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Use of indoor tanning facilities by white adolescents in the United States.
Arch Pediatr Adolesc Med. 2003 Sep; 157(9):854-60.AP

Abstract

CONTEXT

Indoor tanning is a risk factor for skin cancer, but the population-based prevalence of this behavior among adolescents is not clearly known.

OBJECTIVES

To describe the prevalence of tanning booth use among white US adolescents and to assess its association with sociodemographic factors, health behaviors, and appearance.

DESIGN, SETTING, AND PARTICIPANTS

A nationally representative sample of 6903 non-Hispanic white adolescents, aged 13 to 19 years, who participated in Wave II (between April 1, 1996, and August 31, 1996) of the National Longitudinal Study of Adolescent Health.

MAIN OUTCOME MEASURE

Frequency of lifetime use of indoor artificial tanning facilities.

RESULTS

With the data weighted to national levels, 36.8% of the white female adolescents and 11.2% of the white male adolescents have used a tanning booth at least once in their life, while 28.1% and 6.9% of the female and male adolescents, respectively, reported tanning booth use 3 or more times. The percentage of female adolescents using tanning booths 3 or more times increased with age, from 11.2% of the 13- to 14-year-olds to 47.0% of 18- to 19-year-olds and also increased with greater tanning ability, from 12.6% of the poor tanners to 38.1% of those with a strong tan response. After multivariate adjustment, those residing in the Midwest (adjusted odds ratio [aOR], 2.38; 95% confidence interval [CI], 1.53-3.68) or South (aOR, 2.91; 95% CI, 1.89-4.53), attending a rural high school (aOR, 1.80; 95% CI, 1.09-2.98), and reporting the use of 2 or 3 substances (aOR, 3.06; 95% CI, 2.44-3.82) were more likely to use indoor tanning facilities, as were dieters (aOR, 1.26; 95% CI, 1.01-1.57) regardless of their body mass index. Decreased odds of indoor tanning were observed among those with a college-educated mother (aOR, 0.68; 95% CI, 0.51-0.90) and greater cognitive ability (per 10-point score increase; aOR, 0.89; 95% CI, 0.82-0.96) while routine participation in physical activity significantly lowered the odds of indoor tanning only among female adolescents.

CONCLUSIONS

Indoor tanning is prevalent, particularly among female adolescents, and aligns with other risk behaviors, appearance-related factors, and intentional sunbathing. The risks of artificial tanning need increased emphasis among adolescents, especially in the Midwest and South where extremes in the availability of natural light appear to send intentional tanners indoors.

Authors+Show Affiliations

Comprehensive Cancer Center at Case Western Reserve University, University Hospitals of Cleveland, OH 44106-5065, USA. cad3@po.cwru.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

12963589

Citation

Demko, Catherine A., et al. "Use of Indoor Tanning Facilities By White Adolescents in the United States." Archives of Pediatrics & Adolescent Medicine, vol. 157, no. 9, 2003, pp. 854-60.
Demko CA, Borawski EA, Debanne SM, et al. Use of indoor tanning facilities by white adolescents in the United States. Arch Pediatr Adolesc Med. 2003;157(9):854-60.
Demko, C. A., Borawski, E. A., Debanne, S. M., Cooper, K. D., & Stange, K. C. (2003). Use of indoor tanning facilities by white adolescents in the United States. Archives of Pediatrics & Adolescent Medicine, 157(9), 854-60.
Demko CA, et al. Use of Indoor Tanning Facilities By White Adolescents in the United States. Arch Pediatr Adolesc Med. 2003;157(9):854-60. PubMed PMID: 12963589.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Use of indoor tanning facilities by white adolescents in the United States. AU - Demko,Catherine A, AU - Borawski,Elaine A, AU - Debanne,Sara M, AU - Cooper,Kevin D, AU - Stange,Kurt C, PY - 2003/9/10/pubmed PY - 2003/10/3/medline PY - 2003/9/10/entrez SP - 854 EP - 60 JF - Archives of pediatrics & adolescent medicine JO - Arch Pediatr Adolesc Med VL - 157 IS - 9 N2 - CONTEXT: Indoor tanning is a risk factor for skin cancer, but the population-based prevalence of this behavior among adolescents is not clearly known. OBJECTIVES: To describe the prevalence of tanning booth use among white US adolescents and to assess its association with sociodemographic factors, health behaviors, and appearance. DESIGN, SETTING, AND PARTICIPANTS: A nationally representative sample of 6903 non-Hispanic white adolescents, aged 13 to 19 years, who participated in Wave II (between April 1, 1996, and August 31, 1996) of the National Longitudinal Study of Adolescent Health. MAIN OUTCOME MEASURE: Frequency of lifetime use of indoor artificial tanning facilities. RESULTS: With the data weighted to national levels, 36.8% of the white female adolescents and 11.2% of the white male adolescents have used a tanning booth at least once in their life, while 28.1% and 6.9% of the female and male adolescents, respectively, reported tanning booth use 3 or more times. The percentage of female adolescents using tanning booths 3 or more times increased with age, from 11.2% of the 13- to 14-year-olds to 47.0% of 18- to 19-year-olds and also increased with greater tanning ability, from 12.6% of the poor tanners to 38.1% of those with a strong tan response. After multivariate adjustment, those residing in the Midwest (adjusted odds ratio [aOR], 2.38; 95% confidence interval [CI], 1.53-3.68) or South (aOR, 2.91; 95% CI, 1.89-4.53), attending a rural high school (aOR, 1.80; 95% CI, 1.09-2.98), and reporting the use of 2 or 3 substances (aOR, 3.06; 95% CI, 2.44-3.82) were more likely to use indoor tanning facilities, as were dieters (aOR, 1.26; 95% CI, 1.01-1.57) regardless of their body mass index. Decreased odds of indoor tanning were observed among those with a college-educated mother (aOR, 0.68; 95% CI, 0.51-0.90) and greater cognitive ability (per 10-point score increase; aOR, 0.89; 95% CI, 0.82-0.96) while routine participation in physical activity significantly lowered the odds of indoor tanning only among female adolescents. CONCLUSIONS: Indoor tanning is prevalent, particularly among female adolescents, and aligns with other risk behaviors, appearance-related factors, and intentional sunbathing. The risks of artificial tanning need increased emphasis among adolescents, especially in the Midwest and South where extremes in the availability of natural light appear to send intentional tanners indoors. SN - 1072-4710 UR - https://www.unboundmedicine.com/medline/citation/12963589/Use_of_indoor_tanning_facilities_by_white_adolescents_in_the_United_States_ L2 - https://jamanetwork.com/journals/jamapediatrics/fullarticle/vol/157/pg/854 DB - PRIME DP - Unbound Medicine ER -