<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2795-5001</journal-id>
<journal-title><![CDATA[Portuguese Journal of Dermatology and Venereology]]></journal-title>
<abbrev-journal-title><![CDATA[Port J Dermatol Venereol.]]></abbrev-journal-title>
<issn>2795-5001</issn>
<publisher>
<publisher-name><![CDATA[Permanyer Publications]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2795-50012026000100001</article-id>
<article-id pub-id-type="doi">10.24875/pjdv.25000077</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Primary prevention strategies for melanoma]]></article-title>
<article-title xml:lang="pt"><![CDATA[Estratégias de prevenção primária do melanoma]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[Lara M.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Borges-Costa]]></surname>
<given-names><![CDATA[João]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Faculdade de Medicina da Universidade de Lisboa Instituto de Medicina Preventiva e Saúde Pública e Clínica Universitária de Dermatologiae ]]></institution>
<addr-line><![CDATA[Lisbon ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade Nova de Lisboa Instituto de Higiene e Medicina Tropical ]]></institution>
<addr-line><![CDATA[Lisbon ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2026</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2026</year>
</pub-date>
<volume>84</volume>
<numero>1</numero>
<fpage>1</fpage>
<lpage>10</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2795-50012026000100001&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2795-50012026000100001&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2795-50012026000100001&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Melanoma is one of the malignancies whose frequency has increased with highest rate worldwide and accounts for most skin cancer-related deaths despite representing &lt; 5% of cases. This review aimed to critically evaluate evidence on primary prevention strategies, their effectiveness, limitations, and outline priorities to reduce melanoma incidence. A systematic review was conducted in PubMed, MEDLINE, and Cochrane between November 2024 and January 2025. Eligible studies included adults (&#8805; 18 years), addressed primary prevention of melanoma, and were published since the year 2000. Thirty-five studies met inclusion criteria and were grouped into four themes: behavioral counseling and education (BC), technology-based interventions (T), genetic/personalized risk information (G), and chemopreventive agents (AQ). Daily sunscreen use emerged as a safe, effective, and cost-efficient measure. Protective clothing and shade-seeking complemented photoprotection but required combined use. Educational campaigns improved awareness and sun-protective behaviors, though impact varied with cultural adaptation and prevailing attitudes toward tanning. Technology-based strategies, including apps and short message service (SMS) reminders, showed potential in younger populations but limited long-term adherence. Genetic risk communication influenced preventive behaviors mainly in high-risk groups, with inconsistent effects in average-risk populations. Chemopreventive approaches, such as aspirin and long-chain n-3 polyunsaturated fatty acids, yielded conflicting results and remain inconclusive. Effective melanoma prevention requires a multifaceted approach integrating proven photoprotection, culturally tailored education, and innovative technologies. Sunscreen remains the cornerstone, but strategies must address tanning norms and population-specific needs. Future studies should emphasize long-term follow-up and cost-effectiveness in diverse populations.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo O melanoma é uma das neoplasias malignas cuja frequência mais rapidamente tem crescido e é responsável pela maioria das mortes por cancro da pele, apesar de representar menos de 5% dos casos. Esta revisão teve como objetivo avaliar criticamente a evidência sobre estratégias de prevenção primária, a sua eficácia e limitações, e definir prioridades para reduzir a incidência do melanoma. Foi realizada uma revisão sistemática nas bases de dados PubMed, MEDLINE e Cochrane entre novembro de 2024 e janeiro de 2025. Foram incluídos estudos com adultos (&#8805; 18 anos), que abordassem a prevenção primária do melanoma, publicados a partir do ano 2000. Trinta e cinco estudos preencheram os critérios de inclusão e foram agrupados em quatro temas: aconselhamento comportamental e educação (AC), intervenções baseadas em tecnologia (T), informação genética/personalizada sobre risco (G) e agentes quimiopreventivos (AQ). A utilização diária de protetor solar surgiu como uma medida segura, eficaz e custo-efetiva. O vestuário protetor e a procura de sombra complementaram a fotoproteção, nomeadamente em combinação com outras estratégias de prevenção primária. As campanhas educativas melhoraram a consciência e os comportamentos de proteção solar, embora o impacto variasse consoante a adaptação cultural e as atitudes comportamentais face ao bronzeamento. Estratégias tecnológicas, como aplicações móveis e mensagens SMS, mostraram potencial em populações jovens, mas apresentaram baixa adesão a longo prazo. A comunicação de risco genético influenciou sobretudo grupos de alto risco, enquanto os resultados foram inconsistentes em populações de risco médio. Abordagens quimiopreventivas, como aspirina e ácidos gordos n-3 de cadeia longa, apresentaram resultados contraditórios e permanecem inconclusivas. A prevenção eficaz do melanoma requer uma abordagem multifacetada com integração de estratégias de fotoproteção, educação culturalmente adaptada e tecnologias inovadoras. Apesar da utilização de protetor solar mostrar-se como sendo a estratégia com maior custo-efetividade, poderá ser relevante a abordagem das normas sociais associadas ao bronzeamento e necessidades específicas da população. Estudos futuros devem priorizar o seguimento a longo prazo e a avaliação da custo-efetividade em diferentes contextos populacionais.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Melanoma]]></kwd>
<kwd lng="en"><![CDATA[Primary prevention]]></kwd>
<kwd lng="en"><![CDATA[Ultraviolet radiation]]></kwd>
<kwd lng="en"><![CDATA[Sunscreen]]></kwd>
<kwd lng="en"><![CDATA[Health education]]></kwd>
<kwd lng="pt"><![CDATA[Melanoma]]></kwd>
<kwd lng="pt"><![CDATA[Prevenção primária]]></kwd>
<kwd lng="pt"><![CDATA[Radiação ultravioleta]]></kwd>
<kwd lng="pt"><![CDATA[Protetor solar]]></kwd>
<kwd lng="pt"><![CDATA[Educação em saúde]]></kwd>
</kwd-group>
</article-meta>
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