We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Avoidance of sun exposure as a risk factor for major causes of death: a competing risk analysis of the Melanoma in Southern Sweden cohort.
- Authors
Lindqvist, P. G.; Epstein, E.; Nielsen, K.; Landin‐Olsson, M.; Ingvar, C.; Olsson, H.; Landin-Olsson, M
- Abstract
<bold>Objective: </bold>Women with active sunlight exposure habits experience a lower mortality rate than women who avoid sun exposure; however, they are at an increased risk of skin cancer. We aimed to explore the differences in main causes of death according to sun exposure.<bold>Methods: </bold>We assessed the differences in sun exposure as a risk factor for all-cause mortality in a competing risk scenario for 29 518 Swedish women in a prospective 20-year follow-up of the Melanoma in Southern Sweden (MISS) cohort. Women were recruited from 1990 to 1992 (aged 25-64 years at the start of the study). We obtained detailed information at baseline on sun exposure habits and potential confounders. The data were analysed using modern survival statistics.<bold>Results: </bold>Women with active sun exposure habits were mainly at a lower risk of cardiovascular disease (CVD) and noncancer/non-CVD death as compared to those who avoided sun exposure. As a result of their increased survival, the relative contribution of cancer death increased in these women. Nonsmokers who avoided sun exposure had a life expectancy similar to smokers in the highest sun exposure group, indicating that avoidance of sun exposure is a risk factor for death of a similar magnitude as smoking. Compared to the highest sun exposure group, life expectancy of avoiders of sun exposure was reduced by 0.6-2.1 years.<bold>Conclusion: </bold>The longer life expectancy amongst women with active sun exposure habits was related to a decrease in CVD and noncancer/non-CVD mortality, causing the relative contribution of death due to cancer to increase.
- Subjects
SWEDEN; SKIN cancer; MELANOMA; CARDIOVASCULAR diseases; LIFE expectancy; CANCER risk factors; CARDIOVASCULAR disease related mortality; SKIN tumors; CAUSES of death; LONGITUDINAL method; SUNSHINE; TUMORS; ENVIRONMENTAL exposure; PREVENTION
- Publication
Journal of Internal Medicine, 2016, Vol 280, Issue 4, p375
- ISSN
0954-6820
- Publication type
journal article
- DOI
10.1111/joim.12496