S
ena
JS
et
al
.
282
R
ev
A
ssoc
M
ed
B
ras
2016; 62(3):280-286
FIGURE 1
Flowchart summarizing the process of selection of studies for this review.
Biblioteca Virtual de Saúde:
1) “Neoplasias cutâneas” AND “exposição ocupacional”
2) “Neoplasias cutâneas” AND “epidemiologia”
3) “Neoplasias cutâneas” AND “prevenção”
Biblioteca Virtual de Saúde:
1) “Skin neoplasms” AND “occupational exposure”
2) “Skin neoplasms” AND “occupational exposure”
3) “Skin neoplasms” AND “occupational exposure”
Index: title and summary
Period: 01.01.2008 to 12.31.2013
83 references
61 references excluded after title and
summary analysis
a) No in Portuguese or English (n=11)
b) Full text not available (n=47)
c) Brief communication (n=0)
d) Comment (n=0)
e) Letter to the editor (n=0)
f) Preface (n=0)
g) Case report (n=2)
h) Literature review (n=21)
Inclusion criteria:
•
Manuscripts in Portuguese or English
•
Original articles with full online access
•
Prospective or retrospective observational study
(descriptive or analytical, except case reports),
experimental or quasi-experimental
References with full text analyzed for
eligibility (n=22)
Studies included after review (n=22)
fers less protection against the sun’s rays; being young;
time and duration of sun exposure and residing in a trop-
ical environment, that is, in a hot climate.
Another study that presented these same risk factors
was that of Ferreira, Nascimento and Rotta,
8
adding a
positive family history of skin cancer, as well as noting
that the number of hours of non-occupational sun expo-
sure doubles the chance of developing a non-melanoma
skin cancer.
Other studies have evaluated other professions which
have sun exposure as risk factors. Oliveira, Glauss and
Palma
4
evaluated that physical education instructors for
water based activities are vulnerable due to unsuitable
conditions in the workplace; Hiemstra, Glanz and Nehl
21
observed that prior sunburn is an important predictor
for future burns in lifeguards, and is also a risk factor for
skin cancer. Likewise, Duffy et al.,
7
found that operating
engineers have excessive exposure to UV light and a low
rate of use of sunscreen.
Two studies evaluated flight crews, with one finding
that the incidence of melanoma in the skin among the
flight crew rose with the increase in the number of hours
flown, although it may have occurred due to sun expo-
sure during leisure time and not at work, as the areas of