Document Detail

Expatriates in high-UV index and tropical countries: sun exposure and protection behavior in 9,416 French adults.
MedLine Citation:
PMID:  17367477     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Overexposure to sunlight during long stays in tropical countries can reveal short- and long-term harmful effects on the skin of Caucasian residents, especially for fair-skinned subjects. The aim of this study was to describe sun exposure and sun protection behaviors during lifetime among French adults who declared having experienced at least one expatriation period in tropical or high-sun index areas for a duration of more than three consecutive months. METHODS: A self-reported questionnaire on sun exposure behavior was addressed two times, in 1997 and 2001, to the 12,741 French adult volunteers enrolled in the SU.VI.MAX cohort. A total of 8,084 subjects answered to the first survey and 1,332 additional responders answered to the second. Among the 9,416 individuals, 1,594 (652 women and 942 men) corresponded to expatriates and the remaining 7,822 to nonexpatriates (4,972 women and 2,850 men). A descriptive analysis of sun exposure and sun protection behaviors during lifetime of expatriates and nonexpatriates was performed by gender. RESULTS: Among women, 39% of expatriates belonged to the 50 to 60 class of age at inclusion, versus 33% in nonexpatriates (72 and 55% in men, respectively). In women, expatriates declared more frequently having during lifetime exposed voluntarily their skin to the sun, practiced tanning between 11 a.m. and 4 p.m., less gradually exposed their skin, experienced intensive sun exposure, and exposed their skin during nautical sports and practiced naturism. In men, expatriates declared more frequently having experienced intensive sun exposure and exposed their skin during outdoor occupations and during nautical and mountain sports. CONCLUSIONS: Although expatriates are aware of travel health advices concerning the countries where they planned to stay, they are usually poorly informed about sun exposure risk factors. Such individuals who planned to expatriate in countries with a high ultraviolet index should benefit from a visit to a travel clinic including specific health care information for risk related to sun exposure, ie, skin cancers and photoaging.
Khaled Ezzedine; Christiane Guinot; Emmanuelle Mauger; Thierry Pistone; Nadia Rafii; Marie-Catherine Receveur; Pilar Galan; Serge Hercberg; Denis Malvy
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of travel medicine     Volume:  14     ISSN:  1195-1982     ISO Abbreviation:  J Travel Med     Publication Date:    2007 Mar-Apr
Date Detail:
Created Date:  2007-03-19     Completed Date:  2007-05-11     Revised Date:  2009-07-07    
Medline Journal Info:
Nlm Unique ID:  9434456     Medline TA:  J Travel Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  85-91     Citation Subset:  IM    
Department of Dermatology, Université Libre de Bruxelle, Erasmus Hospital, Brussels, Belgium.
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MeSH Terms
Environmental Exposure
France / ethnology
Health Behavior*
Middle Aged
Skin / radiation effects
Tropical Climate*
Ultraviolet Rays / adverse effects*

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