人群进行。通过对1604名受试者进行访谈,使用标准化的预编码问卷收集其家庭情况数据,并对年龄在10至29岁之间的受试者使用另一问卷评估晒伤事件的发生情况。晒伤定义为阳光照射后皮肤灼伤。采用带有耶茨校正的卡方检验比较比例,并在多变量分析中应用具有设计效应控制和稳健方差调整的泊松回归。
在10至29岁的人群中,1412人报告去年夏天有过阳光照射。失访和拒绝者占5.5%。共有48.7%的受访者报告去年有过晒伤。多变量分析中,以下变量与晒伤相关:白色皮肤(PR = 1.41;95%CI:1.12;1.79);皮肤对阳光照射的敏感性较高(PR = 1.84;95%CI:1.64;2.06);年龄在15至19岁之间(PR = 1.30;95%CI:1.12;1.50);属于收入较高的四分位数(PR = 1.20;95%CI:1.01;1.42);以及不规律使用防晒霜(PR = 1.23;95%CI:1.08;1.42)。
在所研究的人群中,晒伤患病率较高,主要集中在皮肤敏感性较高、收入较高且不规律使用防晒霜的白人年轻人中。应提倡在安全时段进行阳光照射并给予充分防护。