Attitudes Toward Indoor Tanning Among Users of Sunless Tanning Products

Mahoney, Anne Marie

doi:10.1001/archderm.148.1.123

Cited by 11 publications

(18 citation statements)

References 15 publications

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“…Besides, many of the salons that teens use already offer sunless services. There is also some evidence that sunless tanning may serve as a transition from indoor tanning to ceasing tanning altogether (Mahoney et al, 2012; Quinn et al, 2015; Russo, Van Acker, Vander Wal, & Sinha, 2012). …”

Section: Discussionmentioning

confidence: 99%

A Web-Based Intervention to Reduce Indoor Tanning Motivations in Adolescents: a Randomized Controlled Trial

et al. 2016

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Youthful indoor tanning as few as ten sessions can increase the risk of melanoma by 2 to 4 times with each additional session adding another 2% to the risk. Recent research estimates that indoor tanning can be linked to approximately 450,000 cases of skin cancer annually in the United States, Europe, and Australia. Despite these risks, indoor tanning remains popular with adolescents. This study tested the efficacy of a web-based skin cancer prevention intervention designed to reduce indoor tanning motivations in adolescent females. A nationally representative sample of 443 female teens were enrolled from an online panel into a two-arm, parallel group design, randomized controlled trial. Treatment participants received an appearance-focused intervention grounded in established health behavior change models. Controls viewed a teen alcohol prevention website. Outcome variables included willingness and intentions to indoor tan, willingness to sunless tan and measures of indoor tanning attitudes and beliefs. The intervention decreased willingness and intentions to indoor tan and increased sunless tanning willingness relative to controls. We also examined indirect mechanisms of change through intervening variables (e.g., indoor tanning attitudes, norms, positive and negative expectancies) using the product of coefficients approach. The web-based intervention demonstrated efficacy in changing adolescent indoor tanning motivations and improving their orientation toward healthier alternatives. Results from the intervening variable analyses give guidance to future adolescent skin cancer prevention interventions.

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Section: Discussionmentioning

confidence: 99%

A Web-Based Intervention to Reduce Indoor Tanning Motivations in Adolescents: a Randomized Controlled Trial

et al. 2016

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“…Some have promoted sunless tanning (such as “spray tanning”) as an alternative to indoor tanning . However, a significant majority of tan seekers continue to sunbathe or indoor tan despite also using sunless tanning products . Sunless tanning has preceded the initiation of indoor tanning in teens .…”

Section: Melanoma Prevention and Early Detectionmentioning

confidence: 99%

“…110 However, a significant majority of tan seekers continue to sunbathe or indoor tan despite also using sunless tanning products. 111,112 Sunless tanning has preceded the initiation of indoor tanning in teens. 113 Exposure to chemicals through inhalation is another concern with sunless tanning.…”

Section: Indoor Tanningmentioning

confidence: 99%

State of the science on prevention and screening to reduce melanoma incidence and mortality: The time is now

Tripp

Watson

Balk

et al. 2016

CA A Cancer J Clinicians

159

141

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Although overall cancer incidence rates are decreasing, melanoma incidence rates continue to increase about 3% annually. Melanoma is a significant public health problem that exacts a substantial financial burden. Years of potential life lost from melanoma deaths contribute to the social, economic and human toll of this disease. However, most cases are potentially preventable. Research has clearly established that exposure to ultraviolet (UV) radiation increases melanoma risk. Unprecedented anti-tumor activity and evolving survival benefit from novel targeted therapies and immunotherapies are now available for patients with unresectable and/or metastatic melanoma. Still, prevention (minimizing sun exposure that may result in tanned or sunburned skin and avoiding indoor tanning) and early detection (identifying lesions before they become invasive, or at an earlier stage) have significant potential to reduce melanoma incidence and melanoma-associated deaths. This paper reviews the state of the science on prevention and early detection of melanoma, and current areas of scientific uncertainty and ongoing debate. The US Surgeon General’s Call to Action to Prevent Skin Cancer and US Preventive Services Task Force reviews on skin cancer have propelled a national discussion on melanoma prevention and screening that makes this an extraordinary and exciting time for diverse disciplines in multiple sectors – health care, government, education, business, advocacy and community – to coordinate efforts and leverage existing knowledge to make major strides in reducing the public health burden of melanoma in the US.

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“…Therefore, while the data suggest overall there is some potential for reducing use of solaria via encouraging the use of sunless tanning products, the data are not sufficient to conclude that such an approach is likely to be widely successful. One third to half of participants who used sunless tanning products reported simultaneous solaria use (47,59). About half of these solaria users either did not reduce (47), or in fact increased (59), their use of tanning beds while using sunless tanning products.…”

Section: The Potential For Reduced Solaria Use Via Substitution Of Sementioning

confidence: 99%

“…One third to half of participants who used sunless tanning products reported simultaneous solaria use (47,59). About half of these solaria users either did not reduce (47), or in fact increased (59), their use of tanning beds while using sunless tanning products. Conversely, just over half of solaria users reported also tanning outdoors and the use of self-tanning products (19).…”

Section: The Potential For Reduced Solaria Use Via Substitution Of Sementioning

confidence: 99%

A narrative review of the potential for self‐tanning products to substitute for solaria use among people seeking a tanned appearance

Paul

Bryant

Turon

et al. 2014

Photoderm Photoimm Photomed

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Summary Skin cancers including melanoma and non‐melanoma skin cancers are a high‐cost and largely preventable form of cancer. While limiting exposure to solar ultraviolet (UV) light via outdoor activities is a focus of public health efforts, indoor UV exposure via solaria or ‘tanning booths’ has also become a cause for concern. In recent decades the availability of less harmful non‐UV self‐tanning products such as sprays and lotions has increased. This review explores (i) the available data regarding the prevalence and behavioural factors associated with use of solaria and self‐tanning products and (ii) data that may shed light on the likelihood of solaria users substituting self‐tanning products as a less harmful alternative to solaria exposure. While there are insufficient data on which to draw a firm conclusion about the potential for substitution, it appears unlikely that most solaria users would readily substitute self‐tanning products in place of solaria exposure. Public health advocates may need to consider whether a robust research study of the cost‐effectiveness of encouraging substitutional use of self‐tanners is desirable, or whether efforts to severely restrict access to solaria may be a better approach.

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Attitudes Toward Indoor Tanning Among Users of Sunless Tanning Products

Cited by 11 publications

References 15 publications

A Web-Based Intervention to Reduce Indoor Tanning Motivations in Adolescents: a Randomized Controlled Trial

A Web-Based Intervention to Reduce Indoor Tanning Motivations in Adolescents: a Randomized Controlled Trial

State of the science on prevention and screening to reduce melanoma incidence and mortality: The time is now

A narrative review of the potential for self‐tanning products to substitute for solaria use among people seeking a tanned appearance

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