Global, regional and national burdens of non-melanoma skin cancer attributable to occupational exposure to solar ultraviolet radiation for 183 countries, 2000–2019: A systematic analysis from the WHO/ILO Joint Estimates of the Work-related Burden of Disease and Injury

• DOI: 10.1016/j.envint.2023.108226
• Publication Date: 2023-11-08T00:03:25Z
• Authors: Frank Pega; Natalie C. Momen; Kai N. Streicher; Maria Leon-Roux; Subas Neupane; Mary K. Schubauer...; Joachim Schüz; Marissa Baker; Tim Driscoll; Irina Guseva Canu; Hannah M. Kiiver; Jian Li; Jamaji C. Nwanaji...; Michelle C. Turner; Susana Viegas; Paul J. Villeneuve
• Keywords: Attributable risk

A World Health Organization (WHO) and International Labour (ILO) systematic review reported sufficient evidence for higher risk of non-melanoma skin cancer (NMSC) amongst people occupationally exposed to solar ultraviolet radiation (UVR). This article presents WHO/ILO Joint Estimates global, regional, national subnational occupational exposures UVR 195 countries/areas the regional attributable burdens NMSC 183 countries, by sex age group, years 2000, 2010 2019. We calculated population-attributable fractions (PAFs) from estimates population ratio review. Occupational exposure was modelled via proxy occupation with outdoor work, using 166 million observations 763 cross-sectional surveys 96 countries/areas. Attributable burden estimated applying PAFs WHO's total burden. Measures inequality were calculated. Globally in 2019, 1.6 billion workers (95 % uncertainty range [UR] 1.6–1.6) UVR, or 28.4 (UR 27.9–28.8) working-age population. The 29.0 24.7–35.0) deaths 30.4 29.0–31.7) disability-adjusted life (DALYs). 18,960 18,180–19,740) 0.5 DALYs 0.4–0.5). Men older groups carried larger Over 2000–2019, almost doubled. WHO ILO estimate that is common causes substantial, inequitable growing NMSC. Governments must protect hazardous inequalities.