Varedi Amir, Secrest Aaron M, Harding Garrett, Maness Lori, Branson Donna, Smith Kristi, Hull Christopher M
Department of Dermatology, University of Utah, Salt Lake City, Utah,.
Dermatol Online J. 2018 Feb 15;24(2):13030/qt8d82g9vk.
Outdoor recreation can lead to substantial sun exposure. Employees of outdoor recreation establishments with extended time outdoors have amplified cumulative exposure to ultraviolet (UV) radiation and an increased risk of skin cancer. The "Sun Safe on the Slopes" program was created by Huntsman Cancer Institute at the University of Utah and the Utah Cancer Action Network to address increased UV exposure and skin cancer risk with free skin cancer screenings, outreach, and prevention education to local ski resorts. Herein, we describe the processes and barriers to implementation of a ski resort skin screening and education program and our 5-year report of the experience and screening data. Nine free skin cancer screenings were held at Utah ski resorts between 2011 and 2016, resulting in the presumptive diagnosis of 38 skin cancers (9.6%) in 394 participants. Behavioral data collected from participants indicates suboptimal sun safety practices, including underuse of sunscreen and protective clothing. Ski resort employees who experience sun exposure during peak hours at high altitudes and UV reflection from the snow are at an increased risk of skin cancer. These data indicate a need for emphasis on sun safety education and screening and can serve as a model for future endeavors.
户外休闲活动可能导致大量的阳光暴露。长时间在户外的户外休闲场所员工累积暴露于紫外线（UV）的情况加剧，患皮肤癌的风险增加。犹他大学亨斯迈癌症研究所和犹他癌症行动网络发起了“斜坡上的阳光安全”项目，通过为当地滑雪胜地提供免费的皮肤癌筛查、宣传和预防教育，来应对紫外线暴露增加和皮肤癌风险问题。在此，我们描述了一个滑雪胜地皮肤筛查和教育项目的实施过程及障碍，以及我们的5年经验和筛查数据报告。2011年至2016年期间，在犹他州的滑雪胜地举办了9次免费皮肤癌筛查，394名参与者中有38例（9.6%）被初步诊断为皮肤癌。从参与者收集的行为数据表明防晒措施欠佳，包括防晒霜和防护服使用不足。在高海拔地区高峰时段暴露于阳光下且受到雪地紫外线反射影响的滑雪胜地员工患皮肤癌的风险增加。这些数据表明需要加强阳光安全教育和筛查，并且可以作为未来工作的一个范例。
