title: The burden of occupationally-related cutaneous malignant melanoma in Britain due to solar radiation.
abstract: BACKGROUND
  Increasing evidence highlights the association of occupational exposure and cutaneous malignant melanoma (CMM). We estimated the burden of CMM and total skin cancer burden in Britain due to occupational solar radiation exposure.
  
  
  METHODS
  Attributable fractions (AF) and numbers were estimated for CMM mortality and incidence using risk estimates from the published literature and national data sources for proportions exposed. We extended existing methods to account for the exposed population age structure.
  
  
  RESULTS
  The estimated total AF for CMM is 2.0% (95% CI: 1.4-2.7%), giving 48 (95% CI: 33-64) deaths in (2012) and 241 (95% CI: 168-325) registrations (in 2011) attributable to occupational exposure to solar radiation. Higher exposure and larger numbers exposed led to much higher numbers for men than women. Industries of concern are construction, agriculture, public administration and defence, and land transport.
  
  
  CONCLUSIONS
  These results emphasise the urgent need to develop appropriate strategies to reduce this burden.
authors.affiliation: Department of Epidemiology and Biostatistics, MRC-PHE Centre for Environment and Health, Imperial College London, Norfolk Place, London W2 1PG, UK.
authors.forename: Lesley
authors.initials: L
authors.lastname: Rushton
authors.affiliation: Department of Epidemiology and Biostatistics, MRC-PHE Centre for Environment and Health, Imperial College London, Norfolk Place, London W2 1PG, UK.
authors.forename: Sally
authors.initials: S
authors.lastname: J Hutchings
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008545:Melanoma / Q000453:epidemiology* / Q000209:etiology / Q000401:mortality; D008875:Middle Aged; D009381:Neoplasms, Radiation-Induced / Q000453:epidemiology* / Q000401:mortality; D009784:Occupational Diseases / Q000453:epidemiology / Q000401:mortality; D016273:Occupational Exposure / Q000706:statistics & numerical data*; D012878:Skin Neoplasms / Q000453:epidemiology* / Q000209:etiology / Q000401:mortality; D013472:Sunlight / Q000009:adverse effects*; D014466:Ultraviolet Rays / Q000009:adverse effects; D006113:United Kingdom / Q000453:epidemiology; D055815:Young Adult