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J Occup Environ Med. 2017 Nov;59(11):1089-1094. doi: 10.1097/JOM.0000000000001140.

Determinants of Sunburn and Sun Protection of Agricultural Workers During Occupational and Recreational Activities.

Author information

University Institute of Social and Preventive Medicine (IUMSP), Centre Hospitalier Universitaire Vaudois (CHUV) and University of Lausanne, Lausanne, Switzerland (Ms Backes, Dr Bulliard); Institute for Work and Health (IST), University of Lausanne and Geneva, Lausanne, Switzerland (Ms Backes, Mr Milon, Dr Vernez); International Prevention Research Institute, Lyon, France (Ms Koechlin); and University of Strathclyde Institute for Global Public Health at iPRI, International Prevention Research Institute, Lyon, France (Ms Koechlin).



The aim of this study was to identify determinants of occupational sunburn in agricultural workers and assess their occupational and recreational sun protection habits.


Specific surveys of agricultural workers in Switzerland and France were conducted (Nā€Š=ā€Š1538). Multivariate logistic regressions identified occupational sunburn determinants. Occupational and recreational sun protection habits were estimated and correlated.


One-year occupational and recreational sunburn prevalences were 19.8% and 11.5%, respectively. Occupational sunburn increased with having a recent recreational sunburn, highly sensitive skin, young age, high perceived skin cancer risk, using sunscreen, and not wearing a hat. Correlation between protection habits during work and leisure was substantial (rs 0.5 to 0.7). Skin health knowledge was high and pro-tanning attitude moderate.


Potentially modifiable sunburn determinants and suboptimal recreational and occupational sun protection practices were identified in agricultural workers. Refining and tailoring sun protection messages targeting the agricultural sector are needed.

[Indexed for MEDLINE]

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