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January 24, 2026JDDG Journal der Deutschen Dermatologischen Gesellschaft0 citationsOpen Access

Outdoor work as risk factor for facial melanoma: UV exposure, risk awareness, and occupational relevance

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SDSusanne Dugas‐BreitHeidelberg UniversityJHJessica C. HasselHeidelberg UniversityMDMartin DugasHeidelberg University

Key Points

  • The study aims to explore the relationship between outdoor work and the risk of facial melanoma, considering UV exposure and awareness.
  • Cross-sectional analysis of melanoma patients' demographics and characteristics.
  • Data stratified by occupational exposure (indoor vs. outdoor).
  • Logistic regression used to identify predictors for melanoma location.
  • 15% of patients had a history of outdoor work.
  • Outdoor workers showed a higher prevalence of facial melanoma (p = 0.020).
  • Logistic regression revealed outdoor work and age as significant predictors of facial melanoma.

Abstract

Summary Background This study explored UV exposure and prevention behaviors among melanoma patients, focusing on occupational UV exposure, melanoma characteristics, risk awareness, and protective behaviors. Patients and Methods This cross‐sectional study analyzed demographics, melanoma characteristics, UV exposure, awareness, and preventive measures. Data were stratified by occupational exposure (indoor vs. outdoor) and analyzed using logistic regression to identify predictors for melanoma location. Results Among 406 patients (54% female; median age 57), 59 (15%) had a history of outdoor work. Outdoor workers were more likely to develop melanoma in sun‐exposed areas. They also had a higher prevalence of facial melanoma (p = 0.020); those with facial involvement had worked outdoors twice as long as those with melanoma at other sites, indicating a dose‐effect relationship. Logistic regression identified outdoor work (OR 2.47) and age (OR 1.05) as significant predictors of facial melanoma. A total of 229 patients (57%) were unaware of the potential harms of UV radiation before diagnosis. Among outdoor workers, only 3 (5%) reported frequent sun protection, while 33 (56%) used it rarely or never. Conclusions Outdoor work is a significant risk factor for facial melanoma in this cohort. Sun protection and UV awareness remain insufficient, particularly among outdoor workers, highlighting the need for targeted prevention.

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Cite This Study

Dugas‐Breit et al. (2026) studied this question.

synapsesocial.com/papers/697461a8bb9d90c67120b7c5https://doi.org/10.1111/ddg.15995
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