Abstract
The extent to which the Ultraviolet (UV) index is associated with the prevalence of melanoma and keratinocyte cancer in the United States is not clear. We conducted a cross-sectional study using the Center for Disease Control and Prevention’s (CDC) 2019 Behavioral Risk Factor Surveillance System (BRFSS) telephone interview survey to investigate the epidemiology of skin cancer in the US including age, household income, education, and marital and employment status. Of non-Hispanic white respondents, 9.6% (N = 29,925) reported a being told of a skin cancer diagnosis. The prevalence of skin cancer was significantly higher in high UV (> / = 8) states (11.8%, N = 36,575) than in medium UV (6–7) (9.0%, N = 27,812) and lower UV (< / = 5) (7.8%, N = 24,083) states (p < .0001). Respondents from a medium UV or high UV state had higher odds (1.21 [1.15–2.27], 1.55[1.47–1.63], respectively) of reporting a skin cancer diagnosis than those from a low UV state. The association of UV index with lifetime skin cancer prevalence reinforces the importance of educating patients on preventive practices such as avoidance of tanning beds and usage of UV protection with clothing and sunscreen.
Availability of data, material and code
Available upon request.
References
Watson M, Holman DM, Maguire-Eisen M (2016) Ultraviolet radiation exposure and its impact on skin cancer risk. Semin Oncol Nurs 32(3):241–254. https://doi.org/10.1016/j.soncn.2016.05.005
Xiang F, Lucas R, Hales S, Neale R (2014) Incidence of nonmelanoma skin cancer in relation to ambient UV radiation in white populations, 1978–2012: empirical relationships. JAMA Dermatol 150(10):1063–1071. https://doi.org/10.1001/jamadermatol.2014.762
Eide MJ, Weinstock MA (2005) Association of UV index, latitude, and melanoma incidence in nonwhite populations—US surveillance, epidemiology, and end results (SEER) program, 1992 to 2001. Arch Dermatol 141(4):477–481. https://doi.org/10.1001/archderm.141.4.477
Qureshi AA, Laden F, Colditz GA, Hunter DJ (2008) Geographic variation and risk of skin cancer in us women: differences between melanoma, squamous cell carcinoma, and basal cell carcinoma. Arch Intern Med 168(5):501–507. https://doi.org/10.1001/archinte.168.5.501
Zhu GA, Raber I, Sakshuwong S et al (2016) Estimation of individual cumulative ultraviolet exposure using a geographically-adjusted, openly-accessible tool. BMC Dermatol. 16:1. https://doi.org/10.1186/s12895-016-0038-1
Funding
None.
Author information
Authors and Affiliations
Contributions
TK, JF, and RK had full access to all the data in the study and take responsibility for the integrity of the data and accuracy of the data analysis. Study concept and design: TK, JF. Acquisition of Data: TK, JF. Analysis and interpretation of data: TK, JF. Drafting of the manuscript: TK, RK, JF. Critical revision of the manuscript for important intellectual content: TK, RK, JF.
Corresponding author
Ethics declarations
Conflict of interest
None.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Kaundinya, T., Kundu, R.V. & Feinglass, J. The epidemiology of skin cancer by UV index: cross-sectional analysis from the 2019 behavioral risk factor surveillance survey. Arch Dermatol Res 315, 613–615 (2023). https://doi.org/10.1007/s00403-021-02313-z
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00403-021-02313-z