Prevalence of Indoor Tanning Use in Minnesota, 2002

Lazovich, DeAnn; Sweeney, Carol; Forster, Jean L.

doi:10.1001/archderm.141.4.523

Cited by 24 publications

(27 citation statements)

References 10 publications

(13 reference statements)

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“…15,16 Females, however, are also more likely to view positively, and frequently to engage in, risky behaviours such as sunbathing 17,18 and solarium use. 15,19 The use of indoor tanning equipment was more frequently reported in women in several studies, 14,20,21 as was the case in our study.…”

Section: Discussionsupporting

confidence: 74%

“…A similar trend over different age ranges has previously been described in the literature. 20,21 In contrast, the association between young age and sun-protection behaviour that we noticed is still unclear. Several studies, reviewed by Kasparian et al, 13 have found a positive association between age and sun protection, particularly sunscreen use; however, there is also evidence of a negative association between age and sun protection as well as some studies which have found no association.…”

Section: Discussioncontrasting

confidence: 56%

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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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Section: Discussionsupporting

confidence: 74%

Section: Discussioncontrasting

confidence: 56%

Health literacy, sunscreen and sunbed use: an uneasy association

Altsitsiadis¹,

Undheim²,

Vries³

et al. 2012

British Journal of Dermatology

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“…Consequently, the evidence is limited that melanoma occurrence increases with frequent indoor tanning use. In addition, only three studies have examined melanoma in relation to indoor tanning use during adolescence (30-32), when indoor tanning is most likely to be initiated (37). While moderately strong associations have been reported, point estimates were imprecise, perhaps, due to the low frequency of exposure (30, 32) or number of events (31).…”

Section: Introductionmentioning

confidence: 99%

Indoor Tanning and Risk of Melanoma: A Case-Control Study in a Highly Exposed Population

Lazovich

Vogel

Berwick

et al. 2010

Cancer Epidemiology, Biomarkers &Amp; Prevention

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325

282

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Background: Indoor tanning has been only weakly associated with melanoma risk; most reports were unable to adjust for sun exposure, confirm a dose-response, or examine specific tanning devices. A populationbased case-control study was conducted to address these limitations.Methods: Cases of invasive cutaneous melanoma, diagnosed in Minnesota between 2004 and 2007 at ages 25 to 59, were ascertained from a statewide cancer registry; age-matched and gender-matched controls were randomly selected from state driver's license lists. Self-administered questionnaires and telephone interviews included information on ever use of indoor tanning, types of device used, initiation age, period of use, dose, duration, and indoor tanning-related burns. Odds ratios (OR) and 95% confidence intervals (CI) were adjusted for known melanoma risk factors.Results: Among 1,167 cases and 1,101 controls, 62.9% of cases and 51.1% of controls had tanned indoors (adjusted OR 1.74; 95% CI, 1.42-2.14). Melanoma risk was pronounced among users of UVB-enhanced (adjusted OR, 2.86; 95% CI, 2.03-4.03) and primarily UVA-emitting devices (adjusted OR, 4.44; 95% CI, 2.45-8.02). Risk increased with use: years (P < 0.006), hours (P < 0.0001), or sessions (P = 0.0002). ORs were elevated within each initiation age category; among indoor tanners, years used was more relevant for melanoma development.Conclusions: In a highly exposed population, frequent indoor tanning increased melanoma risk, regardless of age when indoor tanning began. Elevated risks were observed across devices.Impact: This study overcomes some of the limitations of earlier reports and provides strong support for the recent declaration by the IARC that tanning devices are carcinogenic in humans. Cancer Epidemiol Biomarkers

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“…6 A 2002 statewide survey of Minnesota adults found that 45% of women (76% of women 25-34 years of age) and 30% of men had ever used an indoor tanning device. 7 A recent review of indoor tanning use among adolescents found that prevalence ranged from 2% to 11% among boys and from 12% to 37% among girls between the ages of 11 and 18 years in the United States. 8 year-olds in the Minneapolis-St Paul metropolitan area, 12% of boys and 42% of girls reported tanning indoors.…”

mentioning

confidence: 99%