Cheryl E Peters1,2,3, J Kim4,5, C Song4, E Heer6, V H Arrandale4,7, M Pahwa4, F Labrèche8, C B McLeod9, H W Davies9, C B Ge10,11, P A Demers4,7. 1. Department of Cancer Epidemiology and Prevention Research, CancerControl Alberta, Alberta Health Services, Holy Cross Centre, Room 515, Calgary, AB, T2S 3C3, Canada. Cheryl.peters@albertahealthservices.ca. 2. Cumming School of Medicine, University of Calgary, Calgary, Canada. Cheryl.peters@albertahealthservices.ca. 3. CAREX Canada, Simon Fraser University, Vancouver, Canada. Cheryl.peters@albertahealthservices.ca. 4. Occupational Cancer Research Centre, Cancer Care Ontario, Toronto, Canada. 5. Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, Canada. 6. Department of Cancer Epidemiology and Prevention Research, CancerControl Alberta, Alberta Health Services, Holy Cross Centre, Room 515, Calgary, AB, T2S 3C3, Canada. 7. Dalla Lana School of Public Health, University of Toronto, Toronto, Canada. 8. Institut de recherche Robert-Sauvé en santé et en sécurité du travail, Montreal, Canada. 9. School of Population and Public Health, University of British Columbia, Vancouver, Canada. 10. CAREX Canada, Simon Fraser University, Vancouver, Canada. 11. Institute for Risk Assessment Sciences, Utrecht University, Utrecht, The Netherlands.
Abstract
PURPOSE: Outdoor workers are exposed daily to solar ultraviolet radiation, an important contributor in the development of non-melanoma skin cancer. This study aimed to quantify the health burden of non-melanoma skin cancers among outdoor workers in Canada. METHODS: Solar ultraviolet radiation exposure and estimates of exposure levels were applied to employment information from Canada census data to determine the exposed population in the risk exposure period (1961-2001). Risk estimates were drawn from meta-analyses selected based on quality and relevance to the current study. Population-attributable fractions were calculated using Levin's equation and attributable cases were estimated based on incidence data reported by the Canadian Cancer Society. RESULTS: In 2011, 6.31% (4556 cases) of non-melanoma skin cancer cases were estimated to be attributable to occupational exposure to solar ultraviolet radiation. The majority of these cases occurred in men in the agriculture or construction industries. CONCLUSIONS: These estimates of the burden of non-melanoma skin cancer in Canada identify the need for further prevention efforts, particularly in agriculture and construction. Introducing workplace sun safety measures could be an important area for policy development.
PURPOSE: Outdoor workers are exposed daily to solar ultraviolet radiation, an important contributor in the development of non-melanoma skin cancer. This study aimed to quantify the health burden of non-melanoma skin cancers among outdoor workers in Canada. METHODS: Solar ultraviolet radiation exposure and estimates of exposure levels were applied to employment information from Canada census data to determine the exposed population in the risk exposure period (1961-2001). Risk estimates were drawn from meta-analyses selected based on quality and relevance to the current study. Population-attributable fractions were calculated using Levin's equation and attributable cases were estimated based on incidence data reported by the Canadian Cancer Society. RESULTS: In 2011, 6.31% (4556 cases) of non-melanoma skin cancer cases were estimated to be attributable to occupational exposure to solar ultraviolet radiation. The majority of these cases occurred in men in the agriculture or construction industries. CONCLUSIONS: These estimates of the burden of non-melanoma skin cancer in Canada identify the need for further prevention efforts, particularly in agriculture and construction. Introducing workplace sun safety measures could be an important area for policy development.
Entities:
Keywords:
Burden; Non-melanoma; Occupational health; Skin cancer; Solar radiation
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