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Nicholas JS et al. – Among pilots flying <20 years prior to diagnosis, factors associated with increased odds of non–melanoma skin cancer were at–risk skin type, childhood sunburns and family history of non–melanoma skin cancer. Off–duty sunscreen use and family history of melanoma were protective. Among pilots with >=20 years flight time prior to diagnosis, childhood sunburns and family history of non–melanoma skin cancer persisted as risk factors, with the addition of flight time at high latitude. Further investigation regarding the potential health impact of long–term flying at high latitudes is recommended. Additionally, occupational health programmes for pilots should stress awareness of and protection against established risk factors for non–melanoma skin cancer.

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