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American Journal of Epidemiology Advance Access originally published online on November 10, 2008
American Journal of Epidemiology 2009 169(1):41-53; doi:10.1093/aje/kwn289
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American Journal of Epidemiology © The Author 2008. Published by the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org.

ORIGINAL CONTRIBUTIONS

Study of Nevi in Children (SONIC): Baseline Findings and Predictors of Nevus Count

Susan A. Oliveria, Jaya M. Satagopan, Alan C. Geller, Stephen W. Dusza, Martin A. Weinstock, Marianne Berwick, Marilyn Bishop, Maureen K. Heneghan and Allan C. Halpern

Correspondence to Dr. Susan A. Oliveria, Dermatology Service, Memorial Sloan-Kettering Cancer Center, 160 East 53rd Street, New York, NY 10022 (e-mail: oliveri1{at}mskcc.org).

Received for publication November 12, 2007. Accepted for publication August 15, 2008.

The authors report baseline findings and predictors of nevus count (log total nevi) at the completion of year 1 (2004) of the first known population-based, prospective study of nevi in a US cohort of children. Overall, 64% (n = 443/691) of grade 5 students and their parents in Framingham, Massachusetts, completed surveys and underwent digital photography. Total nevus count was associated with skin and hair color and tendency to burn, as measured by a sun sensitivity index. In multivariate analyses, male gender (rate ratio (RR) = 1.38, 95% confidence interval (CI): 1.22, 1.55; P < 0.0001), spending 5–6 weekly hours outdoors between 10 AM and 4 PM (RR = 1.13, 95% CI: 1.00, 1.28; P = 0.051), getting a painful sunburn once (RR = 1.24, 95% CI: 0.98, 1.57; P = 0.073) and at least twice (RR = 1.34, 95% CI: 0.99, 1.82; P = 0.061), and wearing a shirt at the beach or pool rarely (RR = 1.29, 95% CI: 1.08, 1.54; P = 0.005), sometimes (RR = 1.26, 95% CI: 1.01, 1.57; P = 0.041), and often and always (RR = 1.32, 95% CI: 1.13, 1.54; P = 0.001) were associated with increased number of nevi. Identifying factors that predict the development of nevi will improve primary prevention efforts during early life.

adolescent; child; environmental exposure; longitudinal studies; melanoma; nevus; nevus, pigmented; sunburn

Abbreviations: SONIC, Study of Nevi in Children; SSI, sun sensitivity index


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