ArticleAmerican journal of epidemiology2013
Prospective study of ultraviolet radiation exposure and mortality risk in the United States.
Article in American journal of epidemiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
18 citing papers in PubMed, 4 syntheses or guidelines pooled it, 47 citations in OpenAlex.
- The effects of sunlight exposure on mortality: a systematic review of epidemiological studies.NIHR open research · 2025Pooled it
- Cumulative Erythemal Ultraviolet Radiation and Risk of Cancer in 3 Large US Prospective Cohorts.American journal of epidemiology · 2022Pooled it
- Pooled it
- Pooled it
- Beneficial health effects of ultraviolet radiation: expert review and conference report.Photochemical & photobiological sciences : Official journal of the European Photochemistry Association and the European Society for Photobiology · 2025Review
- The association between time spent outdoors during daylight and mortality among participants of the Adventist Health Study 2 Cohort.Environmental epidemiology (Philadelphia, Pa.) · 2025Article
- Exposure-lag response of surface net solar radiation on lung cancer incidence: a global time-series analysis.Translational lung cancer research · 2024Article
- Ambient ultraviolet radiation as a cardioprotective factor: A global and regional analysis.Health science reports · 2024Article
- Article
- Lipids in ultraviolet radiation-induced immune modulation.Photochemical & photobiological sciences : Official journal of the European Photochemistry Association and the European Society for Photobiology · 2020Review
- Women with fair phenotypes seem to confer a survival advantage in a low UV milieu. A nested matched case control study.PloS one · 2020Article
- Personal ultraviolet Radiation exposure in a cohort of Chinese mother and child pairs: the Chinese families and children study.BMC public health · 2019Article
- Vitamin D deficiency in relation to the poor functional outcomes in nondiabetic patients with ischemic stroke.Bioscience reports · 2018Article
- Ambient ultraviolet radiation exposure and hepatocellular carcinoma incidence in the United States.Environmental health : a global access science source · 2017Article
- Temporal Trends in Satellite-Derived Erythemal UVB and Implications for Ambient Sun Exposure Assessment.International journal of environmental research and public health · 2017Article
- Spatiotemporal exposure modeling of ambient erythemal ultraviolet radiation.Environmental health : a global access science source · 2016Article
- The relationship between ultraviolet light exposure and mortality in dialysis patients.American journal of nephrology · 2014Article
- The author's reply.American journal of epidemiology · 2013Article
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
Geographic variations in mortality rate in the United States could be due to several hypothesized factors, one of which is exposure to solar ultraviolet radiation (UVR). Limited evidence from previous prospective studies has been inconclusive. The association between ambient residential UVR exposure and total and cause-specific mortality risks in a regionally diverse cohort (346,615 white, non-Hispanic subjects, 50-71 years of age, in the National Institutes of Health (NIH)-AARP Diet and Health Study) was assessed, with accounting for individual-level confounders. UVR exposure (averaged for 1978-1993 and 1996-2005) from NASA's Total Ozone Mapping Spectrometer was linked to the US Census Bureau 2000 census tract of participants' baseline residence. Multivariate-adjusted Cox proportional-hazards models were used to estimate hazard ratios and 95% confidence intervals. Over 12 years, UVR exposure was associated with total deaths (n = 41,425; hazard ratio for highest vs. lowest quartiles (HRQ4 vs. Q1) = 1.06, 95% confidence interval (CI): 1.03, 1.09; Ptrend < 0.001) and with deaths (all Ptrend < 0.05) due to cancer (HRQ4 vs. Q1 = 1.06, 95% CI: 1.02, 1.11), cardiovascular disease (HRQ4 vs. Q1 = 1.06, 95% CI: 1.00, 1.12), respiratory disease (HRQ4 vs. Q1 = 1.37, 95% CI: 1.21, 1.55), and stroke (HRQ4 vs. Q1 = 1.16, 95% CI: 1.01, 1.33) but not with deaths due to injury, diabetes, or infectious disease. These results suggest that UVR exposure might not be beneficial for longevity.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.