A melanoma epidemic in Iceland: possible influence of sunbed use.

Am J Epidemiol 2010 Oct 2;172(7):762-7. Epub 2010 Sep 2.

Agency for Research on Cancer, Lyon, France.

Since 1980, sunbed use and travel abroad have dramatically increased in Iceland (64°-66°N). The authors assessed temporal trends in melanoma incidence by body site in Iceland in relation to sunbed use and travel abroad. Using joinpoint analysis, they calculated estimated annual percent changes (EAPCs) and identified the years during which statistically significant changes in EAPC occurred. Between 1954 and 2006, the largest increase in incidence in men was observed on the trunk (EAPC = 4.6%, 95% confidence interval: 3.2, 6.0). In women, the slow increase in trunk melanoma incidence before 1995 was followed by a significantly sharper increase in incidence, mainly among women aged less than 50 years, resembling an epidemic incidence curve (1995-2002: EAPC = 20.4%, 95% confidence interval: 9.3, 32.8). In 2002, the melanoma incidence on the trunk was higher than the incidence on the lower limbs for women. Sunbed use in Iceland expanded rapidly after 1985, mainly among young women, and in 2000, it was approximately 2 and 3 times the levels recorded in Sweden and in the United Kingdom, respectively. Travels abroad were more prevalent among older Icelanders. The high prevalence of sunbed use probably contributed to the sharp increase in the incidence of melanoma in Iceland.

Download full-text PDF

Source
http://dx.doi.org/10.1093/aje/kwq238DOI Listing
October 2010
48 Reads
5.230 Impact Factor

Publication Analysis

Top Keywords

increase incidence
12
melanoma incidence
12
travel abroad
8
confidence interval
8
incidence
8
sunbed travel
8
95% confidence
8
melanoma
5
sunbed
5
iceland
5
curve 1995-2002
4
lower limbs
4
largest increase
4
increase
4
2006 largest
4
incidence men
4
incidence lower
4
higher incidence
4
trunk eapc
4
observed trunk
4

References

(Supplied by CrossRef)

IARC monographs on the evaluation of carcinogenic risks to humans / World Health Organization, International Agency for Research on Cancer 1992

El Ghissassi et al.
The lancet oncology 2009

Boniol et al.
JNCI Journal of the National Cancer Institute 2004

Rafnsson et al.
Preventive medicine 2004

International journal of cancer. Journal international du cancer 2007

Gerber et al.
Photochemistry and Photobiology 2002

Miller et al.
Photochemistry and Photobiology 1998

Diffey et al.
The British journal of dermatology 2007

MacKie et al.
Lancet 2002

Dal et al.
European journal of dermatology : EJD 2007

Montella et al.
European journal of cancer (Oxford, England : 1990) 2009

Similar Publications