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[PMID]:29374757
[Au] Autor:Burgard B; Schöpe J; Holzschuh I; Schiekofer C; Reichrath S; Stefan W; Pilz S; Ordonez-Mena J; März W; Vogt T; Reichrath J
[Ad] Endereço:Center for Clinical and Experimental Photodermatology, Saarland University, Campus Homburg, Homburg, Germany.
[Ti] Título:Solarium Use and Risk for Malignant Melanoma: Meta-analysis and Evidence-based Medicine Systematic Review.
[So] Source:Anticancer Res;38(2):1187-1199, 2018 02.
[Is] ISSN:1791-7530
[Cp] País de publicação:Greece
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: There is an ongoing debate whether solarium use (indoor tanning/artificial UV) may increase the risk for primary cutaneous malignant melanoma. AIM: A systematic literature search was conducted using MEDLINE and ISI Web of Science. Included studies were critically assessed regarding their risk of bias, and methodological shortcomings. Levels of evidence and grades of recommendation were determined according to guidelines of the Oxford Centre for Evidence-Based Medicine. Summary risk estimates and 95% confidence intervals for four different outcomes (ever exposure, exposure at younger age, high/low exposure vs. non-exposure) were derived from random-effects meta-analyses to account for possible heterogeneity across studies. RESULTS: Two cohort and twenty-nine case-control studies were eligible. Overall, quality of included studies was poor as a result of severe limitations, including possible recall and selection bias, and due to lack of interventional trials. Summary risk estimates suggested a weak association (odds ratio (OR)=1.19, 95% confidence interval (CI)=1.04-1.35, p=0.009) for ever-exposure to UV radiation from a solarium with melanoma risk. However, sensitivity analyses did not show an association for studies from Europe (OR=1.10; 95%CI=0.95-1.27, p=0.218), studies with low risk of bias (OR=1.15; 95%CI=0.94-1.41, p=0.179), and studies conducted after 1990 (OR 1.09; 95%CI=0.93-1.29, p=0.295). Moreover, moderate associations were found for first exposure to UV radiation from a solarium at younger age (<25 years) and high exposure (>10 sessions in lifetime) with melanoma risk. However, for all outcomes analyzed, overall study quality and resulting levels of evidence (3a-) and grades of recommendation (D) were low due to lack of interventional studies and severe limitations including unobserved or unrecorded confounding. CONCLUSION: Current scientific knowledge is mainly based on observational studies with poor quality data, which report associations but do not prove causality. At present, there is no convincing evidence that moderate/responsible solarium use increases melanoma risk.
[Mh] Termos MeSH primário: Medicina Baseada em Evidências
Melanoma/etiologia
Neoplasias Induzidas por Radiação/etiologia
Banho de Sol
Raios Ultravioleta/efeitos adversos
[Mh] Termos MeSH secundário: Seres Humanos
Metanálise como Assunto
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180207
[Lr] Data última revisão:
180207
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180129
[St] Status:MEDLINE


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[PMID]:29374748
[Au] Autor:Reichrath J; Lindqvist PG; DE Gruijl FR; Pilz S; Kimball SM; Grant WB; Holick MF
[Ad] Endereço:Center for Clinical and Experimental Photodermatology, The Saarland University Hospital, Homburg, Germany Joerg.reichrath@uks.eu.
[Ti] Título:A Critical Appraisal of the Recent Reports on Sunbeds from the European Commission's Scientific Committee on Health, Environmental and Emerging Risks and from the World Health Organization.
[So] Source:Anticancer Res;38(2):1111-1120, 2018 02.
[Is] ISSN:1791-7530
[Cp] País de publicação:Greece
[La] Idioma:eng
[Ab] Resumo:The European Commission's Scientific Committee on Health, Environmental and Emerging Risks and the World Health Organization recently published reports which concluded that a large proportion of melanoma and non-melanoma skin cancer is attributable to sunbed use, and that there is no need to use sunbeds as there are no health benefits and they are not needed to achieve an optimal vitamin D level. The overall conclusion from both bodies was that there is no safe limit for UV irradiance from sunbeds. We are, however, deeply concerned that these assessments appear to be based on an incomplete, unbalanced and non-critical evaluation of the literature. Therefore, we rebut these conclusions by addressing the incomplete analysis of the adverse health effects of UV and sunbed exposure (what is 'safe'?) and the censored representation of beneficial effects, not only but especially from vitamin D production. The stance taken by both agencies is not sufficiently supported by the data and in particular, current scientific knowledge does not support the conclusion sunbed use increases melanoma risk.
[Mh] Termos MeSH primário: Meio Ambiente
Melanoma/etiologia
Neoplasias Induzidas por Radiação/etiologia
Neoplasias Cutâneas/etiologia
Banho de Sol
Raios Ultravioleta/efeitos adversos
[Mh] Termos MeSH secundário: Grupos Étnicos
Seres Humanos
Organização Mundial da Saúde
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180207
[Lr] Data última revisão:
180207
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180129
[St] Status:MEDLINE


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[PMID]:28674581
[Au] Autor:Wright CY; Albers PN; Reeder AI; Mathee A
[Ad] Endereço:Environment and Health Research Unit, South African Medical Research Council, Pretoria, South Africa.
[Ti] Título:Sunbeds and skin cancer risk: quantifying a baseline estimate of sunbed facilities in South Africa prior to implementation of sunbed regulations.
[So] Source:Pan Afr Med J;26:188, 2017.
[Is] ISSN:1937-8688
[Cp] País de publicação:Uganda
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: In 2009, ultraviolet-emitting tanning devices, i.e. sunbeds and tanning booths, were officially classified as carcinogenic to human health (Group 1) by the International Agency for Research on Cancer. METHODS: Here, we aim to estimate South African-based facilities with indoor tanning services advertised in the printed Yellow Pages and online in two directories. Printed Yellow Pages telephone directory beauty salon facilities listings (2010-14) for all provinces were examined and those mentioning "sunbed" and/or "tanning bed" recorded. Beauty/spa facilities were also identified using two sunbed listing webpages. RESULTS: A total of 40 web-advertised facilities had a sunbed. Beauty facilities in the Yellow Pages specifically mentioning sunbeds declined by 62% between 2010 (n=53) and 2014 (n=20). Gauteng had the highest number of facilities (n=25) with a sunbed. Facilities with sunbeds exist in South Africa, as evidenced by the Yellow Pages and web-advertised data, but their true prevalence remains largely unknown. It is likely that online and walk-by advertising is increasingly more common than print. CONCLUSION: Given that sunbeds may likely soon become regulated in South Africa, further research is needed to better quantify sunbed provision, determine advice provided by facility operators to new users, investigate whether age restrictions or limits exist for sunbed use, and describe typical patterns of sunbed use in South Africa.
[Mh] Termos MeSH primário: Publicidade como Assunto/estatística & dados numéricos
Neoplasias Cutâneas/etiologia
Banho de Sol/estatística & dados numéricos
Raios Ultravioleta/efeitos adversos
[Mh] Termos MeSH secundário: Publicidade como Assunto/métodos
Beleza
Seres Humanos
Internet
Fatores de Risco
África do Sul
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170717
[Lr] Data última revisão:
170717
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170705
[St] Status:MEDLINE
[do] DOI:10.11604/pamj.2017.26.188.10176


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[PMID]:28622559
[Au] Autor:Guzikowski J; Czerwinska AE; Krzyscin JW; Czerwinski MA
[Ad] Endereço:Institute of Geophysics, Polish Academy of Sciences, Ksiecia Janusza 64, 01452 Warsaw, Poland. Electronic address: jguzikowski@igf.edu.pl.
[Ti] Título:Controlling sunbathing safety during the summer holidays - The solar UV campaign at Baltic Sea coast in 2015.
[So] Source:J Photochem Photobiol B;173:271-281, 2017 Aug.
[Is] ISSN:1873-2682
[Cp] País de publicação:Switzerland
[La] Idioma:eng
[Ab] Resumo:Information regarding the intensity of surface UV radiation, provided for the public, is frequently given in terms of a daily maximum UV Index (UVI), based on a prognostic model. The quality of the UV forecast depends on the accuracy of column amount of ozone and cloudiness prediction. Daily variability of UVI is needed to determine the risk of the UV overexposure during outdoor activities. Various methods of estimating the temporary UVI and the maximum duration of UV exposures (received a dose equal to minimal erythemal dose - MED), at the site of sunbathing, were compared. The UV indices were obtained during a field experiment at the Baltic Sea coast in the period from 13th to 24th July 2015. The following UVI calculation models were considered: UVI measurements by simple hand-held biometers (Silver Crest, Oregon Scientific, or more advanced Solarmeter 6.5), our smartphone models based on cloud cover observations at the site and the cloudless-sky UVI forecast (available for any site for all smartphone users) or measured UVI, and the 24h weather predictions by the ensemble set of 10 models (with various cloud parameterizations). The direct UV measurements, even by a simple biometer, provided useful UVI estimates. The smartphone applications yielded a good agreement with the UV measurements. The weather prediction models for cloudless-sky conditions could provide valuable information if almost cloudless-sky conditions (cloudless-sky or slightly scattered clouds) were observed at the sunbathing site.
[Mh] Termos MeSH primário: Férias e Feriados
Oceanos e Mares
Exposição à Radiação/análise
Segurança
Estações do Ano
Banho de Sol
Raios Ultravioleta/efeitos adversos
[Mh] Termos MeSH secundário: Europa (Continente)
Modelos Estatísticos
Exposição à Radiação/efeitos adversos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170928
[Lr] Data última revisão:
170928
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170617
[St] Status:MEDLINE


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[PMID]:28598730
[Au] Autor:Mays D; Evans WD
[Ad] Endereço:a Department of Oncology, Georgetown University Medical Center, Cancer Prevention and Control Program , Lombardi Comprehensive Cancer Center , Washington , DC , USA.
[Ti] Título:The Effects of Gain-, Loss-, and Balanced-Framed Messages for Preventing Indoor Tanning among Young Adult Women.
[So] Source:J Health Commun;22(7):604-611, 2017 Jul.
[Is] ISSN:1087-0415
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Indoor tanning (IT) increases the risks of skin cancer, but evidence on how to design health education messaging targeting IT among young adult women remains limited. This study investigated the effects of theory-guided gain-, loss-, and balanced-framed IT prevention messages. Young adult women ages 18-30 who indoor tan (n = 552, mean age = 24.9 years [standard deviation = 3.1]) were recruited online, completed pre-exposure measures, and were randomized to view a gain-, loss-, or balanced-framed message. Participants completed post-exposure measures of message response (emotional response, message receptivity), IT risk (perceived severity, susceptibility), and efficacy (self-efficacy, perceived benefits of avoiding IT) beliefs, and IT behavioral intentions. Loss- and balanced-framed messages promoted significantly greater emotional response and message receptivity and lower IT behavioral intentions than gain-framed messages. The effects of loss- and balanced-framed messages on IT behavioral intentions were mediated by greater emotional response and message receptivity compared with the gain-framed message. These results can inform the development of public health education campaigns to prevent and reduce IT among young adult women. Future research can build from these findings by investigating additional message themes and tailoring strategies to maximize their effects, examining the effects of framed messages prospectively, and investigating ways to enhance message receptivity, such as through novel message delivery channels (e.g., mobile devices).
[Mh] Termos MeSH primário: Comunicação em Saúde/métodos
Educação em Saúde
Neoplasias Cutâneas/prevenção & controle
Banho de Sol/psicologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Feminino
Seres Humanos
Intenção
Medição de Risco
Autoeficácia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170920
[Lr] Data última revisão:
170920
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:170610
[St] Status:MEDLINE
[do] DOI:10.1080/10810730.2017.1332119


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[PMID]:28522044
[Au] Autor:Guy GP; Watson M; Seidenberg AB; Hartman AM; Holman DM; Perna F
[Ad] Endereço:Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia. Electronic address: irm2@cdc.gov.
[Ti] Título:Trends in indoor tanning and its association with sunburn among US adults.
[So] Source:J Am Acad Dermatol;76(6):1191-1193, 2017 Jun.
[Is] ISSN:1097-6787
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Neoplasias Cutâneas/prevenção & controle
Banho de Sol/tendências
Queimadura Solar/epidemiologia
Raios Ultravioleta/efeitos adversos
[Mh] Termos MeSH secundário: Adulto
Fatores Etários
Intervalos de Confiança
Técnicas Cosméticas/efeitos adversos
Estudos Transversais
Feminino
Previsões
Promoção da Saúde/organização & administração
Seres Humanos
Incidência
Masculino
Assunção de Riscos
Fatores Sexuais
Neoplasias Cutâneas/etiologia
Banho de Sol/estatística & dados numéricos
Estados Unidos/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171109
[Lr] Data última revisão:
171109
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170520
[St] Status:MEDLINE


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[PMID]:28426299
[Au] Autor:Blashill AJ; Pagoto S
[Ad] Endereço:Aaron J. Blashill is with the Department of Psychology, San Diego State University, San Diego, CA. Sherry Pagoto is with the Department of Medicine, University of Massachusetts Medical School, Worcester.
[Ti] Título:Effect of Legislation on Indoor Tanning Prevalence in Alabama.
[So] Source:Am J Public Health;107(6):966-968, 2017 Jun.
[Is] ISSN:1541-0048
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To examine changes in indoor tanning prevalence among Alabama high school students the year before and after its 2014 legal restrictions compared with Florida, which had more lenient legislation. METHODS: We analyzed the Alabama and Florida 2015 Youth Risk Behavior Survey (n = 14 389; population = 1 864 241) by gender, age, year (2013, 2015), state (Alabama, Florida), and year-by-state interactions. RESULTS: Prevalence of indoor tanning was higher among Alabama youths, but the difference did not significantly change after the law was passed in Alabama (between-state change differences ranged from a 3.3% increase among 14-year-old Alabama girls to a 9.7% decrease among 14-year-old Alabama boys). CONCLUSIONS: We found no significant changes in indoor tanning among adolescents since the enactment of Alabama's tanning restrictions in 2014. More oversight and monitoring are needed to ensure that indoor tanning facilities are compliant with emerging laws.
[Mh] Termos MeSH primário: Indústria da Beleza/legislação & jurisprudência
Assunção de Riscos
Banho de Sol/legislação & jurisprudência
[Mh] Termos MeSH secundário: Adolescente
Comportamento do Adolescente
Alabama
Indústria da Beleza/estatística & dados numéricos
Feminino
Florida
Seres Humanos
Masculino
Prevalência
Banho de Sol/estatística & dados numéricos
Inquéritos e Questionários
Raios Ultravioleta/efeitos adversos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170619
[Lr] Data última revisão:
170619
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170421
[St] Status:MEDLINE
[do] DOI:10.2105/AJPH.2017.303716


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[PMID]:28416344
[Au] Autor:Weber B; Bachmann CC; Braun R; Abraham AG; Serra AL; Hofbauer GFL
[Ad] Endereço:Department of Dermatology, University Hospital Zurich, Zürich, Switzerland.
[Ti] Título:25-Hydroxyvitamin-D3 serum modulation after use of sunbeds compliant with European Union standards: A randomized open observational controlled trial.
[So] Source:J Am Acad Dermatol;77(1):48-54, 2017 Jul.
[Is] ISSN:1097-6787
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Regular use of sunbed exposure has been reported to increase 25-hydroxyvitamin-D3 [25(OH)D] serum levels. However, the influence of sunbeds compliant with the recent European Union standard EN-60335-2-27 on 25(OH)D serum levels is unknown. OBJECTIVE: We investigated the impact of standard sunbed use compliant with the European Union standard on 25(OH)D serum modulation and well-being. METHODS: In a randomized controlled study, 25(OH)D serum levels were measured at enrollment, after 1 week, and after completion of the 12-week period of sunbed use with twice weekly exposure and compared with the control group without any sunbed exposure. RESULTS: In the sunbed intervention group (N = 31), a 27% increase of mean 25(OH)D levels was noted 1 week after starting sunbed use (P < .01). However, after 12 weeks, mean 25(OH)D levels had declined and were no longer different from baseline (P = .06). After 12 weeks, 25(OH)D levels did not differ between the intervention and control group (P = .36). Also the 5-item World Health Organization Well-Being Index score did not differ between the sunbed and control groups (P = .19). LIMITATIONS: For ethical reasons recruitment was limited to persons actively seeking sunbed exposure. CONCLUSIONS: Standard use of sunbeds compliant with the European Union standard induced a transient increase of 25(OH)D levels, whereas no change in well-being was observed.
[Mh] Termos MeSH primário: Calcifediol/sangue
Calcifediol/efeitos da radiação
Banho de Sol/normas
Raios Ultravioleta
[Mh] Termos MeSH secundário: Adulto
Idoso
União Europeia
Feminino
Seres Humanos
Masculino
Meia-Idade
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
P6YZ13C99Q (Calcifediol)
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170721
[Lr] Data última revisão:
170721
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170419
[St] Status:MEDLINE


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[PMID]:28376928
[Au] Autor:Stapleton JL; Crabtree BF
[Ad] Endereço:Rutgers, The State University of New Jersey, Rutgers Cancer Institute of New Jersey, 195 Little Albany Street, Room 5570, New Brunswick, NJ, 08903, USA. staplejl@cinj.rutgers.edu.
[Ti] Título:"These people, you just guide them until they become these people": learning to become a frequent indoor tanner.
[So] Source:BMC Psychol;5(1):11, 2017 Apr 04.
[Is] ISSN:2050-7283
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Many young women experiment with using indoor tanning beds with some becoming regular users. There is a dearth of research focused on factors related to the development of regular tanning. This study was designed to gain an in-depth understanding of the experiences of a regular indoor tanning bed user for the purpose of discovering working hypotheses related to the development of this behavior. The article thesis is that initial interactions with tanning salon employees transmit insider knowledge that serves to encourage the regular use of indoor tanning beyond experimentation. METHODS: We used Spradley's ethnographic interviewing technique to conduct six iterative interviews with a key informant who was an active indoor tanning bed user and former salon employee. The research was completed in the United States in 2015. RESULTS: The informant described her experiences as a salon employee including her interactions with salon patrons. The informant was trained as a salon employee to talk about tanning as a complex process that requires multiple salon visits to achieve desired results and to develop rapport with salon patrons to be viewed as an important source of guidance and advice. In the informant's experience, indoor tanning users who viewed tanning as a complex process and felt connected to salon employees were more receptive to purchasing larger amounts of bulk tanning sessions and committing to purchasing salon memberships. CONCLUSIONS: Findings provide insights into our understanding of the development of regular tanning behavior and we propose working hypotheses about this behavior to be examined in future research. There are also implications for policy makers to reduce excessive tanning behaviors including considering point-of-sale regulations that limit sales techniques of salon employees and pricing restrictions.
[Mh] Termos MeSH primário: Banho de Sol/psicologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Cultura
Feminino
Educação em Saúde
Seres Humanos
Entrevistas como Assunto
Banho de Sol/economia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170420
[Lr] Data última revisão:
170420
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170406
[St] Status:MEDLINE
[do] DOI:10.1186/s40359-017-0181-4


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[PMID]:28298495
[Au] Autor:Trad M; Estaville L
[Ti] Título:University Student Awareness of Skin Cancer: Behaviors, Recognition, and Prevention.
[So] Source:Radiol Technol;88(4):373-377, 2017 Mar.
[Is] ISSN:1943-5657
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: Skin cancer is the most common cancer, and it often is preventable. The authors sought to evaluate behavior and knowledge regarding skin cancer among students at a Texas university. METHODS: The authors recruited a diverse group of students in terms of sex, age, and ethnicity to participate in a survey regarding knowledge of skin cancer signs, use of tanning beds, and performance of self-assessment for skin cancer. Participating students could complete surveys in classrooms, at health fairs, or online via Survey Monkey. The authors examined data for the 3 variables in relation to sex, ethnicity, and age. RESULTS: A total of 512 responses were completed. Female students completed 371 (72.46%) surveys, and male students completed 141 (27.54%). The ethnicity of student participants was nearly evenly split among whites, African Americans, and Hispanics. Ethnicity was the most significant factor influencing the knowledge of skin cancer and behaviors to prevent it. Specifically, Hispanic and African American students possessed a lower level of skin cancer awareness. DISCUSSION: More female students than male students used tanning beds, and although use was self-reported as infrequent, the results imply that 4500 of the university's students might use tanning beds, which is concerning if extrapolated to other university student populations in Texas. CONCLUSION: Behavioral intervention is critical in reducing students' risk of skin cancer in later years, and university students must acquire knowledge to increase their awareness of skin health and to minimize their risk of developing skin cancer. Radiation therapists are uniquely positioned to share knowledge of skin cancer.
[Mh] Termos MeSH primário: Conscientização
Neoplasias Cutâneas/diagnóstico
Neoplasias Cutâneas/etiologia
Neoplasias Cutâneas/prevenção & controle
Estudantes/psicologia
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Masculino
Fatores de Risco
Autoavaliação
Banho de Sol/psicologia
Inquéritos e Questionários
Texas
Universidades
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171023
[Lr] Data última revisão:
171023
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170317
[St] Status:MEDLINE



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