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Cited by 10Skin Protection and AgingCutaneous Melanoma Detection and Managementmelanin and skin pigmentation

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Ambient ultraviolet A, ultraviolet B, and risk of melanoma in a nationwide United States cohort, 1984-2014

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Cahoon, Elizabeth K, Mandal, Soutrik, Pfeiffer, Ruth M, Wheeler, David C, Sargen, Michael R, Alexander, Bruce H, Kitahara, Cari M, Linet, Martha S, Mai, Jim Z·2024·JNCI: Journal of the National Cancer Institute
DOI 10.1093/jnci/djae186PMC PMC11630504
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Abstract

Background: Ultraviolet radiation (UVR) exposure is the primary risk factor for melanoma, although the relationship is complex. Compared with radiation from UVB wavelengths, UVA makes up a majority of the surface solar UVR, penetrates the skin more deeply, is the principal range emitted by tanning beds, and is less filtered by sunscreens and window glass. Few studies have examined the relationship between ambient UVA and UVB and melanoma risk. Methods: Incidence rate ratios (IRRs) and 95% confidence intervals (CIs) were estimated for the association between satellite-based ambient (based on residential history) UVA, UVB, and melanoma in non-Hispanic White participants using data from the United States Radiologic Technologists study, a large, nationwide prospective cohort. Associations of UVA and UVB quartile (Q) were examined in mutually adjusted and stratified models, additionally adjusted for demographic and sun sensitivity characteristics. Results: There were 837 incident melanoma cases among 62 785 participants. Incidence of melanoma was statistically significantly increased for the highest quartile of childhood UVA exposure after adjustment for UVB (IRR = 2.82; 95% CI = 1.46 to 5.44) but not for higher childhood UVB after adjustment for UVA. Childhood UVA was associated with increased melanoma risk within strata of UVB. Childhood UVB was not associated with melanoma after adjustment for UVA, but there was some evidence of lower risk with increased lifetime ambient UVB after UVA adjustment. Conclusions: Melanoma risk was elevated among participants living in locations with high annual childhood and lifetime UVA after controlling for UVB. With confirmation, these findings support increased protection from solar UVA for melanoma prevention.

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Crossref · 10.1093/jnci/djae186

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Metadata

Authors
Cahoon, E. K., Mandal, S., Pfeiffer, R. M., Wheeler, D. C., Sargen, M. R., Alexander, B. H., Kitahara, C. M., Linet, M. S., & Mai, J. Z.
Affiliations
  • National Institutes of Health (US)
  • Virginia Commonwealth University (US)
  • University of Minnesota (US)
  • Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, US Department of Health and Human Services , Bethesda, MD,
Corresponding author
Cahoon, Elizabeth K
ORCID
Venue
JNCI: Journal of the National Cancer Institute
Publisher
Oxford University Press (OUP)
Published
2024-08-08
Volume
116
Issue
12
Pages
1928-1933
ISSN
  • 0027-8874 (ISSN-L)
  • 1460-2105
DOI
10.1093/jnci/djae186
PMC
PMC11630504
OpenAlex
W4401439098
Cited by
10
References
2
Citations by year
2026: 5 · 2025: 4 · 2024: 1
FWCI
4.09
Type
journal article
Language
en
Open access
Licence
public-domain
Locations
  • JNCI Journal of the National Cancer Institute (publishedVersion, public-domain)
  • PubMed Central (publishedVersion, public-domain)
  • PubMed (publishedVersion)
Funders
  • Intramural Research Program
  • Division of Cancer Epidemiology and Genetics
  • National Cancer Institute
  • National Institutes of Health
  • Department of Health and Human Services
Topics
  • Health Sciences › Medicine › Dermatology › Skin Protection and Aging
  • Health Sciences › Medicine › Oncology › Cutaneous Melanoma Detection and Management
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › melanin and skin pigmentation
Keywords
melanoma, UVA, UV-B radiation, melanoma risk, sun sensitivity, tanning beds, melanoma prevention
MeSH terms
Adult, Aged, Environmental Exposure, Female, Humans, Male, Melanoma, Middle Aged, Neoplasms, Radiation-Induced, Prospective Studies, Risk Factors, Skin Neoplasms, Ultraviolet Rays, United States, Incidence

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