Sunbed use among subjects at high risk of melanoma: an Italian survey after the ban

Stanganelli, Ignazio; Gandini, Sara; Magi, Serena; Mazzoni, Laura; Medri, Matelda; Agnoletti, Veronica; Lombi, Linda; Falcini, Fabio

doi:10.1111/bjd.12384

Cited by 24 publications

(46 citation statements)

References 23 publications

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“…As far as we are concerned, there are no studies specifically aimed to ascertain the prevalence and distribution of different phototypes and phenotypes within the Italian population; some indications can be drawn by data retrieved during screening prevention events, even if in some way they are controversial. For instance, in the population screened during the Italian Euromelanoma day 2010, 6.1% had phototype I, 18.6% II whilst a higher prevalence of dark phototypes (44.9% III and 30.4% phototype IV) was reported with respect to our population; moreover, a sunburn was reported to have taken place before 18 years of age in 35.2% [12]. In the previous similar events from 2005 to 2007, different figures were reported, more similar to those found in our study, with only 7.9% phototype IV and 39.9% phototype II [13].…”

Section: Discussionmentioning

confidence: 48%

“…Carli et al [11] found that high counts of common naevi correlate with prevalence of atypical naevi independently of phototype, phenotype or sunburns. Stanganelli et al [12] conducted a survey of 4,703 people in the region Emilia-Romagna (northern Italy), showing that the use of sunbeds was higher in people already at a higher risk for melanoma, i.e. those with freckles, fair skin and eyes.…”

Section: Discussionmentioning

confidence: 99%

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Differences in Clinicopathological Features and Distribution of Risk Factors in Italian Melanoma Patients

et al. 2015

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Background: No studies are available in the literature on the distribution of different melanoma features and risk factors in the Italian geographical areas. Objective: To identify the differences in clinical-pathological features of melanoma, the distribution of risk factors and sun exposure in various Italian macro-areas. Methods: Multicentric-observational study involving 1,472 melanoma cases (713 north, 345 centre, 414 south) from 26 referral centres belonging to the Italian Multidisciplinary Group for Melanoma. Results: Melanoma patients in northern regions are younger, with thinner melanoma, multiple primaries, lower-intermediate phototype and higher counts of naevi with respect to southern patients; detection of a primary was mostly connected with a physician examination, while relatives were more involved in the south. Northern patients reported a more frequent use of sunbeds and occurrence of sunburns before melanoma despite sunscreen use and a lower sun exposure during the central hours of the day. Conclusions: The understanding of differences in risk factors distribution could represent the basis for tailored prevention programmes.

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Section: Discussionmentioning

confidence: 48%

Section: Discussionmentioning

confidence: 99%

Differences in Clinicopathological Features and Distribution of Risk Factors in Italian Melanoma Patients

et al. 2015

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“…The study has been described extensively in Stanganelli et al [16]. Briefly, this project, called the "Save the skin", was developed by the Melanoma survey Unit of Istituto Oncologico Romagnolo (IOR), Forlì, associated with the Skin Cancer Unit of Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori, Meldola (FC), in partnership with Centro di Studi Avanzati sull'Umanizzazione delle Cure e sulla Salute Sociale (Ce.Um.S.…”

Section: Methodsmentioning

confidence: 99%

“…Comprehensive meta-analysis reveals that the strongest evidence for a link between artificial UV and melanoma is among individuals first exposed to indoor tanning before the age of 35 [15] We designed this study to assess the behaviour of a population with high melanoma incidence which spends a lot of time seeking a suntan at easily accessible beaches. In a previous study, we investigated sunbed use [16], in this analysis we assess sun exposure attitudes, sunscreen and sunglass use during sun exposure and sunbed use, in particular among the young. We also estimated the number of melanoma cases in Italy attributable to sunbed use in youth and to excessive sun exposure.…”

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confidence: 99%

Melanoma attributable to sunbed use and tan seeking behaviours: an Italian survey

Gandini

Stanganelli

Magi

et al. 2014

European Journal of Dermatology

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Melanoma attributable to sunbed use and tan seeking behaviours: an Italian surveyMelanoma is the most deadly form of skin cancer and its incidence is increasing worldwide. In 2009, the International Agency for Research on Cancer classified the entire UV spectrum as carcinogenic. In many countries, including Italy, the use of tanning equipment by minors and individuals with high risk phenotypes has been banned. This study assessed tan-seeking behaviour in a Mediterranean population with a relatively high melanoma incidence, where a considerable time is spent tanning outdoors. Subjects spending the most time in the sun were typically young single men, who use significantly less sunscreen and sunglasses. The overall prevalence of sunbed use was 22% in youth (≤35 years old) and 18% of them used sunbeds throughout the year. Sunbed use in youth was greater for phenotypes at risk. In Italy, 3.8% of melanoma cases are attributable to sunbed use, more in women (4.2% vs 3.1%, for women and men respectively) and much more in the young (17%). Of 8013 new melanoma cases in 2008 in Italy, 293 were attributable to sunbed use, with a high proportion of these in women (168) and 1045 were attributable to sun exposure. Among youth, 172 cases were attributable to sunbed use and 140 exclusively to sunbed use. This analysis reveals that a large number of cancers each year in Italy could be avoided by changing cultural attitudes to tanning. Sun avoidance and protection is generally inadequate in adults, especially young men. These results have important implications for the primary prevention of melanoma.

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“…Fernández-Morano et al [1] report on behaviour, attitudes and awareness concerning sun exposure in adolescents aged 11-17 years living in southern Spain. Gandini et al [2] describe a previously published [3] young population consisting of beach visitors (88% of the cohort) and university students in Italy. Half of this population was younger than 35-years-old.…”

mentioning

confidence: 99%

Residents’corner February 2014. Editorial: What's new this month?

Buder

Clayton²,

Matin

et al. 2014

European Journal of Dermatology

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Sunbed use among subjects at high risk of melanoma: an Italian survey after the ban

Abstract: More skin cancer monitoring is needed at tanning centres, and educational campaigns should be promoted, especially for young women and subjects at high risk of melanoma.

Cited by 24 publications

References 23 publications

Differences in Clinicopathological Features and Distribution of Risk Factors in Italian Melanoma Patients

Differences in Clinicopathological Features and Distribution of Risk Factors in Italian Melanoma Patients

Melanoma attributable to sunbed use and tan seeking behaviours: an Italian survey

Residents’corner February 2014. Editorial: What's new this month?

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