Background

Individuals of sexual and gender minorities may have different lifetime risk of skin cancer and ultraviolet radiation exposure than heterosexual persons.

Objective

To systematically review the prevalence of skin cancer and behaviors that increase risk of skin cancer among sexual and gender minority populations.

Methods

We performed a systematic literature review in PubMed/MEDLINE, Embase, Cochrane, and Web of Science, searching for articles through October 18, 2019, that investigated risk of skin cancer and behaviors among sexual and gender minority populations.

Results

Sexual minority men have a higher lifetime risk of any skin cancer (odds ratio range: 1.3-2.1) and indoor tanning bed use (odds ratio range: 2.8-5.9) compared with heterosexual men, whereas sexual minority women may use indoor tanning beds less frequently than heterosexual women and do not have an elevated risk of lifetime history of skin cancer. Gender-nonconforming individuals have higher lifetime prevalence of any skin cancer compared with cisgender men.

Limitations

Most variables rely on self-reporting in their original studies.

Conclusions

Sexual minority men disproportionately engage in use of indoor tanning beds, which may result in increased lifetime risk of skin cancer. Recognition of this risk is important for providing appropriate screening for patients in this population.

中文翻译：

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性少数群体中的皮肤癌和皮肤癌风险行为：系统评价。

 背景

与异性恋者相比，性少数群体和性别少数群体的终生患皮肤癌和紫外线辐射的风险可能不同。

 客观的

系统地审查性少数群体中皮肤癌的患病率以及增加皮肤癌风险的行为。

 方法

我们在 PubMed/MEDLINE、Embase、Cochrane 和 Web of Science 上进行了系统的文献综述，检索了截至 2019 年 10 月 18 日的文章，这些文章调查了性少数群体和性别少数人群的皮肤癌风险和行为。

 结果

与异性恋男性相比，性少数男性终生罹患任何皮肤癌的风险（比值比范围：1.3-2.1）和使用室内日光浴床的风险更高（比值比范围：2.8-5.9），而性少数女性可能较少使用室内日光浴床比异性恋女性更常见，并且终生患皮肤癌的风险并不升高。与顺性别男性相比，性别不合格者终生患皮肤癌的几率更高。

 局限性

大多数变量依赖于原始研究中的自我报告。

 结论

性少数男性不成比例地使用室内日光浴床，这可能会导致终生患皮肤癌的风险增加。认识到这种风险对于为该人群的患者提供适当的筛查非常重要。