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Occupational ultraviolet light exposure increases the risk for non-melanoma skin cancer: Systematic Review and Meta-Analysis

Amr Ahmed Molla, Omar Osama Shahada, Muayad Saud Albadrani.


Background and Aims: Ultraviolet light (UV) had been found to cause much acute and chronic health burdens on the skin where occupational exposure to sunlight as an outdoor worker and artificial UV is the most common cause of Cutaneous squamous cell carcinoma (SCC). We aimed in this review, to analyse the relationship between occupational exposure to solar UV radiation and the development of cutaneous non melanoma skin cancer (NMSC).

Methods: Comprehensive electronic search with time and language restrictions was conducted. Several known databases were included Ex: “PubMed, The Cochrane Library, Web of Science” from 2015 to 2020. Depending on PRISMA checklist we will remove duplicates, articles will be screened based on title, abstract, and full text.

Results: After applying inclusion, exclusion criteria and applying PRISMA strategy, we had gathered 10 stud¬ies that had different study designs. The ten studies included 85,423 participants in which 77,896 were cases with a type of NMSC and 7527 participants as a control sample with a mean age of 58.15 years old and gender distribution of 65% were male. It seems that patients with any type of NMSC had been exposed to higher UV radiation than control. This was seen in the incidence of SCC and BCC were patients with high occupational UV exposure.

Conclusions: We had found a significant positive association between occupational UV exposure and high inci¬dence of NMSC. Moreover, we had found that the knowledge of outdoor workers about this effect and about the correct application of sun protective measures was low and insufficient.

Key words: Nmsc, Melanoma, Scc, Bcc, Occupational, Outdoor, Indoors, Knowledge, Sun Protective Measures

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