Journal of Investigative Dermatology

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Local indicators of spatial association—LISA

Geogr Anal

Local spatial autocorrelation (1)

Github

GeoDa: an introduction to spatial data analysis

Comparing implementations of estimation methods for spatial econometrics

J Stat Soft

Interaction of area-level socioeconomic status and UV radiation on melanoma occurrence in California

Cancer Epidemiol Biomarkers Prev

Impact of socioeconomic status on cancer incidence and stage at diagnosis: selected findings from the surveillance, epidemiology, and end results: national Longitudinal Mortality Study

Cancer Causes Control

UV radiation and the skin

Int J Mol Sci

Cost-effectiveness of a policy-based intervention to reduce melanoma and other skin cancers associated with indoor tanning

Br J Dermatol

Association of UV index, latitude, and melanoma incidence in nonwhite populations--US Surveillance, Epidemiology, and End Results (SEER) Program, 1992 to 2001

Arch Dermatol

The pathogenesis of melanoma induced by ultraviolet radiation

N Engl J Med

How to interpret the coefficients of spatial models: spillovers, direct and indirect effects

Spat Demogr

Association of indoor tanning regulations with health and economic outcomes in North America and Europe

JAMA Dermatol

Trends in indoor tanning and its association with sunburn among US adults

J Am Acad Dermatol

Socioeconomic factors in cancer in Sweden

Int J Cancer

A generalized spatial two-stage least squares procedure for estimating A spatial autoregressive model with autoregressive disturbances

J Real Estate Fin Econ

Indoor tanning and risk of melanoma: a case-control study in a highly exposed population

Tanning bed use and melanoma: establishing risk and improving prevention interventions

Prev Med Rep

Association between cutaneous melanoma incidence rates among white US residents and county-level estimates of solar ultraviolet exposure

A suite of methods for representing activity space in a healthcare accessibility study

Int J Health Geogr

Prevalence and location of indoor tanning among high school students in New Jersey 5 years after the enactment of youth access restrictions

Melanoma surveillance in the United States: overview of methods

The modifiable areal unit problem (MAUP)

Substantial geographic disparities in melanoma incidence and access to tanning bed facilities exist. In this spatial ecological study, we evaluate the relationship between access to tanning bed facilities and melanoma incidence. New England county-level melanoma incidence rates (2014-2018), tanning bed facilities location, demographic data, socioeconomic data, and geographic data were obtained from the National Cancer Institute State Cancer Profiles, Data Axle, American Community Survey, and United States Geological Survey. Spatial regression models were utilized to determine the association between melanoma incidence and access to tanning beds, adjusting for confounding factors. Adjusted spatial regression identified that for every 1-minute increase in average travel time to tanning facilities within 30 minutes travel time threshold, the melanoma incidence rate decreased by 3.46% in the same county and by 1.92% across New England. We found a negative association between average travel time to tanning facilities and county-level melanoma incidence rate, suggesting that policy aimed at decreasing access to indoor tanning facilities has the potential to reduce melanoma rates. High-risk clusters, with respect to county-level melanoma rate, were also identified. Targeting of interventions and resources to high-risk clusters may reduce geographic melanoma rates disparities.

A Geospatial Analysis of the Association between Access to Tanning Bed Facilities and Melanoma in the United States New England Region.

A Geospatial Analysis of the Association between Access to Tanning Bed Facilities and Melanoma in the United States New England Region

Dermatology and Therapy

ArticleHistory

received

accepted

first_online

EthicsHeading

Ethics

J R Sanit Inst.

Environ Health Perspect

Sustainability

JAMA Intern Med

Int J Womens Dermatol

Arch Bronconeumol

Nat Commun

J Investig Dermatol

Allergy Asthma Immunol Res

J Eur Acad Dermatol Venereol

Nat Immunol

J Dermatol Sci

J Invest Dermatol

JAMA Netw Open

Medicine (Baltimore)

Curr Allergy Asthma Rep

Dermatol Ther (Heidelberg)

Int J Environ Res Public Health

Curr Environ Health Rep

Lancet Respir Med

Ann Am Thorac Soc

Allergy Asthma Respir Dis

J Epidemiol Community Health

Cutis

Air pollution in North America has intensified due to wildfires in recent years. In 2023, the wildfires in the Canadian province of Quebec caused a southward spread of pollutants, negatively affecting air quality and thereby aggravating certain health conditions in northeastern USA. This study examines the impact of air pollution on atopic dermatitis (AD) and skin health and how wildfires can exacerbate the burden of disease.
Carbon monoxide levels measured by the U.S. Environmental Protection Agency (EPA) in the Boston region during the months following the Canadian wildfires of 2023 were collected from the U.S. EPA Outdoor Air Quality webpage. Patient records on dermatology clinic visits for dermatitis and eczema at the Mass General Brigham (MGB) hospital system, 300 miles from the wildfires, were examined, and the data compared with data from the corresponding months in 2019-2022 for historical control. No individual patient data were collected.
A notable rise and atypical summer peak in carbon monoxide (CO) levels in the Boston region during 2023 correlated with a spike in AD, dermatitis, and eczema-related dermatology clinic visits within the MGB hospital system, as compared with the prior 4 years.
The synchronized atypical peaks of CO levels and AD-related visits during the summer of 2023 highlight the potential impact of acute air pollution events such as wildfires on air quality and the consequences for skin health. Air pollution, exacerbated by wildfires, can damage the skin through the smoke and chemicals utilized for extinguishing fires, which contain multiple potential allergens and irritants to the skin, such as CO, particulate matter (PM2.5), and ammonium phosphates, triggering airway and skin inflammation and flares of AD. This issue disproportionately affects vulnerable populations, including low-income communities and the geriatric and pediatric populations. Healthcare professionals and government agencies must work together to improve air quality and purification policies and initiatives to lower the burden of skin disease, especially for vulnerable communities.

The Burden of Air Pollution on Skin Health: a Brief Report and Call to Action.

The Burden of Air Pollution on Skin Health: a Brief Report and Call to Action

Papers