Indoor tanning (sunbeds, solarium) uses artificial ultraviolet radiation (UVR) to stimulate cosmetic tanning of the skin. Indoor tanning has been officially classified as a human carcinogen in 2009 by the International Agency for Research on Cancer of the World Health Organization (WHO). The differences in the prevalence of sunbed use across countries and over the years highlight underlying legislative, climatic, and cultural differences. Indoor tanning-seeking behaviors may be driven by motivations for an appealing appearance, largely influenced by gender and age, and several misconceptions that a prevacation tan safeguards the skin, that sunbeds can be used to treat acne or to increase vitamin D, or that tanning is a healthy habit. This review provides an epidemiological update on the prevalence of sunbed use, who tends to use sunbeds and why, and details the current evidence on the association of sunbeds with skin cancers, including cutaneous melanoma, basal cell carcinoma (BCC), and cutaneous squamous cell carcinoma (cSCC). A statistically significant higher risk of cutaneous melanoma, BCC and cSCC with the use of sunbeds has been consistently demonstrated. This risk of skin cancer is even higher with the more frequent use of sunbeds, underscoring a dose-response relationship, and in those first exposed to sunbeds at a younger age. Preventive measures against sunbed use include legislation restricting sunbed use, educational campaigns to inform and discourage from indoor tanning, as well as using the internet, online advertising messages and the social media to reach larger audiences and to promote an untanned appearance.
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http://dx.doi.org/10.3390/curroncol29110699 | 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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