Impacts of occupational exposure to the sun on the skin of the worker outdoors
DOI:
https://doi.org/10.33448/rsd-v11i3.26992Keywords:
Occupational health; Sun light; Skin.Abstract
Introduction: Excessive sun exposure leads to numerous skin problems that result in damage that makes the skin more susceptible to various external aggressions. This favors the appearance of skin lesions that can compromise the exercise of the profession and the health of workers from different categories who work outdoors. Objective: Systematize and analyze the knowledge available from studies on the impacts of sun exposure on the skin of workers outdoors. Method: Integrative review, carried out with selected studies available in databases (MEDLINE, PubMed, LILACS and SciELO), over a period of 10 years, and in English, Portuguese and Spanish. Results: The articles cover different categories of outdoor workers, in 8 countries, with a predominance of European articles (54%) and with non-melanoma skin cancer, actinic keratosis and actinic cheilitis as the most addressed lesions. Conclusion: There was an association between occupational sun exposure and the development of malignant and pre-malignant skin lesions. The importance of notifying these injuries to public health authorities is highlighted so that sun exposure can be seen as a real occupational risk.
References
Araújo, T. S., & Souza, S. O. (2008). Protetores solares e os efeitos da radiação ultravioleta. Scientia plena, 4(11). https://scientiaplena.emnuvens.com.br/sp/article/view/721
Bezerra, S. M. D. F. M. D. C., Sotto, M. N., Orii, N. M., Alves, C., & Duarte, A. J. D. S. (2011). Effects of long-term chronic exposure to sun radiation in immunological system of commercial fishermen in Recife, Brazil. Anais Brasileiros de Dermatologia, 86(2), 222-233. https://doi.org/10.1590/S0365-05962011000200004
Carvalho, C. H. P., de Oliveira Dantas, L. R., Oliveira, B. R. S., & do Nascimento, G. J. F. (2019). Prevalência e fatores associados da quelite actínica em trabalhadores ao ar livre do nordeste brasileiro. Revista Saúde & Ciência Online, 8(1), 5-15. https://doi.org/10.35572/rsc.v8i1.498
Ribeiro, A. O., da Silva, L. C. F., & Martins‐Filho, P. R. S. (2014). Prevalence of and risk factors for actinic cheilitis in Brazilian fishermen and women. International journal of dermatology, 53(11), 1370-1376. https://doi.org/10.1111/ijd.12526
Galvão, C. M., Sawada, N. O., & Mendes, I. A. C. (2003). A busca das melhores evidências. Revista da Escola de Enfermagem da USP, 37(4), 43-50. https://www.scielo.br/j/reeusp/a/cfryP6YKfwDY8FgtCVgRN7d/?format=pdf&lang=pt
Gobba, F., Modenese, A., & John, S. M. (2019). Skin cancer in outdoor workers exposed to solar radiation: a largely underreported occupational disease in Italy. Journal of the European Academy of Dermatology and Venereology, 33(11), 2068-2074. https://doi.org/10.1111/jdv.15768.
Grandahl, K., Olsen, J., Friis, K. B. E., Mortensen, O. S., & Ibler, K. S. (2019). Photoaging and actinic keratosis in Danish outdoor and indoor workers. Photodermatology, Photoimmunology & Photomedicine, 35(4), 201-207. https://doi.org/ 10.1111/phpp.12451
Hayashide, J. M., Minnicelli, R. S., Oliveira, O. D., Sumita, J. M., Suzuki, N. M., Zambianco, C. A., Framil, M. S., & Morrone, L. C. (2010). Doenças de pele entre trabalhadores rurais expostos a radiação solar. Estudo integrado entre as áreas de Medicina do trabalho e Dermatologia. Revista Brasileira de Medicina do Trabalho, 8(2), 97-104. http://www.rbmt.org.br/details/107/pt-BR/doencas-de-pele-entre-trabalhadores-rurais-expostos-a-radiacao-solar--estudo-integrado-entre-as-areas-de-medicina-do-trabalho-e-dermatologia
Lima, A. G., da Silva, A. M. M., Soares, C. E. C., de Souza, R. A. X., & de Souza, M. C. M. R. (2010). Fotoexposição solar e fotoproteção de agentes de saúde em município de Minas Gerais. Revista eletrônica de enfermagem, 12(3), 478-82. https://doi.org/10.5216/ree.v12i3.6156
Lucena, E. E. D. S., Costa, D. C. B., Silveira, É. J. D. D., & Lima, K. C. D. (2012). Prevalence and factors associated with orolabial lesions in beach workers. Revista de saúde pública, 46, 1051-1057. https://www.scielosp.org/article/rsp/2012.v46n6/1051-1057/en/#ModalArticles
Moreira, L. R. (2014). Manual de revisão bibliográfica sistemática integrativa: a pesquisa baseada em evidências. Belo Horizonte: Anima Educação. http://biblioteca.cofen.gov.br/wp-content/uploads/2019/06/manual_revisao_bibliografica-sistematica-integrativa.pdf
McCarthy, E. M., Ethridge, K. P., & Wagner Jr, R. F. (1999). Beach holiday sunburn: the sunscreen paradox and gender differences. Cutis, 64(1), 37-42. https://pubmed.ncbi.nlm.nih.gov/10431670/#:~:text=Men%20exhibited%20a%20significantly%20higher,and%20skin%20cancer%20than%20women.
Miranda, A. M. O., Ferrari, T. M., & Calandro, T. L. L. (2011). Queilite Actínica: Aspectos Clínicos e Prevalência Encontrados em Uma População Rural do Interior do Brasil. Saúde e Pesquisa, 4(1).
https://periodicos.unicesumar.edu.br/index.php/saudpesq/article/view/1748
Modenese, A., Bisegna, F., Borra, M., Grandi, C., Gugliermetti, F., Militello, A., & Gobba, F. (2016). Outdoor work and solar radiation exposure: Evaluation method for epidemiological studies. Medycyna Pracy, 67(5), 577–88. https://doi.org/ 10.13075/mp.5893.00461.
Pereira, C. D. A. (2017). A importância da atuação do médico do trabalho na prevenção do câncer de pele ocupacional. Revista Brasileira de Medicina do Trabalho, 15(1) 73-79. https://www.rbmt.org.br/details/215/pt-BR/a-importancia-da-atuacao-do-medico-do-trabalho-na-prevencao-do-cancer-de-pele-ocupacional
Rossoe, E. W. T., Tebcherani, A. J., Sittart, J. A., & Pires, M. C. (2011). Queilite actínica: avaliação comparativa estética e funcional entre as vermelhectomias clássica e em W-plastia. Anais Brasileiros de Dermatologia, 86(1), 65-73. https://doi.org/10.1590/S0365-05962011000100008
Rushton, L. J., & Hutchings, S. (2017). The burden of occupationally-related cutaneous malignant melanoma in Britain due to solar radiation. British Journal of Cancer, 116(4), 536-539. https://doi.org/10.1038/bjc.2016.437
Santos, R. F. D., Oliveira, R. L. D., Gallottini, M., Caliento, R., & Sarmento, D. J. D. S. (2018). Prevalence of and factors associated with actinic cheilitis in extractive mining workers. Brazilian Dental Journal, 29, 214-221. https://doi.org/10.1590/0103-6440201801605
Souza, M. T. D., Silva, M. D. D., & Carvalho, R. D. (2010). Revisão integrativa: o que é e como fazer. Einstein (São Paulo), 8, 102-106. https://doi.org/10.1590/S1679-45082010RW1134
Szewczyk, M., Pazdrowski, J., Golusiński, P., Dańczak-Pazdrowska, A., Łuczewski, Ł., Marszałek, S., Majschrzak, E., & Golusiński, W. (2016). Basal cell carcinoma in farmers: an occupation group at high risk. International Archives of Occupational and Environmental Health, 89(3), 497-501. https://doi.org/10.1007/s00420-015-1088-0.
Tenorio, E. P., Santos, J. A. P. D., Ferreira, S. M. S., Peixoto, F. B., & Ribeiro, C. M. B. (2018). Queilite actínica: relato de caso. Revista Médica de Minas Gerais, 28, e-1970. http://dx.doi.org/10.5935/2238-3182.20180060
Wright, C. Y., Reddy, T., Mathee, A., & Street, R. A. (2017). Sun exposure, sun-related symptoms, and sun protection practices in an African informal traditional medicines market. International Journal of Environmental Research and Public Health, 14(10), 1142. https://doi.org/10.3390/ijerph14101142
Zink, A., Koch, E., Seifert, F., Rotter, M., Spinner, C. D., & Biedermann, T. (2016). Nonmelanoma skin cancer in mountain guides: high prevalence and lack of awareness warrant development of evidence-based prevention tools. Swiss medical weekly, (49). https://doi.org/10.4414/smw.2016.14380
Zink, A., Tizek, L., Schielein, M., Böhner, A., Biedermann, T., & Wildner, M. (2018). Different outdoor professions have different risks–a cross‐sectional study comparing non‐melanoma skin cancer risk among farmers, gardeners and mountain guides. Journal of the European Academy of Dermatology and Venereology, 32(10), 1695-1701. https://doi.org/10.1111/jdv.15052
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Copyright (c) 2022 Marcelo Santos Lopes; Ana Raquel Santiago de Lima; Emerson de Santana Santos; Thaiane Santana Santos; Maria do Socorro Claudino Barreiro
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