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防晒与职业:职业性皮肤癌预防的当前发展和展望。

Sun protection and occupation: Current developments and perspectives for prevention of occupational skin cancer.

机构信息

Institute for Interdisciplinary Dermatological Prevention and Rehabilitation (iDerm), Osnabrück University, Osnabrück, Germany.

Department of Dermatology, Environmental Medicine and Health Theory, Institute for Health Research and Education (IGB), Faculty of Human Sciences, Osnabrück University, Osnabrück, Germany.

出版信息

Front Public Health. 2022 Dec 23;10:1110158. doi: 10.3389/fpubh.2022.1110158. eCollection 2022.

Abstract

A substantial proportion of all reported occupational illnesses are constituted by skin cancer, making this disease a serious public health issue. Solar ultra-violet radiation (UVR) exposure is the most significant external factor in the development of skin cancer, for which the broad occupational category of outdoor workers has already been identified as high-risk group. Sun protection by deploying adequate technical, organizational, and person-related measures has to be understood as a functional aspect of workplace safety. To prevent skin cancers brought on by-typically cumulative-solar UVR exposure, outdoor workers must considerably lower their occupationally acquired solar UVR doses. Estimating cumulative sun exposure in outdoor workers requires consideration of the level of solar UVR exposure, the tasks to be done in the sun, and the employees' solar UVR preventive measures. Recent studies have highlighted the necessity for measures to enhance outdoor workers' sun protection behavior. In the coming decades, occupational dermatology is expected to pay increasing attention to sun protection at work. Also, the field of dermato-oncology will likely be concerned with sky-rocketing incidences of occupational skin cancers. The complete range of available alternatives should be utilized in terms of preventive actions, which seems pivotal to handle the present and future challenges in a purposeful manner. This will almost definitely only be possible if politicians' support is effectively combined with communal and individual preventive actions in order to spur long-term transformation.

摘要

相当大比例的所有报告的职业疾病是由皮肤癌构成的,使这种疾病成为一个严重的公共卫生问题。太阳紫外线辐射(UVR)暴露是皮肤癌发展的最重要的外部因素,其中广泛的职业类别户外工作者已经被确定为高风险群体。通过部署充分的技术、组织和人员相关措施来进行防晒,被理解为工作场所安全的一个功能方面。为了预防由典型的累积性太阳 UVR 暴露引起的皮肤癌,户外工作者必须大大降低他们职业性获得的太阳 UVR 剂量。估计户外工作者的累积太阳暴露需要考虑太阳 UVR 暴露水平、在阳光下完成的任务以及员工的太阳 UVR 预防措施。最近的研究强调了需要采取措施来增强户外工作者的防晒行为。在未来几十年,职业皮肤病学预计将越来越关注工作场所的防晒问题。此外,皮肤科肿瘤学领域可能会关注职业性皮肤癌发病率的飙升。在预防措施方面,应该充分利用所有可用的替代方案,这对于有针对性地应对当前和未来的挑战似乎至关重要。如果政治家的支持能够与社区和个人的预防措施有效结合,以促进长期变革,这几乎是肯定的。

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