More evidence of harms of sunbed use, particularly for young people

Olsen, Catherine M.; Green, Adèle C.

doi:10.1136/bmj.e6101

Cited by 4 publications

(6 citation statements)

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“…Most previous studies on the effects of ultraviolet exposure on SCC risk used a case‐control design, sometimes nested in a cohort, and more data from prospective studies are needed . We have previously studied host characteristics, sun exposure and indoor tanning in a large population‐based cohort study in Scandinavia, and found consistent effects on MM risk .…”

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confidence: 90%

Host characteristics, sun exposure, indoor tanning and risk of squamous cell carcinoma of the skin

et al. 2014

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Use of indoor tanning devices increases risk of cutaneous malignant melanoma, but the association with risk of squamous cell carcinoma (SCC) of the skin is unclear. Cohort studies of SCC risk are rare and we aimed to assess the association between SCC risk and host characteristics, sun exposure, and indoor tanning in a population-based cohort of Norwegian and Swedish women conjunctly with SCC incidence data from national cancer registries. Host characteristics and exposure to sun and indoor tanning devices before 50-years old were recorded by questionnaire at inclusion (30-50 years) in 1991/92. Multivariable relative risks (RRs) and 95% confidence intervals (CIs) were estimated by Poisson regression. During follow-up of 106,548 women through December 2009, SCC was diagnosed in 141 women. Skin sensitivity to acute sun exposure was the most important pigmentation characteristic (RR 5 2.73, 95% CI 1.47-5.05, for red with pain/red with pain and blisters versus brown). We found no consistent associations with sunburns and bathing vacations in the first five age decades, but a significant positive trend for bathing vacations summarized over ages 10-49 years (P trend 5 0.02). We also found significantly increased risks of SCC following indoor tanning at age 40-49 years (RR 5 2.17, 95% CI 1.29-3.67, for 1 time/month versus never) and indoor tanning summarized over ages 10-49 years (P trend 5 0.001). RR for ever versus never use of indoor tanning over ages 10-49 years was 1.93 (95% CI 1.27-2.95). Propensity to burn was an important host characteristic, and bathing vacations and indoor tanning summarized over ages 10-49 years increased SCC risk.Cutaneous squamous cell carcinoma (SCC) incidence is increasing worldwide, but population incidence data are scarce in many countries due to registration practices.1 The national cancer registries in Norway and Sweden systematically collect non-melanoma skin cancer incidence (excluding basal cell carcinoma) of which about 95% are SCC.2 Nonmelanoma skin cancer was one of the most rapidly increasing malignant tumors in Sweden in the last decade, with an average annual increase of 4.7% in men and 6.7% in women. 3Norwegian female incidence rates were more than five times higher in 2006-2010 compared to 1956-1960 and the male rates were nearly five times higher. 4 Hair and eye color, the propensity to sunburn, and the ability to tan are generally accepted host risk factors for SCC, 5,6 but pigmentation is less studied as a risk factor for SCC than for cutaneous malignant melanoma (MM). Likewise, nevi count, an important risk factor for MM, has been studied in relation to SCC risk in a few studies but no consistent association has been found. IJCMost previous studies on the effects of ultraviolet exposure on SCC risk used a case-control design, sometimes nested in a cohort, and more data from prospective studies are needed. 14,19 We have previously studied host characteristics, sun exposure and indoor tanning in a large populationbased cohort study in Scandinavia, and found consistent ...

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Host characteristics, sun exposure, indoor tanning and risk of squamous cell carcinoma of the skin

et al. 2014

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“…The latter, remarkable result replicates the finding of Gandini et al (2011), who report that 'individuals who had their first exposure to indoor tanning before the age of 30 … have a 75% increase [d] risk of developing melanoma than individuals who had no exposure to indoor tanning' (Gandini et al, 2011: 362). While melanoma is less common than other skin cancers, it is more aggressive and has higher mortality (Olsen and Green, 2012;Wehner et al, 2012). According to the National Cancer Institute, melanoma of the skin is, compared to other types of cancer, 'fairly common'.…”

Section: Harms Of Sunbed Usementioning

confidence: 99%

“…Non-melanoma skin cancer is the more common type, and although less aggressive and with lower mortality than melanoma, its treatment is associated with morbidity. Moreover, given its prevalence (according to Wehner et al 2014, 390, more than 450,000 cases each year in the US, Europe and Australia are attributable to indoor tanning) treatment is a significant burden on health care systems (Olsen and Green, 2012;Wehner et al, 2012). The meta-analysis finds a significant relation between tanning bed use and non-melanoma skin cancer.…”

Section: Harms Of Sunbed Usementioning

confidence: 99%

“…For example, it is a source of vitamin D and might prepare the skin to exposures to the sun (giving users a 'pre-vacation tan'). The beneficial effects, if any, of a pre-vacation tan are disputed, however, and the former, while true, should be seen against the background of the availability of alternative sources of vitamin D-sources without the serious negative sideeffects of artificial tanning (Olsen andGreen, 2012. Cf.…”

Section: Harms Of Sunbed Usementioning

confidence: 99%

“…The use of tanning beds is among the most significant causes of melanoma and nonmelanoma skin cancer (Boniol et al, 2012;Doré and Chignol, 2012;Olsen and Green, 2012;Wehner et al, 2012;Wehner et al, 2014). Indeed, the World Health Organization regards sunbeds as a so-called 'group 1 carcinogen', alongside tobacco smoking and asbestos (El Ghissassi et al, 2009).…”

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confidence: 99%

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Stay Out of the Sunbed! Paternalistic Reasons for Restricting the Use of Sunbeds

Andersen

Midtgaard

2016

Public Health Ethics

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Stay out of the Sunbed! Paternalistic Reasons for Restricting the Use of Sunbeds The use of tanning beds has been identified as being among the most significant causes of melanoma and nonmelanoma skin cancer. Accordingly, the activity is properly seen as one that involves profound harm to self. The paper examines paternalistic reasons for restricting sunbed usage. We argue that both so-called soft and hard paternalistic arguments support prohibiting the use of sunbeds. We make the following three arguments: (i) an argument from oppressive patterns of socialization suggesting that the autonomous nature of the conduct in question is questionable; (ii) an argument from so-called evaluative delusions in which individuals attach incorrect weights to some of their values; (iii) a strictly hard paternalistic argument appealing to the harm in itself (as opposed to failures of rationality or agency) pertaining to the use of sunbeds.

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Radiation and public health

Kheifets¹,

Green²,

Wakeford³

2021

Oxford Textbook of Global Public Health

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The electromagnetic spectrum encompasses frequencies that range from above approximately 1020 hertz (Hz) for ionizing radiation at the high end of the spectrum to static fields and power frequencies of 50–60 Hz at the low end. In order of decreasing frequency, the spectrum comprises gamma-rays, X-rays, ultraviolet radiation, visible light, infrared radiation, microwaves, radio waves and extremely low frequency electric and magnetic fields (ELF EMF). This chapter reviews sources and health effects of human exposure to radiation within the electromagnetic spectrum, and for ionizing radiation exposure to subatomic particles, as well as reviewing policies for limiting human exposure where appropriate.

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More evidence of harms of sunbed use, particularly for young people

Abstract: Indoor tanning increases risk for the three most common skin cancers

Cited by 4 publications

References 11 publications

Host characteristics, sun exposure, indoor tanning and risk of squamous cell carcinoma of the skin

Host characteristics, sun exposure, indoor tanning and risk of squamous cell carcinoma of the skin

Stay Out of the Sunbed! Paternalistic Reasons for Restricting the Use of Sunbeds

Radiation and public health

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