Importance: Both indoor tanning and skin cancer are more common among sexual-minority men, defined as gay and bisexual men, than among heterosexual men. Convenient access to indoor tanning salons may influence use patterns.
Objective: To investigate whether indoor tanning salons are disproportionately located in areas with higher concentrations of gay men.
Design, Setting, And Participants: This cross-sectional study used geographic information systems to integrate census data and business location data obtained from ArcGIS and Google Maps for the 10 US cities with the largest lesbian, gay, bisexual, and transgender populations in 2010, ie, Los Angeles, California; Chicago, Illinois; San Francisco, California; Seattle, Washington; San Diego, California; Dallas, Texas; Phoenix, Arizona; Washington, DC; Portland, Oregon; and Denver, Colorado. The association of indoor tanning salon locations with proportions of gay men, using the concentration of male-male partnered households as a proxy measure for the latter, was examined. Data analysis was performed in October 2018.
Exposures: Census tracts with at least 1%, 5%, or 10% male-male partnered households, adjusting for median household income, percentage young women, and percentage non-Hispanic white residents.
Main Outcomes And Measures: Presence of 1 or more indoor tanning salons within census tracts.
Results: Across the 10 cities and 4091 census tracts in this study, there were 482 823 unmarried partnered households, of which 35 164 (7.3%) were male-male. The median (interquartile range) percentage of male-male partnered households per census tract was 0% (0%-10.6%). Odds of indoor tanning salon presence in areas with at least 10% male-male households were more than twice those of areas with less than 10% male-male households (odds ratio, 2.17; 95% CI, 1.59-2.97). When sensitivity analyses using a 1-mile euclidian buffer around each tanning salon were conducted, this association remained significant (odds ratio, 2.48; 95% CI, 2.14-2.88). After adjusting for median household income, percentage young women, and percentage non-Hispanic white residents, the odds of an indoor tanning salon being within 1 mile of a census tract with at least 10% male-male households remained twice that of census tracts with less than 10% male-male households (odds ratio, 2.00; 95% CI, 1.71-2.35).
Conclusions And Relevance: In this study, indoor tanning salons were more likely to be located near neighborhoods with higher concentrations of male-male partnered households, possibly contributing to the disproportionate use of indoor tanning by sexual-minority men.
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http://dx.doi.org/10.1001/jamanetworkopen.2019.12443 | DOI Listing |
Eur J Cancer
January 2025
Cancer Registry of Norway, Norwegian Institute of Public Health, Pb 5313 Majorstuen, Oslo 0304, Norway. Electronic address:
Background: Targeting modifiable factors offers significant potential for primary cancer prevention. For public health strategies, it is essential to quantify the contribution from each factor on a national level. We estimated the contribution of 12 modifiable factors on cancer incidence in the Norwegian population.
View Article and Find Full Text PDFJ Cutan Med Surg
December 2024
Center for Dermatology Research, Department of Dermatology, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Although many people who use tanning beds are aware of the negative consequences, they continue to indoor tan, possibly due to addictive properties. The purpose of this paper is to review the existing literature on tanning addiction, its potential biological mechanisms, and its association with psychological disorders. A PubMed search was conducted using the terms "Tanning Addiction," "UVR AND B-endorphin," and "tanning dependence AND gene.
View Article and Find Full Text PDFJAMA Dermatol
December 2024
Center for Melanoma Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.
Importance: UV-induced mutagenesis leads to a higher tumor mutational burden (TMB) in cutaneous melanoma relative to other cancer types. TMB is an important prognostic marker in advanced melanoma; higher TMB is associated with greater clinical response to immune checkpoint inhibition and improved survival.
Objective: To evaluate the association between cutaneous melanoma TMB and indoor tanning exposure, as well as other demographic, dermatologic, and tumor characteristics.
Am J Public Health
February 2025
David B. Buller, Julia Berteletti, and Irene Adjei are with Klein Buendel Inc, Golden, CO. Carolyn Heckman and Anna Mitarotondo are with the Rutgers Cancer Institute, Rutgers University, New Brunswick, NJ. Kevin R. J. Schroth is with the School of Public Health, Rutgers University, New Brunswick. Alan C. Geller is with the T. H. Chan School of Public Health, Harvard University, Cambridge, MA. Jerod L. Stapleton is with the College of Public Health, University of Kentucky, Lexington. Samantha R. Guild is with the AIM at Melanoma Foundation, Frisco, TX. Jeffrey E. Gershenwald is with the M D Andersen Cancer Center, University of Texas, Houston. Robert Dellavalle is with the Medical School, University of Minnesota, Minneapolis. Sherry Pagoto is with the Department of Allied Health Sciences, University of Connecticut, Storrs.
To describe progression, content, and stringency of state legislation regulating indoor tanning and association with state government political party leadership. Trained research assistants used legal mapping methods to code legislative bills on indoor tanning introduced in US states, the District of Columbia, and Puerto Rico. We calculated composite scores on the stringency of age restrictions and of warnings, operator requirements, and enforcement.
View Article and Find Full Text PDFCancer Epidemiol Biomarkers Prev
November 2024
Georgetown University Medical Center, Washington, DC, United States.
Background: Indoor tanning increases the risk of skin cancer and can become addictive. There is little research on indoor tanning cessation interventions.
Methods: From 2019-2022, we conducted a clinical trial (n=265) testing a tailored mobile messaging cessation intervention in 18-30-year-old females screened for indoor tanning addiction.
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