Ambient UV, personal sun exposure and risk of multiple primary melanomas Journal Article
| Authors: | Kricker, A.; Armstrong, B. K.; Goumas, C.; Litchfield, M.; Begg, C. B.; Hummer, A. J.; Marrett, L. D.; Theis, B.; Millikan, R. C.; Thomas, N.; Culver, H. A.; Gallagher, R. P.; Dwyer, T.; Rebbeck, T. R.; Kanetsky, P. A.; Busam, K.; From, L.; Mujumdar, U.; Zanetti, R.; Berwick, M. |
| Article Title: | Ambient UV, personal sun exposure and risk of multiple primary melanomas |
| Abstract: | Objective: Sun exposure is the main cause of melanoma in populations of European origin. No previous study has examined the effect of sun exposure on risk of multiple primary melanomas compared with people who have one melanoma. Methods: We identified and enrolled 2,023 people with a first primary melanoma (controls) and 1,125 with multiple primary melanomas (cases) in seven centers in four countries, recorded their residential history to assign ambient UV and interviewed them about their sun exposure. Results: Risk of multiple primary melanomas increased significantly (P < 0.05) to OR = 2.10 for the highest exposure quarter of ambient UV irradiance at birth and 10 years of age, to OR = 1.38 for lifetime recreational sun exposure, to OR = 1.85 for beach and waterside activities, to OR = 1.57 for vacations in a sunnier climate, to OR = 1.50 for sunburns. Occupational sun exposure did not increase risk (OR = 1.03 for highest exposure). Recreational exposure at any age increased risk and appeared to add to risk from ambient UV in early life. Conclusions: People who have had a melanoma can expect to reduce their risk of a further melanoma by reducing recreational sun exposure whatever their age. The same is probably true for a person who has never had a melanoma. © 2007 Springer Science+Business Media B.V. |
| Keywords: | adolescent; adult; child; controlled study; aged; middle aged; case-control studies; cancer risk; ultraviolet radiation; melanoma; sun exposure; skin neoplasms; odds ratio; risk factors; risk assessment; radiation dosage; infant; neoplasms, radiation-induced; risk reduction; ultraviolet rays; neoplasms, multiple primary; environmental exposure; sunlight; risk reduction behavior; birth; sunburn; ultraviolet irradiation; occupational exposure; multiple primary neoplasms; occupational hazard |
| Journal Title: | Cancer Causes & Control |
| Volume: | 18 |
| Issue: | 3 |
| ISSN: | 0957-5243 |
| Publisher: | Springer |
| Date Published: | 2007-04-01 |
| Start Page: | 295 |
| End Page: | 304 |
| Language: | English |
| DOI: | 10.1007/s10552-006-0091-x |
| PUBMED: | 17206532 |
| PROVIDER: | scopus |
| PMCID: | PMC4206211 |
| DOI/URL: | |
| Notes: | --- - "Cited By (since 1996): 19" - "Export Date: 17 November 2011" - "CODEN: CCCNE" - "Source: Scopus" |
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