Tags

Type your tag names separated by a space and hit enter

Characteristics and Skin Cancer Risk Behaviors of Adult Sunless Tanners in the United States.
JAMA Dermatol 2018; 154(9):1066-1071JD

Abstract

Importance

Incidence rates of nonmelanoma and melanoma skin cancers are increasing rapidly in the United States likely because of increased UV light exposure. Sunless tanning is a safe alternative to achieve tanned skin that might help reduce skin cancer incidence by deterring risky behaviors. However, limited data exist on the characteristics and associated skin cancer risk behaviors of sunless tanners in the United States.

Objective

To assess the demographic characteristics and skin cancer risk behaviors of sunless tanners among adults in the United States.

Design, Setting, and Participants

This secondary analysis of a cross-sectional study used data from the 2015 National Health Interview Survey, a population-based survey of the US noninstitutionalized civilian population. Participants included 27 353 men and women 18 years or older.

Main Outcome and Measures

Participant demographics and skin cancer risk behaviors, including indoor tanning, skin cancer screening, sunburn, and sun protection behaviors.

Results

Of the 27 353 adults (representative of more than 198 million US adults; mean [SE] age, 46.0 [0.2] years) studied, 6.4% (SE, 0.2%) reported sunless tanning. Factors associated with sunless tanning included being young, female, non-Hispanic white, college educated, nonobese, and sun sensitive, living in the western United States, and having a family history of skin cancer. Sunless tanners were more likely to report indoor tanning (adjusted prevalence odds ratio [aPOR], 3.77; 95% CI, 3.19-4.43; P < .001), recent sunburn (aPOR, 1.55; 95% CI, 1.31-1.83; P < .001), use of sunscreen (β = 0.19; 95% CI, 0.09-0.28; P < .001), and having had a full-body skin examination (aPOR, 1.77; 95% CI, 1.51-2.08; P < .001) but less likely to seek shade (β = -0.12; 95% CI, -0.19 to -0.04; P = .001) or use protective clothing when outdoors (long pants: β = -0.18; 95% CI, -0.26 to -0.11; P < .001; long sleeves: β = -0.10; 95% CI, -0.18 to -0.03; P = .01). Among indoor tanners, sunless tanners compared with those who did not sunless tan reported increased frequency of indoor tanning (mean [SE], 19.2 [1.9] vs 14.9 [1.2] sessions in the past 12 months; P = .04) but no differences in other skin cancer risk behaviors.

Conclusions and Relevance

This study suggests that sunless tanning is associated with risky skin cancer-related behaviors. Longitudinal studies are needed to assess whether sunless tanning changes UV exposure behaviors to better determine whether sunless tanning represents an effective public health strategy to reduce rates of skin cancer in the United States.

Authors+Show Affiliations

Department of Dermatology, University of Minnesota, Minneapolis.Department of Dermatology, University of California, San Francisco.Department of Dermatology, University of California, San Francisco.Department of Dermatology, University of Minnesota, Minneapolis.Department of Dermatology, University of Minnesota, Minneapolis.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

30046802

Citation

Dodds, Melissa, et al. "Characteristics and Skin Cancer Risk Behaviors of Adult Sunless Tanners in the United States." JAMA Dermatology, vol. 154, no. 9, 2018, pp. 1066-1071.
Dodds M, Arron ST, Linos E, et al. Characteristics and Skin Cancer Risk Behaviors of Adult Sunless Tanners in the United States. JAMA Dermatol. 2018;154(9):1066-1071.
Dodds, M., Arron, S. T., Linos, E., Polcari, I., & Mansh, M. D. (2018). Characteristics and Skin Cancer Risk Behaviors of Adult Sunless Tanners in the United States. JAMA Dermatology, 154(9), pp. 1066-1071. doi:10.1001/jamadermatol.2018.2054.
Dodds M, et al. Characteristics and Skin Cancer Risk Behaviors of Adult Sunless Tanners in the United States. JAMA Dermatol. 2018 09 1;154(9):1066-1071. PubMed PMID: 30046802.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Characteristics and Skin Cancer Risk Behaviors of Adult Sunless Tanners in the United States. AU - Dodds,Melissa, AU - Arron,Sarah T, AU - Linos,Eleni, AU - Polcari,Ingrid, AU - Mansh,Matthew D, PY - 2018/7/27/pubmed PY - 2019/9/13/medline PY - 2018/7/27/entrez SP - 1066 EP - 1071 JF - JAMA dermatology JO - JAMA Dermatol VL - 154 IS - 9 N2 - Importance: Incidence rates of nonmelanoma and melanoma skin cancers are increasing rapidly in the United States likely because of increased UV light exposure. Sunless tanning is a safe alternative to achieve tanned skin that might help reduce skin cancer incidence by deterring risky behaviors. However, limited data exist on the characteristics and associated skin cancer risk behaviors of sunless tanners in the United States. Objective: To assess the demographic characteristics and skin cancer risk behaviors of sunless tanners among adults in the United States. Design, Setting, and Participants: This secondary analysis of a cross-sectional study used data from the 2015 National Health Interview Survey, a population-based survey of the US noninstitutionalized civilian population. Participants included 27 353 men and women 18 years or older. Main Outcome and Measures: Participant demographics and skin cancer risk behaviors, including indoor tanning, skin cancer screening, sunburn, and sun protection behaviors. Results: Of the 27 353 adults (representative of more than 198 million US adults; mean [SE] age, 46.0 [0.2] years) studied, 6.4% (SE, 0.2%) reported sunless tanning. Factors associated with sunless tanning included being young, female, non-Hispanic white, college educated, nonobese, and sun sensitive, living in the western United States, and having a family history of skin cancer. Sunless tanners were more likely to report indoor tanning (adjusted prevalence odds ratio [aPOR], 3.77; 95% CI, 3.19-4.43; P < .001), recent sunburn (aPOR, 1.55; 95% CI, 1.31-1.83; P < .001), use of sunscreen (β = 0.19; 95% CI, 0.09-0.28; P < .001), and having had a full-body skin examination (aPOR, 1.77; 95% CI, 1.51-2.08; P < .001) but less likely to seek shade (β = -0.12; 95% CI, -0.19 to -0.04; P = .001) or use protective clothing when outdoors (long pants: β = -0.18; 95% CI, -0.26 to -0.11; P < .001; long sleeves: β = -0.10; 95% CI, -0.18 to -0.03; P = .01). Among indoor tanners, sunless tanners compared with those who did not sunless tan reported increased frequency of indoor tanning (mean [SE], 19.2 [1.9] vs 14.9 [1.2] sessions in the past 12 months; P = .04) but no differences in other skin cancer risk behaviors. Conclusions and Relevance: This study suggests that sunless tanning is associated with risky skin cancer-related behaviors. Longitudinal studies are needed to assess whether sunless tanning changes UV exposure behaviors to better determine whether sunless tanning represents an effective public health strategy to reduce rates of skin cancer in the United States. SN - 2168-6084 UR - https://www.unboundmedicine.com/medline/citation/30046802/Characteristics_and_Skin_Cancer_Risk_Behaviors_of_Adult_Sunless_Tanners_in_the_United_States_ L2 - https://jamanetwork.com/journals/jamadermatology/fullarticle/10.1001/jamadermatol.2018.2054 DB - PRIME DP - Unbound Medicine ER -