Guy GP Jr, Tai E, Richardson LCUse of indoor tanning devices by high school students in the United States, 2009. Prev Chronic Dis 8:A116

Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, 4770 Buford Hwy NE, MS K-52, Atlanta, GA 30341, USA.
Preventing chronic disease (Impact Factor: 2.12). 09/2011; 8(5):A116.
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The objectives of this study were to provide estimates of indoor tanning device use among US high school students and provide baseline data before implementation of a 10% excise tax on indoor tanning device use mandated by recent federal health care reform legislation. We examined the frequency of indoor tanning device use by using data from the 2009 national Youth Risk Behavior Survey. Overall, 15.6% of students used an indoor tanning device during the 12 months before the survey; almost half of those students used an indoor tanning device 10 or more times. Reported use and frequency of use varied by age, sex, and race/ethnicity. Given the high prevalence of indoor tanning device use among US high school students and the associated risk of melanoma, strategies to reduce exposure must be examined.

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    • "Still, more formative work may be necessary to develop strategies to help adolescents quit tanning indoors. Although girls and young women are primary users of indoor tanning [8] [11], we included boys and fathers at every step of our intervention development, to meet federal guidelines against gender bias in research. Our data provide clear support for focusing future interventions to prevent indoor tanning use by adolescent girls. "
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    ABSTRACT: Indoor tanning usually begins during adolescence, but few strategies exist to discourage adolescent use. We developed and tested a parent-teenager intervention to decrease indoor tanning use. Through focus groups, we identified key messages to enhance parent-teenager communication about indoor tanning, and then developed a pamphlet for parents and postcards for adolescents to use in a direct mail experiment with randomly selected households. Two weeks after the mailing, we asked intervention parents (n = 87) and adolescents (n = 69) and nonintervention parents (n = 31) and adolescents (n = 28) about intervention receipt and content recall, parental concern, monitoring, parent-teenager conversations, and indoor tanning intention. In intervention households, 54% of mothers and 56% of girls recalled receipt and reported reading materials, but few boys and no fathers did. Among mothers, 57% in intervention households indicated concern about daughters' indoor tanning, and 25% would allow daughters to tan indoors, whereas 43% of nonintervention mothers had concerns and 46% would allow indoor tanning. Fewer girls in intervention households than in nonintervention households thought parents would allow indoor tanning (44% vs. 65%), and fewer intended to tan indoors (36% vs. 60%). Most mothers and daughters who read the intervention materials also reported discussions about indoor tanning. Moreover, the less likely girls were to think that their mothers would allow indoor tanning, the less likely it was that they intended to tan indoors, a relationship mediated by perceptions of maternal monitoring. A systematic qualitative and quantitative research approach yielded well-received indoor tanning prevention messages for mothers and female adolescents. Enhancing maternal monitoring has potential to decrease adolescent indoor tanning.
    Journal of Adolescent Health 05/2013; 52(5 Suppl):S76-82. DOI:10.1016/j.jadohealth.2012.08.009 · 3.61 Impact Factor
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    • "Third, the effect of indoor tanning legislation is difficult to evaluate accurately because legislation varies by state, as do stringency, enforcement, and compliance. Although the national Youth Risk Behavior Survey (YRBS) includes a question about indoor tanning, the sample design does not allow for state-level estimates , and many state YRBS questionnaires do not include a question about indoor tanning [15] [59]. Inclusion of indoor tanning questions on YRBS for all states could increase the ability to measure the impact of legislation on indoor tanning behavior. "
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    ABSTRACT: Exposure to ultraviolet radiation and a history of sunburn in childhood contribute to risk of skin cancer in adolescence and in adulthood, but many adolescents continue to seek a tan, either from the sun or from tanning beds (i.e., intentional tanning). To understand tanning behavior among adolescents, we conducted a systematic review of the literature to identify correlates of intentional tanning in the United States. We included articles on original research published in English between January 1, 2001, and October 31, 2011, that used self-reported data on intentional tanning by U.S. adolescents aged 8 to 18 years and examined potential correlates of tanning behaviors. Thirteen articles met our criteria; all used cross-sectional survey data and quantitative methods to assess correlates of intentional tanning. Results indicate that multiple factors influence tanning among adolescents. Individual factors that correlated with intentional tanning include demographic factors (female sex, older age), attitudes (preferring tanned skin), and behaviors (participating in other risky or appearance-focused behaviors such as dieting). Social factors correlated with intentional tanning include parental influence (having a parent who tans or permits tanning) and peer influence (having friends who tan). Only four studies examined broad contextual factors such as indoor tanning laws and geographic characteristics; they found that proximity to tanning facilities and geographic characteristics (living in the Midwest or South, living in a low ultraviolet area, and attending a rural high school) are associated with intentional tanning. These findings inform future public health research and intervention efforts to reduce intentional tanning.
    Journal of Adolescent Health 05/2013; 52(5 Suppl):S52-9. DOI:10.1016/j.jadohealth.2012.09.021 · 3.61 Impact Factor
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    ABSTRACT: In the current study, we examined correlates of tanning behaviors and attitudes. Undergraduates (N = 277; 53% female; average age = 19.27 years) completed measures of appearance orientation and appearance evaluation from the Multidimensional Body-Self Relations Questionnaire, the Center for Epidemiological Studies Depression Scale, and questions addressing tanning behaviors and attitudes. Women were more likely to engage in indoor tanning and perceived greater susceptibility to photoaging than men. Body image and depression were associated with tanning behaviors and attitudes. Results suggest that psychological factors are important motivators of both indoor and outdoor tanning, although each has unique correlates. Implications for reducing risky tanning behaviors are discussed.
    Behavioral Medicine 07/2012; 38(3):74-82. DOI:10.1080/08964289.2012.685499 · 1.00 Impact Factor
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