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Indoor tanning among high school students in the United States, 2009 and 2011.
JAMA Dermatol 2014; 150(5):501-11JD

Abstract

IMPORTANCE

Indoor tanning is associated with an increased risk of skin cancer, including melanoma, and is particularly dangerous for younger and more frequent indoor tanners.

OBJECTIVE

To examine the prevalence of indoor tanning and frequent indoor tanning (≥10 times during the 12 months before each survey) and their association with health-related behaviors.

DESIGN, SETTING, AND PARTICIPANTS

A cross-sectional study examined data from the 2009 and 2011 national Youth Risk Behavior Surveys, which used nationally representative samples of US high school students representing approximately 15.5 million students each survey year. The study included 25,861 students who answered the indoor tanning question.

MAIN OUTCOMES AND MEASURES

The prevalence of indoor tanning and frequent indoor tanning were examined as well as their association with demographic characteristics and health-related behaviors using multivariable logistic regression modeling.

RESULTS

The prevalence of indoor tanning was greater among female, older, and non-Hispanic white students. Indoor tanning was highest among female students aged 18 years or older, with 31.5% engaging in indoor tanning in 2011, and among non-Hispanic white female students, with 29.3% engaging in indoor tanning in 2011. Among female students, the adjusted prevalence of indoor tanning decreased from 26.4% in 2009 to 20.7% in 2011. Among female and male students, indoor tanning was associated with other risk-taking behaviors, such as binge drinking (P < .001 and P = .006, respectively), unhealthy weight control practices (P < .001, for both), and having sexual intercourse (P < .001, for both). Additionally, indoor tanning among female students was associated with using illegal drugs (P < .001) and having sexual intercourse with 4 or more persons (P = .03); use among male students was associated with taking steroids without a physician's prescription (P < .001), smoking cigarettes daily (P = .03), and attempting suicide (P = .006). More than half of respondents engaging in indoor tanning reported frequent use of the devices.

CONCLUSIONS AND RELEVANCE

Indoor tanning is common among high school students. Public health efforts are needed to change social norms regarding tanned skin and to increase awareness, knowledge, and behaviors related to indoor tanning. The clustering of risky behaviors suggests a need for coordinated, multifaceted approaches, including primary care physician counseling, to address such behaviors among adolescents.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24577222

Citation

Guy, Gery P., et al. "Indoor Tanning Among High School Students in the United States, 2009 and 2011." JAMA Dermatology, vol. 150, no. 5, 2014, pp. 501-11.
Guy GP, Berkowitz Z, Tai E, et al. Indoor tanning among high school students in the United States, 2009 and 2011. JAMA Dermatol. 2014;150(5):501-11.
Guy, G. P., Berkowitz, Z., Tai, E., Holman, D. M., Everett Jones, S., & Richardson, L. C. (2014). Indoor tanning among high school students in the United States, 2009 and 2011. JAMA Dermatology, 150(5), pp. 501-11.
Guy GP, et al. Indoor Tanning Among High School Students in the United States, 2009 and 2011. JAMA Dermatol. 2014;150(5):501-11. PubMed PMID: 24577222.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Indoor tanning among high school students in the United States, 2009 and 2011. AU - Guy,Gery P,Jr AU - Berkowitz,Zahava, AU - Tai,Eric, AU - Holman,Dawn M, AU - Everett Jones,Sherry, AU - Richardson,Lisa C, PY - 2014/3/1/entrez PY - 2014/3/1/pubmed PY - 2014/8/19/medline SP - 501 EP - 11 JF - JAMA dermatology JO - JAMA Dermatol VL - 150 IS - 5 N2 - IMPORTANCE: Indoor tanning is associated with an increased risk of skin cancer, including melanoma, and is particularly dangerous for younger and more frequent indoor tanners. OBJECTIVE: To examine the prevalence of indoor tanning and frequent indoor tanning (≥10 times during the 12 months before each survey) and their association with health-related behaviors. DESIGN, SETTING, AND PARTICIPANTS: A cross-sectional study examined data from the 2009 and 2011 national Youth Risk Behavior Surveys, which used nationally representative samples of US high school students representing approximately 15.5 million students each survey year. The study included 25,861 students who answered the indoor tanning question. MAIN OUTCOMES AND MEASURES: The prevalence of indoor tanning and frequent indoor tanning were examined as well as their association with demographic characteristics and health-related behaviors using multivariable logistic regression modeling. RESULTS: The prevalence of indoor tanning was greater among female, older, and non-Hispanic white students. Indoor tanning was highest among female students aged 18 years or older, with 31.5% engaging in indoor tanning in 2011, and among non-Hispanic white female students, with 29.3% engaging in indoor tanning in 2011. Among female students, the adjusted prevalence of indoor tanning decreased from 26.4% in 2009 to 20.7% in 2011. Among female and male students, indoor tanning was associated with other risk-taking behaviors, such as binge drinking (P < .001 and P = .006, respectively), unhealthy weight control practices (P < .001, for both), and having sexual intercourse (P < .001, for both). Additionally, indoor tanning among female students was associated with using illegal drugs (P < .001) and having sexual intercourse with 4 or more persons (P = .03); use among male students was associated with taking steroids without a physician's prescription (P < .001), smoking cigarettes daily (P = .03), and attempting suicide (P = .006). More than half of respondents engaging in indoor tanning reported frequent use of the devices. CONCLUSIONS AND RELEVANCE: Indoor tanning is common among high school students. Public health efforts are needed to change social norms regarding tanned skin and to increase awareness, knowledge, and behaviors related to indoor tanning. The clustering of risky behaviors suggests a need for coordinated, multifaceted approaches, including primary care physician counseling, to address such behaviors among adolescents. SN - 2168-6084 UR - https://www.unboundmedicine.com/medline/citation/24577222/Indoor_tanning_among_high_school_students_in_the_United_States_2009_and_2011_ L2 - https://jamanetwork.com/journals/jamadermatology/fullarticle/10.1001/jamadermatol.2013.7124 DB - PRIME DP - Unbound Medicine ER -