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Risk factors for cutaneous malignant melanoma among aircrews and a random sample of the population.

机译:机组人员和人群的随机样本中皮肤恶性黑色素瘤的危险因素。

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AIMS: To evaluate whether a difference in the prevalence of risk factors for malignant melanoma in a random sample of the population and among pilots and cabin attendants could explain the increased incidence of malignant melanoma which had been found in previous studies of aircrews. METHODS: A questionnaire was used to collect information on hair colour, eye colour, freckles, number of naevi, family history of skin cancer and naevi, skin type, history of sunburn, sunbed, all sunscreen use, and number of sunny vacations. RESULTS: The 239 pilots were all males and there were 856 female cabin attendants, which were compared with 454 males and 1464 females of the same age drawn randomly from the general population. The difference in constitutional and behavioural risk factors for malignant melanoma between the aircrews and the population sample was not substantial. The aircrews had more often used sunscreen and had taken more sunny vacations than the other men and women. The predictive values for use of sunscreen were 0.88 for pilots and 0.85 for cabin attendants and the predictive values for sunny vacation were 1.36 and 1.34 respectively. CONCLUSION: There was no substantial difference between the aircrew and the random sample of the population with respect to prevalence of risk factors for malignant melanoma. Thus it is unlikely that the increased incidence of malignant melanoma found in previous studies of pilots and cabin attendants can be solely explained by excessive sun exposure.
机译:目的:评估随机人群中以及飞行员和机舱服务员中恶性黑色素瘤危险因素的患病率是否可以解释以前空勤人员研究发现的恶性黑色素瘤发病率增加。方法:使用问卷调查表收集有关头发颜色,眼睛颜色,雀斑,naevi的数量,皮肤癌和naevi的家族史,皮肤类型,晒伤,日光浴浴床,所有防晒剂使用和阳光明媚假期的信息。结果:239名飞行员均为男性,女性856名乘务员,与之相比,从普通人群中随机抽取了454名男性和1464名女性。机组人员和人群样本之间恶性黑色素瘤的体质和行为危险因素差异不大。与其他男人和女人相比,机组人员更经常使用防晒霜,并度过了更多的阳光假期。飞行员使用防晒霜的预测值分别为0.88和机舱服务员0.85,而晴天的预测值分别为1.36和1.34。结论:就恶性黑色素瘤的危险因素的患病率而言,机组人员和随机样本之间没有显着差异。因此,在飞行员和机舱服务人员先前的研究中发现的恶性黑色素瘤的发病率增加不可能完全由过度的日光照射来解释。

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