Iannacone Michelle R, Pandeya Nirmala, Isbel Nicole, Campbell Scott, Fawcett Jonathan, Soyer H Peter, Ferguson Lisa, Davis Marcia, Whiteman David C, Green Adèle C
Population Health Department, QIMR Berghofer Medical Research Institute, Brisbane, Qld., Australia.
Dermatology. 2015;231(4):360-6. doi: 10.1159/000439428. Epub 2015 Sep 29.
Organ transplant recipients (OTRs) have a high risk of skin cancer, and excessive sun exposure is a major contributing factor.
To document the prevalence of sun protection and associated factors in OTRs in Queensland, Australia.
Cross-sectional study of the frequency of wearing hats, long sleeves and using sunscreens among OTRs and factors associated with regular use. Adjusted prevalence ratios (PRs) and 95% confidence intervals (CIs) were estimated using Poisson regression models.
Among 446 OTRs, 66, 49 and 39% wore a hat, sunscreen and long sleeves, respectively, mostly when outdoors. 52% regularly practiced multiple sun protection measures while 19% did not. Sunburn-prone skin (PR = 1.43, 95% CI = 1.06-1.93) and frequent whole-body skin examinations (PR = 1.48, 95% CI = 1.19-1.84) were independently associated with regular use of multiple sun protection measures.
Findings are consistent with sun-conscious OTRs also having more regular skin screening and that having frequent skin examinations promotes sun-protective habits.
器官移植受者（OTR）患皮肤癌的风险很高，过度日晒是一个主要促成因素。
记录澳大利亚昆士兰州OTR的防晒措施普及率及相关因素。
对OTR戴帽子、穿长袖衣服和使用防晒霜的频率以及与经常使用相关的因素进行横断面研究。使用泊松回归模型估计调整后的患病率比（PR）和95%置信区间（CI）。
在446名OTR中，分别有66%、49%和39%的人戴帽子、使用防晒霜和穿长袖衣服，大多是在户外时。52%的人经常采取多种防晒措施，而19%的人则没有。易晒伤皮肤（PR = 1.43，95%CI = 1.06 - 1.93）和频繁进行全身皮肤检查（PR = 1.48，95%CI = 1.19 - 1.84）与经常采取多种防晒措施独立相关。
研究结果与注重防晒的OTR也更经常进行皮肤筛查一致，且频繁进行皮肤检查可促进防晒习惯的养成。
