{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T22:46:03Z","timestamp":1782513963493,"version":"3.54.5"},"reference-count":46,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2010,11,16]],"date-time":"2010-11-16T00:00:00Z","timestamp":1289865600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl Journal of Cancer"],"published-print":{"date-parts":[[2011,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>A model has been proposed whereby melanomas arise through two distinct pathways dependent on the relative influence of host susceptibility and sun exposure. Such pathways may explain site\u2010specific patterns of melanoma occurrence. To explore this model, we investigated the relationship between melanoma risk and general markers of acute (recalled sunburns) and chronic (prevalent solar keratoses) sun exposure, stratified by anatomic site and host phenotype. Our working hypothesis was that head and neck melanomas have stronger associations with solar keratoses and weaker associations with sunburn than trunk melanomas. We conducted a collaborative analysis using original data from women subjects of 11 case\u2013control studies of melanoma (2,575 cases, 3,241 controls). We adjusted for potential confounding effects of sunlamp use and sunbathing. The magnitude of sunburn associations did not differ significantly by melanoma site, nevus count or histologic subtype of melanoma. Across all sites, relative risk of melanoma increased with an increasing number of reported lifetime \u201cpainful\u201d sunburns, lifetime \u201csevere\u201d sunburns and \u201csevere\u201d sunburns in youth (<jats:italic>p<\/jats:italic><jats:sub>trend<\/jats:sub> &lt; 0.001), with pooled odds ratios (pORs) for the highest category of sunburns <jats:italic>versus<\/jats:italic> no sunburns of 3.22 [95% confidence interval (CI) 2.04\u20135.09] for lifetime \u201cpainful\u201d sunburns, 2.10 (95%CI 1.30\u20133.38) for lifetime \u201csevere\u201d sunburns and 2.43 (95%CI 1.61\u20133.65) for \u201csevere\u201d sunburns in youth. Solar keratoses strongly increased the risk of head and neck melanoma (pOR 4.91, 95%CI 2.10\u201311.46), but data were insufficient to assess risk for other sites. Reported sunburn is strongly associated with melanoma on all major body sites.<\/jats:p>","DOI":"10.1002\/ijc.25691","type":"journal-article","created":{"date-parts":[[2010,9,20]],"date-time":"2010-09-20T17:25:52Z","timestamp":1285003552000},"page":"713-723","source":"Crossref","is-referenced-by-count":26,"title":["Biologic markers of sun exposure and melanoma risk in women: Pooled case\u2013control analysis"],"prefix":"10.1002","volume":"129","author":[{"given":"Catherine M.","family":"Olsen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael S.","family":"Zens","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adele C.","family":"Green","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Therese A.","family":"Stukel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. D'Arcy J.","family":"Holman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Mack","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. Mark","family":"Elwood","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth A.","family":"Holly","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlotta","family":"Sacerdote","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Gallagher","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony J.","family":"Swerdlow","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruce K.","family":"Armstrong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Rosso","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Connie","family":"Kirkpatrick","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto","family":"Zanetti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia Newton","family":"Bishop","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Veronique","family":"Bataille","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu\u2010Mei","family":"Chang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rona","family":"Mackie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"\u00d8sterlind","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marianne","family":"Berwick","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret R.","family":"Karagas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David C.","family":"Whiteman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2010,11,16]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0215(19980911)77:6<843::AID-IJC8>3.0.CO;2-U"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/95.11.806"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.24011"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2006.06.1325"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/81.12.948"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/0190-9622(92)70133-Z"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.2910620406"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0215(19960904)67:5<636::AID-IJC8>3.0.CO;2-V"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-04-0632"},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0215(19980925)78:1<8::AID-IJC2>3.0.CO;2-U"},{"key":"e_1_2_5_12_2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jid.5700334"},{"key":"e_1_2_5_13_2","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.21196"},{"key":"e_1_2_5_14_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa050092"},{"key":"e_1_2_5_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9440(10)63536-5"},{"key":"e_1_2_5_16_2","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/djg123"},{"key":"e_1_2_5_17_2","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-06-1038"},{"key":"e_1_2_5_18_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2133.1998.02560.x"},{"key":"e_1_2_5_19_2","doi-asserted-by":"publisher","DOI":"10.1097\/00008390-199404000-00001"},{"key":"e_1_2_5_20_2","first-page":"857","article-title":"Reproducibility of reported measurements of sun exposure in a case\u2013control study","volume":"7","author":"English DR","year":"1998","journal-title":"Cancer Epidemiol Biomarkers Prev"},{"key":"e_1_2_5_21_2","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/31.2.439"},{"key":"e_1_2_5_22_2","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-05-0265"},{"key":"e_1_2_5_23_2","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-08-0894"},{"key":"e_1_2_5_24_2","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/28.3.418"},{"key":"e_1_2_5_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/0959-8049(92)90480-P"},{"key":"e_1_2_5_26_2","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyp166"},{"key":"e_1_2_5_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2009.05.009"},{"key":"e_1_2_5_28_2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bjc.6600196"},{"key":"e_1_2_5_29_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10552-005-0281-y"},{"key":"e_1_2_5_30_2","doi-asserted-by":"publisher","DOI":"10.1002\/sim.852"},{"key":"e_1_2_5_31_2","doi-asserted-by":"publisher","DOI":"10.1038\/bjc.1977.265"},{"key":"e_1_2_5_32_2","doi-asserted-by":"publisher","DOI":"10.1038\/bjc.1996.302"},{"key":"e_1_2_5_33_2","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/19.4.801"},{"key":"e_1_2_5_34_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.292.6535.1555"},{"key":"e_1_2_5_35_2","doi-asserted-by":"publisher","DOI":"10.1038\/bjc.1985.275"},{"key":"e_1_2_5_36_2","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.1985.tb113446.x"},{"key":"e_1_2_5_37_2","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a117359"},{"key":"e_1_2_5_38_2","doi-asserted-by":"publisher","DOI":"10.1038\/bjc.1984.235"},{"key":"e_1_2_5_39_2","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a117093"},{"key":"e_1_2_5_40_2","doi-asserted-by":"publisher","DOI":"10.1023\/A:1008952219416"},{"key":"e_1_2_5_41_2","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.2910420603"},{"key":"e_1_2_5_42_2","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/27.5.751"},{"key":"e_1_2_5_43_2","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/19.3.522"},{"key":"e_1_2_5_44_2","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a008875"},{"key":"e_1_2_5_45_2","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.1991.tb93845.x"},{"key":"e_1_2_5_46_2","doi-asserted-by":"publisher","DOI":"10.1038\/ng.411"},{"key":"e_1_2_5_47_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0215(19981029)78:3<276::AID-IJC2>3.0.CO;2-S"}],"container-title":["International Journal of Cancer"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fijc.25691","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijc.25691","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,16]],"date-time":"2023-10-16T16:22:28Z","timestamp":1697473348000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ijc.25691"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,11,16]]},"references-count":46,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2011,8]]}},"alternative-id":["10.1002\/ijc.25691"],"URL":"https:\/\/doi.org\/10.1002\/ijc.25691","archive":["Portico"],"relation":{},"ISSN":["0020-7136","1097-0215"],"issn-type":[{"value":"0020-7136","type":"print"},{"value":"1097-0215","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,11,16]]}}}