{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T22:02:43Z","timestamp":1790373763012,"version":"4.1.0"},"reference-count":40,"publisher":"Wiley","issue":"S3","license":[{"start":{"date-parts":[[2016,3,17]],"date-time":"2016-03-17T00:00:00Z","timestamp":1458172800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acad Dermatol Venereol"],"published-print":{"date-parts":[[2016,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>An adequate evaluation of the ultraviolet (<jats:styled-content style=\"fixed-case\">UV<\/jats:styled-content>) cumulative exposure is a major problem in epidemiological studies on chronic skin damage. Questionnaires may be applied as useful tools.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>We developed an original questionnaire to evaluate individual cumulative exposure to solar radiation (<jats:styled-content style=\"fixed-case\">SR<\/jats:styled-content>) in patients affected by actinic keratosis (<jats:styled-content style=\"fixed-case\">AK<\/jats:styled-content>), basal cell carcinoma (<jats:styled-content style=\"fixed-case\">BCC<\/jats:styled-content>) and squamous cell carcinoma (<jats:styled-content style=\"fixed-case\">SCC<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>The questionnaire, considering both working and leisure exposure, was applied to evaluate the whole life history of solar <jats:styled-content style=\"fixed-case\">UV<\/jats:styled-content> radiation exposure in a group of patients of the Dermatologic Clinic of <jats:styled-content style=\"fixed-case\">UNIMORE<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In outdoor workers (<jats:styled-content style=\"fixed-case\">OW<\/jats:styled-content>), the co\u2010presence of <jats:styled-content style=\"fixed-case\">AK<\/jats:styled-content>\/<jats:italic>in\u00a0situ <\/jats:italic><jats:styled-content style=\"fixed-case\">SCC<\/jats:styled-content> and invasive non\u2010melanoma skin cancers (<jats:styled-content style=\"fixed-case\">NMSC<\/jats:styled-content>s) was increased compared to indoor workers (<jats:styled-content style=\"fixed-case\">IW<\/jats:styled-content>), as was the frequency of multiple skin lesions. The prevalence of skin lesions of the face was significantly higher in <jats:styled-content style=\"fixed-case\">OW<\/jats:styled-content>. Work \u2018sometimes\u2019 or \u2018often\u2019 in the shades was associated with an absence of skin lesions on the shoulders and neck, while workers adopting \u2018sometimes\u2019 or \u2018often\u2019 a downward bent position were more likely to develop lesions on the top of the head. Considering leisure activities, the use of tanning beds was associated to the presence of skin lesions on the shoulders, neck and chest. Considering vacation periods, subjects spending at least 2\u00a0h outdoor in the period 11\u00a0am to 1\u00a0pm presented earlier diagnoses of skin cancers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Results of the original questionnaire developed are coherent with current knowledge and confirm the important role of <jats:styled-content style=\"fixed-case\">UV<\/jats:styled-content> exposure, both occupational and recreational, in the development of <jats:styled-content style=\"fixed-case\">AK<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">NMSC<\/jats:styled-content>s. Data support the hypothesis that this questionnaire can be applied as useful tool for the evaluation of cumulative <jats:styled-content style=\"fixed-case\">UV<\/jats:styled-content> exposure in future epidemiological studies.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jdv.13606","type":"journal-article","created":{"date-parts":[[2016,3,20]],"date-time":"2016-03-20T15:56:44Z","timestamp":1458489404000},"page":"21-26","source":"Crossref","is-referenced-by-count":21,"title":["Questionnaire\u2010based evaluation of occupational and non\u2010occupational solar radiation exposure in a sample of Italian patients treated for actinic keratosis and other non\u2010melanoma skin cancers"],"prefix":"10.1111","volume":"30","author":[{"given":"A.","family":"Modenese","sequence":"first","affiliation":[{"name":"Chair of Occupational Medicine University of Modena and Reggio Emilia Modena Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Farnetani","sequence":"additional","affiliation":[{"name":"Chair of Dermatology University of Modena and Reggio Emilia Modena Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Andreoli","sequence":"additional","affiliation":[{"name":"Chair of Occupational Medicine University of Modena and Reggio Emilia Modena Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Pellacani","sequence":"additional","affiliation":[{"name":"Chair of Dermatology University of Modena and Reggio Emilia Modena Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Gobba","sequence":"additional","affiliation":[{"name":"Chair of Occupational Medicine University of Modena and Reggio Emilia Modena Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,3,17]]},"reference":[{"key":"e_1_2_5_2_1","first-page":"341","volume-title":"Radiation Volume 100 D. 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