2012, Number 3
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Gac Med Mex 2012; 148 (3)
Solar exposure time for sunburn in Mexican population
Castanedo CJP, BTorres ÁB, Sobrevilla OS, Ehnis PA, Gordillo MA
Language: Spanish
References: 19
Page: 243-247
PDF size: 81.78 Kb.
ABSTRACT
Introduction: the minimal erythemal dose (MED) quantifies an individual’s sensitivity to UV radiation (UVR). To estimate it in our population and establish the time of exposure inducing it during daily activities would allow us to calculate risk intervals.
Methods: from 2005-2012, the UV solar radiation was measured with terrestrial radiometry and compared to public UV index (UVI). We determined the MED in 90 individuals with the prevalent phototypes in Mexico (III, IV, V), and estimated the time needed for the development of sunburn.
Results: the average MED for phototype III was 39 (IC 95%: 35-42) mJ/cm
2, for IV 48 (IC 95%:42-53) mJ/cm
2, and for V was 84 (IC 95%:75-92) mJ/cm
2 (ANOVA, p ≤ 0.001). Approximately, 80% of the daily UVR was accumulated between 10:00-16:00 h, and 77% of the annual UV dose is received between March-October. The public UVI had a high correlation with the one quantified at terrestrial level (r = 0.89; p ≤ 0.001).
Conclusions: Mexico receives continuously high levels of UVR. Phototype III will present sunburn after 22-33 min in a summer day, while phototype V will require over one hour of exposure. This last group is at risk of chronic exposure without considering consequences.
REFERENCES
Harrison GI, Young AR. Ultraviolet radiation-induced erythema in human skin. Methods. 2002;28:14-9.
Castanedo-Cazares JP, Lepe V, Gordillo-Moscoso A, Moncada B. Dosis de radiación ultravioleta en escolares mexicanos. Salud Pública Mex. 2003;45:439-44.
Castanedo-Cazares JP, Torres-Álvarez B, Medellín-Pérez ME, Aguilar-Hernández GA, Moncada B. Conocimientos y actitudes de la población mexicana con respecto a la radiación solar. Gac Med Mex. 2006;142:451-5.
Pathak MA, Fanselow DL. Photobiology of melanin pigmentation: dose/ response of skin to sunlight and its contents. J Am Acad Dermatol. 1983;9:724-33.
Wolf R, Oumeish OY. Photodermatosis. Clin Dermatol. 1998;16:41-55.
Fitzpatrick TB. The validity and practicality of sun-reactive skin types I through VI. Arch Dermatol. 1988;124:869-71.
Geller AC, Hufford D, Miller DR, et al. Evaluation of the ultraviolet index: media reactions and public response. J Am Acad Dermatol. 1997; 37:935-41.
Kappes UP, Luo D, Potter M, Schulmeister K, Rünger TM. Short- and long-wave UV light (UVB and UVA) induce similar mutations in human skin cells. J Invest Dermatol. 2006;126:667-75.
Damian DL, Matthews YJ, Phan TA, Halliday GM. An action spectrum for ultraviolet radiation-induced immunosuppression in humans. Br J Dermatol. 2011;164:657-9.
Yaar M, Gilchrest BA. Photoageing: mechanism, prevention and therapy. Br J Dermatol. 2007;157:874-87.
Urbach F. Ultraviolet radiation and skin cancer of humans. J Photochem Photobiol B. 1997;40:3-7.
Secretaría de Salud. Registro histopatológico de neoplasias malignas. Compendio mortalidad, morbilidad. México, D.F.: SSA; 2004.
Landis J, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33:159-74.
Sayre RM, Cole C, Billhimer W, Stanfield J, Ley RD. Spectral comparison of solar simulators and sunlight. Photodermatol Photoimmunol Photomed. 1990;7:159-65.
McKinlay AF, Diffey BL. A reference action spectrum for ultraviolet induced erythema in human skin. CIE J. 1987;6:17-22.
Mackenzie LA. The analysis of the ultraviolet radiation doses required to produce erythemal responses in normal skin. Br J Dermatol. 1983;108:1-9.
Long CS, Miller AJ, Lee HT, Wild JD, Przywarty RC, Hufford D. Ultraviolet index forecasts issued by National Weather Service. Bulletin American Meteorological Society. 1996;77:729.
Diffey BL. What is light? Photodermatol Photoimmunol Photomed. 2002;18:68-74.
Lavker RM, Gerberick GF, Veres D, Irwin CJ, Kaidbey KH. Cumulative effects from repeated exposures to suberythemal doses of UVB and UVA in human skin. J Am Acad Dermatol. 1995;32:53-62.