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职业性皮肤病的光防护。

Photoprotection in occupational dermatology.

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, Am Finkenhügel 7a, 49076, Osnabrück, Germany.

出版信息

Photochem Photobiol Sci. 2023 Jun;22(6):1213-1222. doi: 10.1007/s43630-023-00385-6. Epub 2023 Feb 28.

DOI:10.1007/s43630-023-00385-6
PMID:36853496
Abstract

Skin cancer has become a substantial matter of public health and in the workplace, accounting for a significant share of all reported occupational diseases. The most important external factor in the development of skin cancer is exposure to solar ultraviolet radiation. Outdoor workers have already been identified as a high-risk category. The need for interventions to improve the sun protection behavior of outdoor workers has recently been understood. Outdoor workers' risk perceptions and attitudes toward sun protection methods are likely to influence practical sun protection behavior at work, and despite the fact that many workers have expressed interest in improving their sun protection behavior, outdoor workers' unique needs are still neglected. Occupational dermatology is predicted to become more concerned with photoprotection in the decades ahead. Preventive action against the rapidly increasing number skin cancer cases is in great demand around the globe. In terms of preventive measures, the full range of available options should be used as needed to address the current difficulties in a goal-oriented way. This will almost certainly only be achievable if preventative efforts on a collective and individual level are successfully paired with support from policymakers to inspire long-term change.

摘要

皮肤癌已成为一个重大的公共卫生和工作场所问题,占所有报告职业病的很大一部分。皮肤癌发展的最重要的外部因素是暴露于太阳紫外线辐射。户外工作者已被确定为高风险人群。最近已经认识到需要采取干预措施来改善户外工作者的防晒行为。户外工作者对防晒方法的风险认知和态度可能会影响他们在工作中的实际防晒行为,尽管许多工人表示有兴趣改善他们的防晒行为,但户外工作者的特殊需求仍然被忽视。在未来几十年,职业皮肤科预计将更加关注光保护。全球都迫切需要采取预防行动,以应对迅速增加的皮肤癌病例。在预防措施方面,应根据需要使用各种现有方法,有针对性地解决当前的困难。如果集体和个人层面的预防工作能够与政策制定者的支持相结合,以激发长期的改变,这几乎肯定是可以实现的。

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[Skin cancer from solar ultraviolet radiation exposure at work].[工作中因暴露于太阳紫外线辐射而导致的皮肤癌]

本文引用的文献

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Stratum corneum biomarkers after in vivo repeated exposure to sub-erythemal dosages of ultraviolet radiation in unprotected and sunscreen (SPF 50+) protected skin.未使用防晒产品和使用防晒系数(SPF50+)防晒产品的皮肤经亚红斑剂量紫外线重复照射后的角质层生物标志物。
Photodermatol Photoimmunol Photomed. 2022 Jan;38(1):60-68. doi: 10.1111/phpp.12717. Epub 2021 Jul 18.
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New methods for assessing secondary performance attributes of sunscreens suitable for professional outdoor work.适用于专业户外工作的防晒产品次要性能属性评估的新方法。
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改善户外工作者的太阳紫外线防护:立场声明。
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Prevalence of exposure to multiple occupational carcinogens among exposed workers in Australia.澳大利亚接触职业致癌物的工人中接触多种职业致癌物的患病率。
Occup Environ Med. 2020 Sep 18. doi: 10.1136/oemed-2020-106629.
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Basal cell carcinoma risk and solar UV exposure in occupationally relevant anatomic sites: do histological subtype, tumor localization and Fitzpatrick phototype play a role? A population-based case-control study.职业相关解剖部位的基底细胞癌风险与日光紫外线暴露:组织学亚型、肿瘤定位和菲茨帕特里克皮肤光类型是否起作用?一项基于人群的病例对照研究。
J Occup Med Toxicol. 2020 Sep 10;15:28. doi: 10.1186/s12995-020-00279-8. eCollection 2020.
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The evolving field of Dermato-oncology and the role of dermatologists: Position Paper of the EADO, EADV and Task Forces, EDF, IDS, EBDV-UEMS and EORTC Cutaneous Lymphoma Task Force.皮肤肿瘤学的发展领域及皮肤科医生的作用:欧洲皮肤肿瘤学会(EADO)、欧洲皮肤病学和性病学会(EADV)以及各特别工作组、欧洲皮肤科和性病学联合会(EDF)、国际皮肤科学会(IDS)、欧洲皮肤病学和性病学联合会 - 欧洲医学专业委员会(EBDV - UEMS)和欧洲癌症研究与治疗组织皮肤淋巴瘤特别工作组的立场文件。
J Eur Acad Dermatol Venereol. 2020 Oct;34(10):2183-2197. doi: 10.1111/jdv.16849. Epub 2020 Aug 24.
7
Tape stripping the stratum corneum for biomarkers of ultraviolet radiation exposure at sub-erythemal dosages: a study in human volunteers.胶带剥离法提取亚红斑剂量紫外线辐射暴露生物标志物:一项人体志愿者研究。
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Global evidence on occupational sun exposure and keratinocyte cancers: a systematic review.关于职业性阳光暴露与角质形成细胞癌的全球证据:一项系统综述。
Br J Dermatol. 2021 Feb;184(2):208-218. doi: 10.1111/bjd.19152. Epub 2020 Jun 30.