RT journal article T1 Risk assessment of occupational skin cancer among outdoor workers in southern Spain: local pilot study A1 De Troya Martin, Magdalena A1 Serra Aguilar A1 Aguilera Arjona, José A1 Rivas Ruiz, Francisco A1 Rodríguez Martínez, Alba A1 Castro Maqueda, Guillermo Ramón de A1 Cambil Martín, JAcobo A1 De Galvez Aranda, María Victoria A1 Blázquez Sánchez, Nuria A2 Didáctica de la Educación FísicaPlástica y Musical K1 dermatology K1 environmental exposure K1 occupational health K1 occupational health services K1 radiation K1 nonionizing AB Objective: Overexposure to ultraviolet (UV) radiation is the main preventable cause of skin cancer. Outdoor workers, exposed to the sun for many hours throughout their working lives, are at special risk. The aim of this study is to determine occupational photoexposure and photoprotection among outdoor workers employed by a municipality in southern Spain.Methods: Cross-sectional descriptive study focusing on outdoor workers employed by the municipality of Fuengirola (in areas such as construction, gardening, urban cleaning and beach maintenance). The participants were monitored by personal dosimetry, participated in a dermatological check-up and answered a validated questionnaire (CHACES) on their habits, attitudes and knowledge related to sun exposure.Results: The median effective erythema dose of exposure to solar UV radiation during the working day (n=20) was 379.4 J/m2, equivalent to 3.8 standard erythema doses, almost 3 times higher than the recommended limits for an 8-hour workday. Skin examination (n=128) revealed the presence of actinic lentigines (79.7%), actinic keratoses (8.6%) and skin cancer (3.9%). The CHACES questionnaire (n=128) revealed a sunburn rate of 50.0%. Photoprotection practices were markedly deficient: only 16.7% of the survey respondents sought protection in the shade, 20.3% avoided exposure during the peak exposure hours and 33.1% applied sunscreen.Conclusions: This is the first study to evaluate UV radiation exposure, occupational sun protection practices, sunburn and actinic injuries of different outdoor workers in one of the sunniest regions of Spain and underlines the need for effective interventions to protect outdoor workers' health. PB BMJ SN 1351-0711 YR 2023 FD 2023-01 LK http://hdl.handle.net/10498/34431 UL http://hdl.handle.net/10498/34431 LA eng DS Repositorio Institucional de la Universidad de Cádiz RD 08-nov-2026