Northwestern University Feinberg School of Medicine, 420 E. Superior St, Chicago, IL, 60611, USA.
Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Arch Dermatol Res. 2023 Apr;315(3):613-615. doi: 10.1007/s00403-021-02313-z. Epub 2022 Jan 8.
The extent to which the Ultraviolet (UV) index is associated with the prevalence of melanoma and keratinocyte cancer in the United States is not clear. We conducted a cross-sectional study using the Center for Disease Control and Prevention's (CDC) 2019 Behavioral Risk Factor Surveillance System (BRFSS) telephone interview survey to investigate the epidemiology of skin cancer in the US including age, household income, education, and marital and employment status. Of non-Hispanic white respondents, 9.6% (N = 29,925) reported a being told of a skin cancer diagnosis. The prevalence of skin cancer was significantly higher in high UV (> / = 8) states (11.8%, N = 36,575) than in medium UV (6-7) (9.0%, N = 27,812) and lower UV (< / = 5) (7.8%, N = 24,083) states (p < .0001). Respondents from a medium UV or high UV state had higher odds (1.21 [1.15-2.27], 1.55[1.47-1.63], respectively) of reporting a skin cancer diagnosis than those from a low UV state. The association of UV index with lifetime skin cancer prevalence reinforces the importance of educating patients on preventive practices such as avoidance of tanning beds and usage of UV protection with clothing and sunscreen.
紫外线 (UV) 指数与美国黑色素瘤和角质形成细胞癌发病率的关系尚不清楚。我们使用疾病控制与预防中心 (CDC) 2019 年行为风险因素监测系统 (BRFSS) 电话访谈调查进行了一项横断面研究，以调查包括年龄、家庭收入、教育程度、婚姻和就业状况在内的美国皮肤癌的流行病学。在非西班牙裔白人受访者中，9.6%（N=29925）报告曾被诊断患有皮肤癌。高 UV（>=/=8）州（N=36575）的皮肤癌患病率明显高于中 UV（6-7）（N=27812）和低 UV（<=/=5）（N=24083）州（p<.0001）。来自中 UV 或高 UV 州的受访者报告皮肤癌诊断的几率（1.21[1.15-2.27]，1.55[1.47-1.63]）高于来自低 UV 州的受访者。紫外线指数与终生皮肤癌患病率之间的关联强调了对患者进行预防措施教育的重要性，例如避免晒黑床以及使用衣物和防晒霜进行紫外线防护。
