PMID- 36545686 OWN - NLM STAT- MEDLINE DCOM- 20230314 LR - 20230314 IS - 1600-0781 (Electronic) IS - 0905-4383 (Linking) VI - 39 IP - 2 DP - 2023 Mar TI - Long-term exposure to low levels of ambient UVB are associated with a decreased risk of moderate-to-severe acne: A retrospective cohort study in college students. PG - 132-139 LID - 10.1111/phpp.12852 [doi] AB - BACKGROUND: As a crucial component of solar radiation, the association between exposure to ambient ultraviolet (UV) radiation and acne remains unclear. METHODS: This was a multicenter retrospective cohort study of incoming college students in five universities of China. Previous exposure (6 years prior to enrollment) to different wavelengths of ambient UVs were obtained from public repositories by linking to individual hometown addresses. Logistic models were applied to assess the relationship between ambient UV exposure and acne. Subgroup analysis was conducted by sun protection behaviors and time of daily sun exposure. Overall effect and single effect of exposure to four different wavelengths of UVs (305, 310, 324, and 380 nm) were estimated by Bayesian kernel machine regression (BKMR). RESULTS: A total of 19,939 participants was included for analysis. Analysis in all participants showed a significant association between log-transformation levels of exposure to UV at 305 nm (log (UV 305 nm)) and acne (OR = 0.77, p = .021). The effect size was stronger in participants reporting no sun protection habit. Both UVs at 305 nm (OR = 0.51, p = .001) and 310 nm (OR = 0.50, p = .012) were associated a decreased risk of acne in participants reporting no sun protection habit. This inverse association was also observed in those exposed to low levels of UV (<1 h/day). The BKMR indicated consistent results that low levels of exposure to UVs combination and UVs at 305 and 310 nm were associated with a lower risk of acne. CONCLUSION: Long-term exposure to relatively low levels of ambient UVB are associated with a decreased risk of moderate-to-severe acne in college students. CI - (c) 2022 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. FAU - Chen, Peng AU - Chen P AD - Department of Dermatology, Xiangya Hospital, Central South University, Changsha, China. AD - Hunan Key Laboratory of Aging Biology, Xiangya Hospital, Central South University, Changsha, China. AD - National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China. FAU - Li, Shenxin AU - Li S AD - Department of Surveying and Remote Sensing Science, School of Geosciences and Info-physics, Central South University, Changsha, China. FAU - Xiao, Yi AU - Xiao Y AD - Department of Dermatology, Xiangya Hospital, Central South University, Changsha, China. FAU - Zou, Bin AU - Zou B AD - Department of Surveying and Remote Sensing Science, School of Geosciences and Info-physics, Central South University, Changsha, China. FAU - Li, Ji AU - Li J AD - Department of Dermatology, Xiangya Hospital, Central South University, Changsha, China. AD - Hunan Key Laboratory of Aging Biology, Xiangya Hospital, Central South University, Changsha, China. AD - National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China. FAU - Chen, Xiang AU - Chen X AD - Department of Dermatology, Xiangya Hospital, Central South University, Changsha, China. AD - Hunan Engineering Research Center of Skin Health and Disease, Xiangya Hospital, Central South University, Changsha, China. FAU - Tang, Yan AU - Tang Y AD - Department of Dermatology, Xiangya Hospital, Central South University, Changsha, China. AD - Hunan Key Laboratory of Aging Biology, Xiangya Hospital, Central South University, Changsha, China. AD - National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China. FAU - Shen, Minxue AU - Shen M AD - Department of Dermatology, Xiangya Hospital, Central South University, Changsha, China. AD - Department of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, China. LA - eng GR - 8210121639/National Natural Science Foundation of China/ GR - 81874251/National Natural Science Foundation of China/ GR - 82173448/National Natural Science Foundation of China/ GR - 82204144/National Natural Science Foundation of China/ GR - 2022RC1014/Hunan Science and Technology Program for Young Scholars/ GR - TC210804V/Ministry of Industry and Information Technology of China/ PT - Journal Article PT - Multicenter Study DEP - 20230101 PL - England TA - Photodermatol Photoimmunol Photomed JT - Photodermatology, photoimmunology & photomedicine JID - 9013641 SB - IM MH - Humans MH - Bayes Theorem MH - Retrospective Studies MH - *Ultraviolet Rays MH - *Acne Vulgaris MH - Students OTO - NOTNLM OT - acne vulgaris OT - college student OT - environmental epidemiology OT - ultraviolet radiation EDAT- 2022/12/23 06:00 MHDA- 2023/03/15 06:00 CRDT- 2022/12/22 02:44 PHST- 2022/11/26 00:00 [revised] PHST- 2022/07/07 00:00 [received] PHST- 2022/12/16 00:00 [accepted] PHST- 2022/12/23 06:00 [pubmed] PHST- 2023/03/15 06:00 [medline] PHST- 2022/12/22 02:44 [entrez] AID - 10.1111/phpp.12852 [doi] PST - ppublish SO - Photodermatol Photoimmunol Photomed. 2023 Mar;39(2):132-139. doi: 10.1111/phpp.12852. Epub 2023 Jan 1.