BMC Public Health. 2012 Feb 10;12:118. doi: 10.1186/1471-2458-12-118.
Lostritto K, Ferrucci LM, Cartmel B, Leffell DJ, Molinaro AM, Bale AE, Mayne ST.
Yale School of Public Health,New Haven CT 06520, USA.
Despite educational and public health campaigns to convey the risks of indoor tanning, many individuals around the world continue to engage in this behavior. Few descriptive studies of indoor tanning have collected information pertaining to the lifetime history of indoor tanning, thereby limiting our ability to understand indoor tanning patterns and potentially target interventions for individuals who not only initiate, but continue to persistently engage in indoor tanning.
In-person interviews elicited detailed retrospective information on lifetime history of indoor tanning among white individuals (n = 401) under age 40 seen by a dermatologist for a minor benign skin condition. These individuals were controls in a case-control study of early-onset basal cell carcinoma. Outcomes of interest included ever indoor tanning in both males and females, as well as persistent indoor tanning in females - defined as females over age 31 who tanned indoors at least once in the last three or all four of four specified age periods (ages 11-15, 16-20, 21-30 and 31 or older). Multivariate logistic regression was used to identify sociodemographic and lifestyle correlates of ever and persistent indoor tanning in females.
Approximately three-quarters (73.3%) of females and 38.3% of males ever tanned indoors, with a median age of initiation of 17.0 and 21.5, respectively. Among indoor tanners, 39.3% of females and 21.7% of males reported being burned while indoor tanning. Female ever indoor tanners were younger, had darker color eyes, and sunbathed more frequently than females who never tanned indoors. Using unique lifetime exposure data, 24.7% of female indoor tanners 31 and older persistently tanned indoors starting as teenagers. Female persistent indoor tanners drank significantly more alcohol, were less educated, had skin that tanned with prolonged sun exposure, and sunbathed outdoors more frequently than non-persistent tanners.
Indoor tanning was strikingly common in this population, especially among females. Persistent indoor tanners had other high-risk behaviors (alcohol, sunbathing), suggesting that multi-faceted behavioral interventions aimed at health promotion/disease prevention may be needed in this population.
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Following decades of increased skin surgeries there apparently has been no decrease in rate of Melanoma.
This implies that the skin surgeries are removing skin anomalies which would not have developed into melanoma.
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- Hypothesis: vitamin D suppresses skin cancer – Sept 2012
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- All items in Skin Cancer and Vitamin D
- Calcium with vitamin D decreased risk of subsequent skin cancer by 2X – June 2011
- Perhaps 28-40 ng of vitamin D would be good for Melanoma patients – Feb 2011
- Native American Indians mostly died of skin cancer
- What? You never heard that? Right! Because it didn't happen.
- New Zealand doctors are starting to prescribe more sunshine – Aug 2012
- A Dermatologist’s Perspective on Vitamin D - Mayo Clinic April 2012
Evidence is not very strong
- Use of tanning beds would reduce associated deaths by 10X – Oct 2011
- Tanning bed, like vitamin D supplements, has non-linear relationship with blood levels – Dec 2011
- Tanning beds UVB vary by 4XIndoor tanning not apparently associated with skin cancer – Feb 2012
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