Tanning Bed Legislation for Minors: A Comprehensive International Comparison

Diehl, Katharina; Lindwedel, Karla S.; Mathes, Sonja; Görig, Tatiana; Gefeller, Olaf

doi:10.20944/preprints202205.0011.v1

Cited by 7 publications

(1 citation statement)

References 7 publications

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“…In the European Union, no country has applied a total ban on tanning beds, as was done in Australia. However, the majority of European countries, including Lithuania, have implemented strongly limiting access restrictions for minors such as a strict ban for using tanning beds for persons younger than 18 years [16]. Melanoma risk in the northern hemisphere is related to intermittent or recreational sun exposure and sunburn history [17].…”

Section: Discussionmentioning

confidence: 99%

Changing epidemiology and age-specific incidence of cutaneous malignant melanoma in Lithuania: an analysis of national cancer registration data by gender and anatomical site, 1991–2015

Cerkauskaite¹,

Dulskas²,

Vincerževskienė³

et al. 2022

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Introduction The purpose of this study was to investigate the gender-specific and anatomical site-specific incidence of cutaneous melanoma. Material and methods All cases of primary skin melanoma reported to the Lithuanian Cancer Registry during the period 1991–2015 were included. For the analyses, patients were categorized by sex and melanoma site. Results Overall age-standardized rate (ASR) of melanoma in the trunk increased 0.8–3.3, while in limbs the ASR increased 1.0–3.4. The highest increase in new cases per 100,000 population (in both sexes) was detected in limbs and it increased over time (from 2.01 per 100,000 in 1991 to 3.65 per 100,000 in 2015). The highest increase in the number of new cases was in limbs with ASR, with a more than 3-fold increase from 1991–2015 (1.4–4.6). A statistically significant increase was observed in mortality of skin melanoma between 1991 and 2015, with the highest annual percentage change (APC) of 5.5 in the trunks of men (95% CI: 5.2–5.9; p < 0.05) and women with APC 3.9 (95% CI: 3.5–4.4, p < 0.05). Conclusions In our study, we found higher incidence rates of skin melanoma in females. Melanoma was more commonly diagnosed in the trunk of males and limbs of females, with the highest mortality increase in trunk melanoma in both genders.

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Section: Discussionmentioning

confidence: 99%

Changing epidemiology and age-specific incidence of cutaneous malignant melanoma in Lithuania: an analysis of national cancer registration data by gender and anatomical site, 1991–2015

Cerkauskaite¹,

Dulskas²,

Vincerževskienė³

et al. 2022

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Melanoma Mortality Trends in 28 European Countries: A Retrospective Analysis for the Years 1960–2020

Koczkodaj

Sulkowska

Didkowska

et al. 2023

Cancers

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Background: In 2020, in 27 European Union (EU) Member States, melanoma accounted for 4% of all new cancer cases and 1.3% of all cancer deaths, making melanoma the fifth most common malignancy and placing it in the 15 most frequent causes of cancer deaths in the EU-27. The main aim of our study was to investigate melanoma mortality trends in 25 EU Member States and three non-EU countries (Norway, Russia, and Switzerland) in a broad time perspective (1960–2020) in a younger (45–74 years old) vs. older age group (75+). Methods: We identified melanoma deaths defined by ICD-10 codes C-43 for individuals aged 45–74 and 75+ years old between 1960–2020 in 25 EU Member States (excluding Iceland, Luxembourg, and Malta) and in 3 non-EU countries—Norway, Russia, and Switzerland. Age-standardized melanoma mortality rates (ASR) were computed using the direct age-standardization for Segi’s World Standard Population. To determine melanoma-mortality trends with 95% confidence intervals (CI), Joinpoint regression was applied. Our analysis used the Join-point Regression Program, version 4.3.1.0 (National Cancer Institute, Bethesda, MD, USA). Results: Regardless of the considered age groups, in all investigated countries, in general, melanoma standardized mortality rates were higher for men than women. Considering the age group 45–74, the highest number of countries was characterized by decreasing melanoma-mortality trends in both sexes—14 countries. Contrarily, the highest representation of countries in the age group 75+ was connected with increasing melanoma-mortality trends in both sexes—26 countries. Moreover, considering the older age group—75+—there was no country with a decreasing melanoma mortality in both sexes. Conclusions: Investigated melanoma-mortality trends vary in individual countries and age groups; however, a highly concerning phenomenon—increasing melanoma-mortality rates in both sexes—was observed in 7 countries for the younger age group and in as many as 26 countries for the older age group. There is a need for coordinated public-health actions to address this issue.

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Global Tanning Bed Advertising: A Comparison of Legal Regulations on Three Continents

Mathes,

Lindwedel,

Nilsen

et al. 2023

Cancers

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Artificial ultraviolet radiation from tanning beds has been classified as carcinogenic by the International Agency for Research on Cancer in 2009. Several countries have subsequently introduced comprehensive legislation regulating commercial indoor tanning. Specific aspects of these regulations address tanning bed advertising and information requirements for tanning bed customers, which have been previously neglected in international comparisons of indoor tanning regulations. We performed a systematic search regarding legislation on these aspects in 131 legislative units across three continents (North America, Australia/New Zealand, Europe). The legal restrictions found varied widely in type and content. In 49 legislative units we identified total (n = 8) or partial legal bans (n = 41) on advertising for indoor tanning, while 64 legislative units enacted 5regulations that necessitate the dissemination of different types of specific health information to tanning bed customers. Nearly 40% of the legislative units of the study region lacked any legislation on these issues altogether. The heterogenous results emphasize the need for an international dialogue between health authorities and governments to harmonize the regulatory framework for tanning bed advertising and information requirements to a level better protecting the public from skin cancer. Our comprehensive international comparison can serve as a starting point for such a harmonization process that may ultimately protect the public worldwide from misleading tanning bed advertising.

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Tanning Bed Legislation for Minors: A Comprehensive International Comparison

Cited by 7 publications

References 7 publications

Changing epidemiology and age-specific incidence of cutaneous malignant melanoma in Lithuania: an analysis of national cancer registration data by gender and anatomical site, 1991–2015

Changing epidemiology and age-specific incidence of cutaneous malignant melanoma in Lithuania: an analysis of national cancer registration data by gender and anatomical site, 1991–2015

Melanoma Mortality Trends in 28 European Countries: A Retrospective Analysis for the Years 1960–2020

Global Tanning Bed Advertising: A Comparison of Legal Regulations on Three Continents

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