{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:44:08Z","timestamp":1790642648718,"version":"4.1.0"},"reference-count":42,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2018,5,27]],"date-time":"2018-05-27T00:00:00Z","timestamp":1527379200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100005713","name":"Technische Universit\u00e4t M\u00fcnchen","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005713","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acad Dermatol Venereol"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      One of the main risk factors for non\u2010melanoma skin cancer (\n                      <jats:styled-content style=\"fixed-case\">NMSC<\/jats:styled-content>\n                      ), the most common cancer worldwide, is solar ultraviolet radiation (\n                      <jats:styled-content style=\"fixed-case\">UVR<\/jats:styled-content>\n                      ). This has led to the recognition of\n                      <jats:styled-content style=\"fixed-case\">NMSC<\/jats:styled-content>\n                      as occupational disease for outdoor workers in several countries. However, outdoor professions are a very heterogeneous group with diverse daily activities and associated\n                      <jats:styled-content style=\"fixed-case\">UVR<\/jats:styled-content>\n                      exposure.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      To compare the prevalence of\n                      <jats:styled-content style=\"fixed-case\">NMSC<\/jats:styled-content>\n                      and associated risk behaviour in different outdoor professions.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Cross\u2010sectional study among outdoor workers (farmers, gardeners, mountain guides) and indoor workers (office employees) as control group using a paper\u2010based questionnaire on\n                      <jats:styled-content style=\"fixed-case\">UVR<\/jats:styled-content>\n                      exposure and protective behaviour followed by a skin examination by a dermatologist.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 563 participants (46.9% women, 46.9 \u00b1 13.8 years) consisting of 348 outdoor workers (38.8% farmer, 35.3% gardener, 25.9% mountain guides) and 215 indoor workers were included in the study between March and September 2017.\n                      <jats:styled-content style=\"fixed-case\">NMSC<\/jats:styled-content>\n                      incl. actinic keratosis was diagnosed in 33.3% of mountain guides, 27.4% of farmers, 19.5% of gardeners and in 5.6% of indoor workers. Significant differences were seen between the outdoor professions with mountain guides at highest risk compared to farmers (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      = 2.6, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      = 1.2\u20135.7). Substantial differences between the professions were also seen in skin cancer screening attendance rates (indoor worker 61.4%, mountain guides 57.8%, farmers 31.9%, gardeners 27.6%), daily\n                      <jats:styled-content style=\"fixed-case\">UVR<\/jats:styled-content>\n                      exposure during work and protective behaviour such as sunscreen use during work.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      Different outdoor professions have significant different risks for\n                      <jats:styled-content style=\"fixed-case\">NMSC<\/jats:styled-content>\n                      and show different risk behaviour. Tailoring prevention efforts to different professions based on their individual needs could be the key to lower the global burden of (occupational)\n                      <jats:styled-content style=\"fixed-case\">NMSC<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jdv.15052","type":"journal-article","created":{"date-parts":[[2018,5,28]],"date-time":"2018-05-28T02:44:18Z","timestamp":1527475458000},"page":"1695-1701","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":59,"title":["Different outdoor professions have different risks \u2013 a cross\u2010sectional study comparing non\u2010melanoma skin cancer risk among farmers, gardeners and mountain guides"],"prefix":"10.1111","volume":"32","author":[{"given":"A.","family":"Zink","sequence":"first","affiliation":[{"name":"Department of Dermatology and Allergy Technical University of Munich Munich Germany"},{"name":"Pettenkofer School of Public Health, LMU Munich Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Tizek","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Allergy Technical University of Munich Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Schielein","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Allergy Technical University of Munich Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"B\u00f6hner","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Allergy Technical University of Munich Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Biedermann","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Allergy Technical University of Munich Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Wildner","sequence":"additional","affiliation":[{"name":"Bavarian Health and Food Safety Authority Munich Germany"},{"name":"Pettenkofer School of Public Health, LMU Munich Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,5,27]]},"reference":[{"key":"e_1_2_5_2_1","article-title":"Patient\u2010reported health outcomes in patients with non\u2010melanoma skin cancer and actinic keratosis: results from a large scale observational study analysing effects of diagnoses and disease progression","author":"Philipp\u2010Dormston WG","year":"2017","journal-title":"J Eur Acad Dermatol Venereol"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.13608"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)61196-X"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00105-017-4058-5"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00105-015-3587-z"},{"key":"e_1_2_5_7_1","doi-asserted-by":"crossref","first-page":"1102","DOI":"10.1111\/ddg.12537","article-title":"Skin cancer induced by natural UV\u2010radiation as an occupational disease\u2014requirements for its notification and recognition","volume":"12","author":"Diepgen TL","year":"2014","journal-title":"J Dtsch Dermatol Ges"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.13609"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/JOM.0000000000001217"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.2011.10425.x"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jid.5701243"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamadermatol.2014.762"},{"key":"e_1_2_5_13_1","first-page":"508","article-title":"A community survey of sun exposure, sunburn and sun protection","volume":"108","author":"McGee R","year":"1995","journal-title":"N Z Med J"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamadermatol.2016.4922"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.2004.06030.x"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.2340\/00015555-2660"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.13605"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.13607"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.13606"},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.14307"},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1610-0387.2012.07890_suppl.x"},{"key":"e_1_2_5_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-3083.2009.03528.x"},{"key":"e_1_2_5_23_1","first-page":"w14380","article-title":"Nonmelanoma skin cancer in mountain guides: high prevalence and lack of awareness warrant development of evidence\u2010based prevention tools","volume":"146","author":"Zink A","year":"2016","journal-title":"Swiss Med Wkly"},{"key":"e_1_2_5_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.14405"},{"key":"e_1_2_5_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.14281"},{"key":"e_1_2_5_26_1","doi-asserted-by":"publisher","DOI":"10.2340\/00015555-2547"},{"key":"e_1_2_5_27_1","doi-asserted-by":"publisher","DOI":"10.2340\/00015555-1625"},{"key":"e_1_2_5_28_1","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.1988.01670060015008"},{"key":"e_1_2_5_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.2007.07860.x"},{"key":"e_1_2_5_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-0960.1983.tb00256.x"},{"key":"e_1_2_5_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.13603"},{"key":"e_1_2_5_32_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00420-008-0342-0"},{"key":"e_1_2_5_33_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-7-180"},{"key":"e_1_2_5_34_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00420-015-1088-0"},{"key":"e_1_2_5_35_1","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-10-0709"},{"key":"e_1_2_5_36_1","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.141.4.507"},{"key":"e_1_2_5_37_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.14837"},{"key":"e_1_2_5_38_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-013-0469-1"},{"key":"e_1_2_5_39_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00105-016-3762-x"},{"key":"e_1_2_5_40_1","doi-asserted-by":"publisher","DOI":"10.1021\/acs.analchem.7b04066"},{"key":"e_1_2_5_41_1","first-page":"48","article-title":"Promoting UV exposure awareness with persuasive, wearable technologies","volume":"227","author":"Hussain MS","year":"2016","journal-title":"Stud Health Technol Inform"},{"key":"e_1_2_5_42_1","doi-asserted-by":"publisher","DOI":"10.1136\/jech-2012-201194"},{"key":"e_1_2_5_43_1","doi-asserted-by":"publisher","DOI":"10.5888\/pcd12.140346"}],"container-title":["Journal of the European Academy of Dermatology and Venereology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjdv.15052","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jdv.15052","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,16]],"date-time":"2023-09-16T03:00:06Z","timestamp":1694833206000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jdv.15052"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,5,27]]},"references-count":42,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2018,10]]}},"alternative-id":["10.1111\/jdv.15052"],"URL":"https:\/\/doi.org\/10.1111\/jdv.15052","archive":["Portico"],"relation":{},"ISSN":["0926-9959","1468-3083"],"issn-type":[{"value":"0926-9959","type":"print"},{"value":"1468-3083","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,5,27]]},"assertion":[{"value":"2018-01-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-04-06","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-05-27","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}