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Prevalence of Indoor Tanning and Association With Sunburn Among Youth in the United States.
JAMA Dermatol. 2017 05 01; 153(5):387-390.JD

Abstract

Importance

Indoor tanning and sunburns, particularly during adolescence and young adulthood, increase the risk of developing skin cancer.

Objective

To examine the trends in the prevalence of indoor tanning and the association between indoor tanning and sunburn among US high school students.

Design, Setting, and Participants

This study pooled and examined cross-sectional data from the 2009, 2011, 2013, and 2015 national Youth Risk Behavior Survey. During 2009, 2011, 2013, and 2015, the overall response rates were 71%, 71%, 68%, and 60%, respectively, and unweighted sample sizes were 16 410, 15 425, 13 538, and 15 624, respectively. It included nationally representative samples of US high school students. Data were collected during the spring semester (January to June) in each survey cycle beginning February 9, 2009, through June 18, 2015.

Main Outcomes and Measures

Prevalence of indoor tanning in the past year from 2009 to 2015 and its association with sunburn in 2015.

Results

Among high school students in the United States, the prevalence of indoor tanning decreased from 15.6% (95% CI, 13.7%-17.6%) in 2009 to 7.3% (95% CI, 6.0%-8.9%) in 2015. Decreases in indoor tanning were found among male (from 6.7% in 2009 to 4.0% in 2015) and female (from 25.4 % in 2009 to 10.6 % in 2015) students overall, non-Hispanic white (from 21.1 % in 2009 to 9.4% in 2015) and Hispanic (from 8.2% in 2009 to 4.7% in 2015) students overall, and all age groups. Among non-Hispanic white female students, the prevalence decreased from 37.4% (95% CI, 33.6%-41.4%) in 2009 to 15.2% (95% CI, 11.7%-19.5%) in 2015. In 2015, indoor tanning was associated with sunburn in the adjusted model: 82.3% (95% CI, 77.9%-86.0%) of indoor tanners had at least 1 sunburn during the preceding year compared with 53.7% (95% CI, 48.9%-58.4%) of those who did not engage in indoor tanning (P < .001).

Conclusions and Relevance

Despite declines in the prevalence of indoor tanning from 2009 to 2015 among high school students nationwide, indoor tanning remains commonplace among certain subgroups, especially non-Hispanic white female students. Three-quarters of those who engaged in indoor tanning had experienced at least 1 sunburn. Efforts by the public health and medical communities are needed to further reduce the prevalence of indoor tanning and sunburn and thus prevent future cases of skin cancer.

Authors+Show Affiliations

Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.Division of Adolescent and School Health, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia.Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28257531

Citation

Guy, Gery P., et al. "Prevalence of Indoor Tanning and Association With Sunburn Among Youth in the United States." JAMA Dermatology, vol. 153, no. 5, 2017, pp. 387-390.
Guy GP, Berkowitz Z, Everett Jones S, et al. Prevalence of Indoor Tanning and Association With Sunburn Among Youth in the United States. JAMA Dermatol. 2017;153(5):387-390.
Guy, G. P., Berkowitz, Z., Everett Jones, S., Watson, M., & Richardson, L. C. (2017). Prevalence of Indoor Tanning and Association With Sunburn Among Youth in the United States. JAMA Dermatology, 153(5), 387-390. https://doi.org/10.1001/jamadermatol.2016.6273
Guy GP, et al. Prevalence of Indoor Tanning and Association With Sunburn Among Youth in the United States. JAMA Dermatol. 2017 05 1;153(5):387-390. PubMed PMID: 28257531.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevalence of Indoor Tanning and Association With Sunburn Among Youth in the United States. AU - Guy,Gery P,Jr AU - Berkowitz,Zahava, AU - Everett Jones,Sherry, AU - Watson,Meg, AU - Richardson,Lisa C, PY - 2017/3/4/pubmed PY - 2017/7/1/medline PY - 2017/3/4/entrez SP - 387 EP - 390 JF - JAMA dermatology JO - JAMA Dermatol VL - 153 IS - 5 N2 - Importance: Indoor tanning and sunburns, particularly during adolescence and young adulthood, increase the risk of developing skin cancer. Objective: To examine the trends in the prevalence of indoor tanning and the association between indoor tanning and sunburn among US high school students. Design, Setting, and Participants: This study pooled and examined cross-sectional data from the 2009, 2011, 2013, and 2015 national Youth Risk Behavior Survey. During 2009, 2011, 2013, and 2015, the overall response rates were 71%, 71%, 68%, and 60%, respectively, and unweighted sample sizes were 16 410, 15 425, 13 538, and 15 624, respectively. It included nationally representative samples of US high school students. Data were collected during the spring semester (January to June) in each survey cycle beginning February 9, 2009, through June 18, 2015. Main Outcomes and Measures: Prevalence of indoor tanning in the past year from 2009 to 2015 and its association with sunburn in 2015. Results: Among high school students in the United States, the prevalence of indoor tanning decreased from 15.6% (95% CI, 13.7%-17.6%) in 2009 to 7.3% (95% CI, 6.0%-8.9%) in 2015. Decreases in indoor tanning were found among male (from 6.7% in 2009 to 4.0% in 2015) and female (from 25.4 % in 2009 to 10.6 % in 2015) students overall, non-Hispanic white (from 21.1 % in 2009 to 9.4% in 2015) and Hispanic (from 8.2% in 2009 to 4.7% in 2015) students overall, and all age groups. Among non-Hispanic white female students, the prevalence decreased from 37.4% (95% CI, 33.6%-41.4%) in 2009 to 15.2% (95% CI, 11.7%-19.5%) in 2015. In 2015, indoor tanning was associated with sunburn in the adjusted model: 82.3% (95% CI, 77.9%-86.0%) of indoor tanners had at least 1 sunburn during the preceding year compared with 53.7% (95% CI, 48.9%-58.4%) of those who did not engage in indoor tanning (P < .001). Conclusions and Relevance: Despite declines in the prevalence of indoor tanning from 2009 to 2015 among high school students nationwide, indoor tanning remains commonplace among certain subgroups, especially non-Hispanic white female students. Three-quarters of those who engaged in indoor tanning had experienced at least 1 sunburn. Efforts by the public health and medical communities are needed to further reduce the prevalence of indoor tanning and sunburn and thus prevent future cases of skin cancer. SN - 2168-6084 UR - https://www.unboundmedicine.com/medline/citation/28257531/Prevalence_of_Indoor_Tanning_and_Association_With_Sunburn_Among_Youth_in_the_United_States_ L2 - https://jamanetwork.com/journals/jamadermatology/fullarticle/10.1001/jamadermatol.2016.6273 DB - PRIME DP - Unbound Medicine ER -