CHRC, NOVA Medical School, Faculdade de Ciências Médicas, NMS, FCM, Universidade NOVAde Lisboa, Lisboa, Portugal.
Institute of Public Health, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates.
Front Public Health. 2023 Mar 31;11:1140903. doi: 10.3389/fpubh.2023.1140903. eCollection 2023.
The rising incidence of skin cancer over the years has made it a significant public and occupational health issue. However, skin cancer is highly preventable, mainly through reduced exposure to solar ultraviolet radiation (UVR), which can be achieved by a variety of individual and collective protective measures and interventions. The relative risk associated with different patterns of exposure to solar UVR differs for the subtypes of keratinocyte cancers (KC). Specifically, whether the exposure is intermittent or continuous, and occurs in an occupational or leisure/recreational setting. The main aim of the study using this protocol is to contribute to raising public and policy awareness on solar UVR-inflicted occupational skin cancers in Lisbon. This will be achieved by performing direct measurements of the solar UVR dose received by outdoor workers using a digital platform. Results will likely contribute to further understanding the risk estimates for keratinocyte cancer estimations in this population.
A prospective observational study will be conducted in Lisbon, Portugal. Personal electronic dosimeters (GENESIS-UV system) integrated with a digital platform will be used to assess occupational solar UVR doses of gardeners, masons, and gravediggers of the municipality of Lisbon. Two hundred and ten outdoor workers will be selected to wear the dosimeter for 1 month each, between April and October during their daily working hours. A digital web-based platform that offers private access to information through dashboard visualization will provide information for the outdoor workers and facilitate communication with the participants.
The expected results of the overall proposal comprise the occupational solar UVR doses, expressed in standard erythemal dose (SEDs) per day of outdoor work for 7 months. Study data will provide outdoor workers with information on their personal solar UVR exposure during their working hours and an estimate of their risk of developing skin cancer. It is expected that the occupational solar UVR doses of the outdoor workers in Portugal will be above the threshold of 1 to 1.33 SED/day, due to the latitude of Lisbon and the nature of the occupations. The results prospectively should flow into the design of adequate prevention campaigns for skin cancer in outdoor workers.
近年来，皮肤癌的发病率不断上升，已成为一个重大的公共和职业健康问题。然而，皮肤癌是可以高度预防的，主要方法是减少暴露于太阳紫外线辐射（UVR），这可以通过各种个人和集体的保护措施和干预来实现。不同的太阳 UVR 暴露模式与角质细胞癌（KC）的亚型相关的相对风险不同。具体而言，暴露是间歇性的还是连续性的，是在职业环境还是休闲/娱乐环境中发生的。本研究方案的主要目的是通过使用数字平台对户外工作者接受的太阳 UVR 剂量进行直接测量，为提高里斯本地区公众和政策对太阳 UVR 引起的职业性皮肤癌的认识做出贡献。这将有助于进一步了解该人群中角质细胞癌风险评估的风险估计。
将在葡萄牙里斯本进行一项前瞻性观察研究。使用集成数字平台的个人电子剂量计（GENESIS-UV 系统）将用于评估里斯本市园丁、石匠和葬仪师的职业太阳 UVR 剂量。将选择 210 名户外工作者，让他们在 4 月至 10 月期间的日常工作时间内，每人佩戴剂量计 1 个月。一个提供私人访问信息的数字网络平台，通过仪表板可视化提供信息，为户外工作者提供信息，并促进与参与者的沟通。
总体提案的预期结果包括职业性太阳 UVR 剂量，以每天暴露于户外工作的标准红斑剂量（SED）表示，为期 7 个月。研究数据将为户外工作者提供有关其工作时间内个人太阳 UVR 暴露的信息，并估计他们患皮肤癌的风险。由于里斯本的纬度和职业性质，预计葡萄牙户外工作者的职业性太阳 UVR 剂量将超过 1 至 1.33 SED/天的阈值。预计前瞻性结果将为户外工作者的皮肤癌预防运动设计提供依据。
