{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T19:27:15Z","timestamp":1789846035735,"version":"4.0.1"},"reference-count":44,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2024,9,4]],"date-time":"2024-09-04T00:00:00Z","timestamp":1725408000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acad Dermatol Venereol"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Within the last two decades, no studies have comprehensively reviewed the risk of varying types of ultraviolet (UV) exposure on melanoma in fairer skinned individuals. Our research objective was to determine whether or not there was a change in the risk of UV exposure with development of melanoma in Fitzpatrick skin types I\u2013IV based on more recent data over the past 20\u2009years. We performed a systematic review from January 2002 to December 2021 analysing UV exposure and melanoma risk in Fitzpatrick type I\u2013IV individuals. Out of 19,852 studies, 26 met inclusion criteria. Data spanned subjects from national and multinational cohorts (USA, Europe, Australia, Asia and South America). Twenty studies (77%, 20\/26) identified a significant association between UV exposure and melanoma incidence. Sunburn was the most commonly assessed risk factor. Sunburn studies encompassed 3417 melanoma and found positive significant odds ratios (OR [95% CI]) in 11 out of 13 studies, ranging from 1.23 [1.01\u20131.49] to 8.48 [4.35\u201316.54]. Pooled analysis of the risk of melanoma with sunburn history found an unadjusted odds ratio of 1.66 [1.40\u20131.97] and adjusted odds ratio of 1.23 [1.04\u20131.46]. Cumulative sun exposure, measured as number of hours of sun exposure or calculated UV flux, was the second most common risk factor, encompassing 913 melanomas with positive significant ORs ranging from 1.1 [1.0\u20131.2] to 5.2 [2.1\u201312.5]. For other forms of UV exposure, a majority of studies showed an association with UV index (6\/9), outdoor leisure activity (3\/3) and left\u2010sided laterality (1\/1). Overall, UV exposure should continue to be considered a modifiable risk factor for melanoma in individuals of fairer skin.<\/jats:p>","DOI":"10.1111\/jdv.20316","type":"journal-article","created":{"date-parts":[[2024,9,4]],"date-time":"2024-09-04T08:39:19Z","timestamp":1725439159000},"page":"1239-1253","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["The risk of ultraviolet exposure for melanoma in Fitzpatrick skin types I\u2013<scp>IV<\/scp>: A 20\u2010year systematic review with meta\u2010analysis for sunburns"],"prefix":"10.1111","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8214-6497","authenticated-orcid":false,"given":"Michael","family":"Kwa","sequence":"first","affiliation":[{"name":"Department of Dermatology Henry Ford Health  Detroit Michigan USA"},{"name":"Department of Dermatology Boston University  Boston Massachusetts 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