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Exposure to solar ultraviolet radiation in young Dutch children: Assessment by means of a 6-week retrospective questionnaire

An Erratum to this article was published on 29 August 2002

Abstract

We designed a 6-week retrospective questionnaire on sunlight exposure. Estimation of the short-term exposure to sunlight is important for observational human studies concerning the effects of ultraviolet radiation (UVR) on the human immune system and related resistance to infections. This questionnaire was given to the parents of 1672 1-year-old children in the Netherlands who participated in a birth cohort study. We evaluated the questionnaire and estimated the personal 6-week cumulative exposure to solar UVR. Only 910 questionnaires (54.4%) were filled out completely and consistently. This suggests that reporting data on children's outdoor exposure, even for the recent past, is often difficult. The data from these questionnaires indicated that the crude number of reported outdoor hours was enough to obtain a relative estimate of the individual exposure to ambient UVR, but that weighting for the effect of clothing was essential for the classification of the systemic UVR dosage received. Sunny weeks in the Netherlands in 1998, as were established by independent measurements of the levels of ambient UVR, vacations abroad, and sunburn, were associated with a comparatively high mean estimated exposure. These results support the suitability of the questionnaire for classifying the participants with respect to their short-term exposure to solar UVR.

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Abbreviations

C :

(the effect of) clothing as reported (on the UVR dose)

L&S:

(the effect of) latitude and season (on the UVR dose)

PSB:

polysulfone film badges

SCC:

Spearman Correlation Coefficient

WCq:

(the effect of) weather conditions, as reported in the questionnaire (on the UVR dose)

UVR:

ultraviolet radiation

References

  • Bodeker GE McKenzie RL An algorithm for inferring surface UV irradiance including cloud effects, J Appl Meteorol (1996) 35: 1860–1877

    Article  Google Scholar 

  • Borderwijk JA Slaper H Reinen HA.JM Schlamann E Total solar radiation and the influence of clouds on the biologically effective UV, Geophys Res Lett (1995) 22: 2151–2154

    Article  Google Scholar 

  • Bouwes Bavinck JN de Boer A Vermeer BJ Hartevelt MM van der Woude FJ Claas FHJ Wolterbeek R Vandenbroucke JP Sunlight, keratotic skin lesions and skin cancer in renal transplant recipients, Br J Dermatol (1993) 129: 242–249

    Article  Google Scholar 

  • Brandberg Y Sjödén PO Rosdahl I Assessment of sun-related behaviour in individuals with dysplastic naevus syndrome: a comparison between diary recordings and questionnaire responses, Melanoma Res (1997) 7: 347–351

    Article  CAS  Google Scholar 

  • Commission International de l'Eclairage Research note: a reference action spectrum for ultraviolet induced erythema in human skin, CIEJ (1987) 6: 17–22

  • Diffey BL Larkö O Clinical climatology, Photodermatology (1984) 1: 30–37

    CAS  PubMed  Google Scholar 

  • Diffey BL Gibson CJ Haylock R McKinlay AF Outdoor ultraviolet exposure of children and adolescents, Br J Dermatol (1996) 134: 1030–1034

    Article  CAS  Google Scholar 

  • Duncan DD Munoz B Bandeen-Roche K West SK the Salisbury Eye Evaluation Project Team Assessment of ocular exposure to ultraviolet-B for population studies, Photochem Photobiol (1997) 66: 701–709

    Article  CAS  Google Scholar 

  • Garssen J Norval M van Loveren H UVB-induced immunomodulation: a health risk, Polar Res (1999) 18: 339–343

    Article  Google Scholar 

  • Garssen J van Steeg H de Gruijl F de Boer J van der Horst GTJ et al Transcription-coupled and global genome repair differentially influence UV-B-induced acute skin effects and systemic immunosuppression, J Immunol (2000) 164: 6199–6205

    Article  CAS  Google Scholar 

  • Gies P Roy C Toomey S MacLennan R Watson M Solar UVR exposure of primary school children at three locations in Queensland, Photochem Photobiol (1998) 68: 78–83

    Article  CAS  Google Scholar 

  • Goettsch W Garssen J Timmerman HH Dortant P Kuper F de Gruijl FR van Loveren H Systemic effects of UVB irradiation on basal immune parameters in the rat In: Jung E.G., and Holick M.F. (Eds.) Biological Effects of Light. Walter de Gruyter, Berlin 1993 pp 637–641

    Google Scholar 

  • Herlihy E Gies PH Roy CR Jones M Personal dosimetry of solar UV radiation for different outdoor activities, Photochem Photobiol (1994) 60: 288–294

    Article  CAS  Google Scholar 

  • Hersey P Hasic E Edwards A Bradley M Haran G McCarthy WH Immunological effects of solarium exposure, Lancet (1983) 1: 545–548

    Article  CAS  Google Scholar 

  • Moise AF Gies HP Harrison SL Estimation of the annual solar UVR exposure dose of infants and small children in tropical Queensland, Australia, Photochem Photobiol (1999) 69: 457–463

    Article  CAS  Google Scholar 

  • Parisi AV Kimlin MG Comparison of the spectral biologically effective solar ultraviolet in adjacent tree shade and sun 1999 Phys Med Biol. 44: 2071–2080

    Article  CAS  Google Scholar 

  • Pearl DK Scott EL The anatomical distribution of skin cancers, Int J Epidemiol (1986) 15: 502–506

    Article  CAS  Google Scholar 

  • Rosenthal FS Lew RA Rouleau LJ Thomson M Ultraviolet exposure to children from sunlight: a study using personal dosimetry, Photodermatol, Photoimmunol Photomed (1990) 7: 77–81

    CAS  Google Scholar 

  • Rosmini F Stazi MA Milton RC Sperduto RD Pasquini P Maraini G the Italian–American Cataract Study Group A dose–response effect between a sunlight index and age-related cataracts, AEP (1994) 4: 266–270

    CAS  PubMed  Google Scholar 

  • Slaper H Reinen HA.JM Bordewijk JA Schlamann E Effective Ultraviolet Radiation in the Netherlands RIVM Report No. 610070002 Bilthoven, The Netherlands 1994

  • Termorshuizen F Garssen J Maas J Goettsch WG Matthijsen J Houweling H van Loveren H UVB and Infectious Diseases: Exposure Assessment by Means of a Retrospective Questionnaire for an Epidemiological Study RIVM Report No. 640300.001 Bilthoven, The Netherlands 1999

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Acknowledgements

We thank Dr. W.G. Goettsch for his support in setting up this study and the design of the questionnaire, and Dr. H.A. Smit and D.J.M. Houthuijs for critically reviewing this manuscript. This study was supported by Project 952276 of the National Onderzoek Programma Mondiale Luchtverontreiniging en Klimaat Verandering (NOP) and Project ENV4-CT96-0192 of the Programme Environment of the EU.

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Correspondence to HENK VAN LOVEREN.

Appendices

Appendix A. Key questions on exposure (English translation) and estimation equation

Appendix B. Questions on sunburn and protection

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TERMORSHUIZEN, F., WIJGA, A., GARSSEN, J. et al. Exposure to solar ultraviolet radiation in young Dutch children: Assessment by means of a 6-week retrospective questionnaire. J Expo Sci Environ Epidemiol 12, 204–213 (2002). https://doi.org/10.1038/sj.jea.7500220

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