Indoor Tanning Knowledge, Attitudes, and Behavior Among Young Adults From 1988-2007

Robinson, June K.; Kim, Julie; Rosenbaum, S. E.; Ortiz, Sara

doi:10.1001/archderm.144.4.484

Cited by 77 publications

(68 citation statements)

References 23 publications

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“…Social encouragement to quit was also mentioned as a frequent motivator of cessation; this support could be serving as "cues to action" in those who were considering quitting. This finding is consistent with literature showing that those who use indoor tanning facilities are relatively welleducated concerning the health risks and skinrelated harms of this behavior [35,36]. Stapleton and colleagues [20] used latent profile analysis to examine participant responses on appearance-enhancement beliefs, normative beliefs, relaxation beliefs, appearance-damage knowledge, and healthdamage knowledge to create profiles of four subgroups of tanners: knowledgeable-appearance tanners, low-knowledge tanners, low-knowledge, relaxation tanners, and knowledgeable, low-appearance and low-relaxation tanners.…”

Section: Discussionsupporting

confidence: 92%

Quitting the “Cancer Tube”: a qualitative examination of the process of indoor tanning cessation

Banerjee

Hay

Geller

et al. 2014

Behav. Med. Pract. Policy Res.

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This study examined health belief model (HBM) relevant constructs in the context of indoor tanning cessation. Telephone interviews were conducted between December 2011 and April 2012 with participants drawn from the Growing Up Today Study (GUTS) population, specifically, former tanning bed users (N=14, all females; mean age, 25.65 years) who reported frequent use in 2007, but had quit by 2010. Participants identified important motivations for quitting including health and financial reasons and the central role of family and friends in providing encouragement for indoor tanning cessation. However, participants also noted substantial barriers to maintaining indoor tanning quitting (e.g., social pressures to look good, tanning salon incentives). Participants' experience of withdrawal highlighted psychological factors more often than physical factors; some were open to resuming use in the future. The findings will be useful in intervention development to encourage cessation, the strengthening of policies to regulate the indoor tanning industry, as well as public health messaging to raise awareness of this prevalent, easily accessible cancer risk behavior. KeywordsHealth belief model, Indoor tanning, Tanning cessation, Tanning quitting, Qualitative research Indoor tanning is a strong risk factor for melanoma [2]. In 2009, the World Health Organization's International Agency for Research on Cancer Working Group (IARC) classified ultraviolet (UV)-emitting tanning devices (tanning beds, lamps, and booths) as carcinogenic to humans [3]. Results from recent meta-analysis that included 27 observational studies published within the past 30 years, showed that the risk of cutaneous melanoma was increased by 20 % for ever users of indoor tanning devices with artificial ultraviolet light, and the risk of melanoma was doubled when use started before the age of 35 years [2]. Besides melanoma, indoor tanners are at high risk for nonmelanoma skin cancers (squamous cell carcinoma, basal cell carcinoma) [4], premature aging including loss of skin firmness, solar elastosis, and wrinkles [5, 6], skin burns [7], and eye damage [8,9]. Therefore, even though perceptions that indoor tanning is a safe way to tan are prevalent and predict use [10], there is strong evidence that indoor tanning carries important risks.Despite the health risks associated with indoor tanning, it is a common practice, particularly among Whites, women, and adults aged 18-25 years. Approximately 30 % of white women aged 18-25 report use of indoor tanning facilities in the past 12 months [11]. Increased use has been reported among white women aged 18-21 years (referring to non-Hispanic white women who tanned in the past 12 months), with an average of 27.6 sessions per year. As well, over half (58 %) of white female indoor tanning users, and 40 %

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Section: Discussionsupporting

confidence: 92%

Quitting the “Cancer Tube”: a qualitative examination of the process of indoor tanning cessation

Banerjee

Hay

Geller

et al. 2014

Behav. Med. Pract. Policy Res.

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“…32 The potentially addictive nature of indoor tanning may explain why educational knowledge-based prevention messages have been largely unsuccessful in altering attitudes and behaviour to reduce the use of sunbeds. However, some authors 33 believe that family physicians and dermatologists could be more effective in delivering counselling or education about skin cancer prevention. Although these doctors are trusted sources of information about indoor tanning people do not talk to them about it frequently.…”

Section: Discussionmentioning

confidence: 99%

Health literacy, sunscreen and sunbed use: an uneasy association

Altsitsiadis¹,

Undheim²,

Vries³

et al. 2012

British Journal of Dermatology

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SummaryBackground Skin cancer can largely be prevented by avoiding unsafe ultraviolet radiation (UVR) exposure. The evidence on potential drivers of sunscreen and sunbed use is extensive, yet in some cases, such as education, remains rather unclear. Health literacy is receiving increasing attention, but its effect on tanning decisions has not yet been explored. Objectives To explore the association between health literacy and tanning behaviour, in terms of sunscreen and sunbed use. Methods Self-reported data were collected through a common questionnaire in eight European countries under a common protocol. A three-item measure was used to assess health literacy; one item was collected to measure current sunscreen use and one item to measure current sunbed use. Descriptive statistics and analysis of variance tests were applied to explore the profile of sunbed and sunscreen users and health literacy among a number of variables. Univariate and multivariate logistic regressions were used to assess the relation between health literacy and sunscreen and sunbed use. Results Univariate results suggested that health literacy has opposite effects on sunscreen use vs. sunbed use. Increased health literacy was associated with the skin cancer protective practice of using sunscreen, but also with more sunbed use. In the multivariate models, health literacy had a significant effect only on sunscreen use. Conclusions The findings suggest that health literacy can be an interesting approach for influencing sunscreen use. In the case of sunbeds, based on the findings and contrary to what was expected, it can be argued that interventions targeting health literacy seem less likely to reduce sunbed use. More research is needed to elucidate the effect of health literacy on sunscreen and sunbed use in order to improve UVR prevention strategies.

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“…182 In 1988, only 1% of adult Americans reported using artificial tanning beds, whereas in 2007 this percentage rose to 27%. 183 The literature presents conflicting results. A possible limitation would be confounding factors such as natural sunlight exposure, since individuals who seek artificial tanning also expose themselves to the sun for the same purpose, as well as the long latency period between exposure and onset of cancer.…”

Section: Final Considerationsmentioning

confidence: 99%

Epidemiologia do carcinoma basocelular

Chinem

Miot

2011

An. Bras. Dermatol.

122

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Basal cell carcinoma is the most common malignant neoplasm in humans and its incidence has increased over the last decades. Its high frequency significantly burdens the health system, making the disease a public health issue. Despite the low mortality rates and the rare occurrence of metastases, the tumor may be locally invasive and relapse after treatment, causing significant morbidity. Exposure to ultraviolet radiation is the main environmental risk factor associated with its cause. However, other elements of risk are described, such as light skin phototypes, advanced age, family history of skin carcinoma, light eyes and blond hair, freckles in childhood and immunosuppression. Behavioral aspects such as occupational sun exposure, rural labor and sunburns at a young age also play a role. Between 30% and 75% of the sporadic cases are associated with patched hedgehog gene mutation, but other genetic changes are also described. The tumor is commonly found in concomitance with skin lesions related to chronic sun exposure, such as actinic keratoses, solar lentigines and facial telangiectasia. The prevention of basal cell carcinoma is based on the knowledge of risk factors, early diagnosis and treatment, as well as on the adoption of specific measures, particularly in susceptible populations. The authors present a review of the epidemiology of basal cell carcinoma. Keywords: Injections, intradermal; Review; Skin; Therapeutics Resumo: O carcinoma basocelular é a neoplasia maligna mais comum em humanos e sua incidência vem aumentando nas últimas décadas. Sua grande frequência gera significativo ônus ao sistema de saúde, configurando problema de saúde pública. Apesar das baixas taxas de mortalidade e de rara ocorrência de metástases, o tumor pode apresentar comportamento invasivo local e recidivas após o tratamento, provocando importante morbidade. Exposição à radiação ultravioleta representa o principal fator de risco ambiental associado a sua gênese. Entretanto, descrevem-se outros elementos de risco: fotótipos claros, idade avançada, história familiar de carcinomas de pele, olhos e cabelos claros, sardas na infância e imunossupressão, além de aspectos comportamentais, como exercício profissional exposto ao sol, atividade rural e queimaduras solares na juventude. Entre 30% e 75% dos casos esporádicos estão associados à mutação do gene patched hedgehog, mas outras alterações genéticas são ainda descritas. A neoplasia é comumente encontrada concomitantemente com lesões cutâneas relacionadas à exposição solar crônica, tais como: queratoses actínicas, lentigos solares e telangiectasias faciais. A prevenção do carcinoma basocelular se baseia no conhecimento de fatores de risco, no diagnóstico e tratamento precoces e na adoção de medidas específicas, principalmente, nas populações susceptíveis. Os autores apresentam uma revisão da epidemiologia do carcinoma basocelular.

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Indoor Tanning Knowledge, Attitudes, and Behavior Among Young Adults From 1988-2007

Cited by 77 publications

References 23 publications

Quitting the “Cancer Tube”: a qualitative examination of the process of indoor tanning cessation

Quitting the “Cancer Tube”: a qualitative examination of the process of indoor tanning cessation

Health literacy, sunscreen and sunbed use: an uneasy association

Epidemiologia do carcinoma basocelular

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