Abstract
Objectives: Public health messaging about sun avoidance strategies is often not practical for outdoor workers. The objective of this study was to use personal monitoring data to determine when peak UVR exposure occurs for outdoor workers, estimate how much UVR could be reduced by altering the timing of shady tasks or breaks during peak exposure times, and descriptively compare these to peak periods of ambient UVR. Ultimately, we aim to provide evidence-based sun avoidance recommendations for outdoor workers in British Columbia, Canada.Methods: UVR exposure data [standard erythemal dose (SED)] were collected during the 2013 summer months in Vancouver, using personal electronic dosimeters that sampled once per minute for an average of 4.4 working days (range: 1–7 days). Mixed-effect models were used to estimate the 60-, 30-, and 15-min time intervals at which maximum exposure occurred for the months of July and August. Using these time intervals, UVR exposure during peak periods was summarized as SED and as a percentage of the total daily exposure. Ambient UVR was also collected using data from the nearest Brewer spectrophotometer station and parallel analyses were conducted.Results: There were 73 workers and 321 participant-days available for analysis. Models indicated that periods of maximum exposure for 15-, 30-, and 60-min intervals began at 12:28, 12:17 pm, and 11:52 am, respectively, for sunny days in July. These periods were similar in August. The median exposure during these time periods and the potential for reducing UVR was 0.03 SED (2.8% potential daily exposure reduction), 0.09 SED (7.1%), and 0.18 SED (15.9%), respectively. However, there was a large range in exposure estimates as some workers experienced up to 84.8% of their exposure in the peak 60-min interval.Conclusion: Skin cancer prevention messaging does not include practical messages for outdoor workers and providing times of peak UVR help to identify times when the greatest reductions in exposure can occur. Prevention measures including shady breaks, increased sun protection, and task reorganization during these peak times are recommended during these peak times to reduce UVR exposure among those at highest risk.
Highlights
Outdoor workers are exposed to high levels of solar ultraviolet radiation (UVR) during the workday that leaves them at increased risk of developing skin cancer [1]
This pattern of longterm exposure to solar UVR consistent with outdoor occupations is associated with an increased risk of non-melanoma skin cancers (NMSCs) [2, 3]
Similar results have been found in other countries, suggesting that greater efforts need to be placed on providing resources for sun protection in these occupational settings [7, 8]
Summary
Outdoor workers are exposed to high levels of solar ultraviolet radiation (UVR) during the workday that leaves them at increased risk of developing skin cancer [1]. This pattern of longterm exposure to solar UVR consistent with outdoor occupations is associated with an increased risk of non-melanoma skin cancers (NMSCs) [2, 3]. Similar results have been found in other countries, suggesting that greater efforts need to be placed on providing resources for sun protection in these occupational settings [7, 8]
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