Increased Melanoma Incidence for Pilots, Cabin Crew
Summary standardized incidence ratio up more than two-fold for any flight-based occupation
THURSDAY, Sept. 4, 2014 (HealthDay News) -- Airline pilots and cabin crew have an increased incidence of melanoma, according to a meta-analysis published online Sept. 3 in JAMA Dermatology.
Martina Sanlorenzo, M.D., from the University of California in San Francisco, and colleagues examined the risk of melanoma in pilots and airline crew in a meta-analysis. Nineteen studies, with more than 266,431 participants, were included, all of which reported a standardized incidence ratio (SIR), standardized mortality ratio (SMR), or data that could be used to calculate the SIR or SMR in any flight-based occupation.
The researchers found that the overall SIR was 2.21 (95 percent confidence interval [CI], 1.76 to 2.77) for participants in any flight-based occupation. For pilots and cabin crew, the summary SIR was 2.22 (95 percent CI, 1.67 to 2.93) and 2.09 (95 percent CI, 1.67 to 2.62), respectively. For participants in any flight-based occupation, the SMR was 1.42 (95 percent CI, 0.89 to 2.26). The summary SMR was 1.83 (95 percent CI, 1.27 to 2.63) for pilots and 0.90 (95 percent CI, 0.80 to 1.01) for cabin crew.
"Pilots and cabin crew have approximately twice the incidence of melanoma compared with the general population," the authors write. "Further research on mechanisms and optimal occupational protection is needed."