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Non-Melanoma Skin Cancer in Outdoor Workers: A Study on Actinic Keratosis in Italian Navy Personnel

Author

Listed:
  • Luigi Vimercati

    (Interdisciplinary Department of Medicine (DIM), Unit of Occupational Medicine, University of Bari, 70124 Bari, Italy)

  • Luigi De Maria

    (Interdisciplinary Department of Medicine (DIM), Unit of Occupational Medicine, University of Bari, 70124 Bari, Italy)

  • Antonio Caputi

    (Interdisciplinary Department of Medicine (DIM), Unit of Occupational Medicine, University of Bari, 70124 Bari, Italy)

  • Enza Sabrina Silvana Cannone

    (Interdisciplinary Department of Medicine (DIM), Unit of Occupational Medicine, University of Bari, 70124 Bari, Italy)

  • Francesca Mansi

    (Interdisciplinary Department of Medicine (DIM), Unit of Occupational Medicine, University of Bari, 70124 Bari, Italy)

  • Domenica Cavone

    (Interdisciplinary Department of Medicine (DIM), Unit of Occupational Medicine, University of Bari, 70124 Bari, Italy)

  • Paolo Romita

    (Department of Biomedical Science and Human Oncology, Dermatological Clinic, University of Bari, 70124 Bari, Italy)

  • Giuseppe Argenziano

    (Dermatology Unit, Department of Mentals and Physical Health and Preventive medicine, University of Campania Luigi Vanvitelli Naples, 80138 Naples, Italy)

  • Alessandro Di Stefani

    (Institute of Dermatology, Università Cattolica, 00168 Rome, Italy
    Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy)

  • Aurora Parodi

    (Section of Dermatology, Di.S.Sal. Department of Health Science, University of Genoa, San Martino Polyclinic Hospital, 16132 Genoa, Italy)

  • Ketty Peris

    (Institute of Dermatology, Università Cattolica, 00168 Rome, Italy
    Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy)

  • Massimiliano Scalvenzi

    (Dermatology Unit, Department of Clinical Medicine and Surgery, University of Naples Federico II, 80138 Naples, Italy)

  • Giampiero Girolomoni

    (Department of Medicine, Section of Dermatology, University of Verona, 37134 Verona, Italy)

  • Caterina Foti

    (Department of Biomedical Science and Human Oncology, Dermatological Clinic, University of Bari, 70124 Bari, Italy)

Abstract

Occupational exposure to ultraviolet radiation is one of the main risk factors for non-melanoma skin cancer (NMSC) development. The most common variants of NMSC are basal cell carcinomas, squamous cell carcinomas, and actinic keratosis (AK). The latter is nowadays considered by most authors as an early squamous cell carcinoma rather than a precancerous lesion. Outdoor workers have a higher risk of developing NMSC because they spend most of the working day outside. The aim of this descriptive study was to assess the prevalence of skin lesions, especially AK, in a professional category of individuals exposed to ultraviolet (UV) radiation: the Italian Navy. From January to June 2016, a questionnaire and a total skin examination of 921 military personnel were administered by medical specialists (dermatologists) in seven different Italian Navy centres. AK was detected in 217 of 921 (23.5%) workers. Older age, outdoor occupation, longer working life, and fair skin seem to promote the development of AK. Of the 217 workers with AK, 187 (86.2%) had lesions in chronically sun-exposed skin areas. Italian Navy personnel have a high AK prevalence. Further studies are needed to investigate occupational hazards and their health effects among outdoor workers to promote protective behaviour and raise awareness of skin cancer.

Suggested Citation

  • Luigi Vimercati & Luigi De Maria & Antonio Caputi & Enza Sabrina Silvana Cannone & Francesca Mansi & Domenica Cavone & Paolo Romita & Giuseppe Argenziano & Alessandro Di Stefani & Aurora Parodi & Kett, 2020. "Non-Melanoma Skin Cancer in Outdoor Workers: A Study on Actinic Keratosis in Italian Navy Personnel," IJERPH, MDPI, vol. 17(7), pages 1-11, March.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:7:p:2321-:d:338867
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    References listed on IDEAS

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    1. Alberto Modenese & Francesco Pio Ruggieri & Fabio Bisegna & Massimo Borra & Chiara Burattini & Elena Della Vecchia & Carlo Grandi & Anna Grasso & Luca Gugliermetti & Marco Manini & Andrea Militello & , 2019. "Occupational Exposure to Solar UV Radiation of a Group of Fishermen Working in the Italian North Adriatic Sea," IJERPH, MDPI, vol. 16(16), pages 1-12, August.
    2. Alberto Modenese & Leena Korpinen & Fabriziomaria Gobba, 2018. "Solar Radiation Exposure and Outdoor Work: An Underestimated Occupational Risk," IJERPH, MDPI, vol. 15(10), pages 1-24, September.
    3. Luigi Vimercati & Fulvio Fucilli & Domenica Cavone & Luigi De Maria & Francesco Birtolo & Giovanni Maria Ferri & Leonardo Soleo & Piero Lovreglio, 2018. "Radon Levels in Indoor Environments of the University Hospital in Bari-Apulia Region Southern Italy," IJERPH, MDPI, vol. 15(4), pages 1-9, April.
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