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Teens’ Use of Indoor Tanning. Joni A. Mayer, PhD, Professor Graduate School of Public Health San Diego State University Presented at the meeting of the National Council on Skin Cancer Prevention, November 7, 2008, Washington, D.C. Why study indoor tanning among teens?.

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teens use of indoor tanning

Teens’ Use of Indoor Tanning

Joni A. Mayer, PhD, Professor

Graduate School of Public Health

San Diego State University

Presented at the meeting of the National Council on Skin Cancer Prevention, November 7, 2008, Washington, D.C.

why study indoor tanning among teens
Why study indoor tanning among teens?
  • Using indoor tanning early in life increases melanoma risk by 75%
  • U.S. older teen girls are using indoor tanning at high rates—up to 40%
world health organization
World Health Organization
  • Ban those under 18 years old from commercial indoor tanning….

Sinclair, C. Artificial tanning sunbeds: risks and guidance. WHO, 2003.

slide5

Individual and Sociocultural Level

Environmental Level

Policy Level

State

Legislation

Local

Enforcement

Procedures

Parent

Characteristics

Adolescent

Characteristics

Availability of Facilities

Facility

Compliance

ADOLESCENT USE OFINDOOR TANNING

Quantification

Of

Stringency

Quantification

Of

Stringency

Facility Count

+ Locations/GIS

Phone

Interviews

(N=6,125)

Confederate Phone

Calls

(N=3,399)

results from generalized linear mixed effects models
Results from generalized linear mixed effects models

Mayer, J. A., Slymen, D. J., Woodruff, S. I., Hoerster, K. D., Pichon, L. C., Sallis, J. F., Weeks, J. R., & Belch, G. E. (2008, October).  Correlates of indoor tanning among teens: Key findings from CITY100. Peer-reviewed paper presented at the annual meeting of the American Public Health Association, San Diego, CA.

environmental level predictors
Environmental-level predictors

City salon density was significant in bivariate, but not multivariate, test…

how many facilities
How many facilities?
  • average = 41.8 (SD=30.8)
  • range = 3 (Hialeah,FL) to 183 (New York)
  • density (per 100,000 people): 1 to 34
  • average density= 11.8 (SD=6.0)

Hoerster, K. D., et al. (2009). Density of indoor tanning facilities in 116 large U.S. cities. American Journal of Preventive Medicine, 36(3), 243-246.

average businesses per city n 116
Average # Businesses per City (n=116)

Hoerster, K. D., et al. (2009). Density of indoor tanning facilities in 116 large U.S. cities. American Journal of Preventive Medicine, 36(3), 243-246.

living near a tanning salon and use
Living near a tanning salon and use…
  • 76% lived within 2 miles of a tanning salon
  • For teens having no tanning salons within 2 miles of their home, 7% used indoor tanning in the past 12 months.
  • For teens having at least 1 tanning salon, this rate was 11%.
policy level predictors
Policy-level predictors
  • Whether state had a youth access law --ns
  • Whether salon required parental consent --ns
  • Frequency tanning salon would allow teen to tan--ns
did indoor tanning facilities require signed parental consent
Did indoor tanning facilities require signed parental consent?
  • 87% did…
  • Requiring consent was significantly related to presence of youth law
  • 78% vs. 93%
  • OR (no law vs law) = 0.35 (.25, .49)

Pichon, LC, et al. (in press). Youth access to artificial ultraviolet radiation exposure: Practices of 3,647 indoor tanning facilities.Archives of Derm.

did indoor tanning facilities allow frequent tanning
Did indoor tanning facilities allow frequent tanning?

“I have fair skin…I’m 15 & have never used a tanning bed…How many times can I tan the 1st week?”

  • 71% of the salons saidevery day (mean = 6)
  • Frequency allowed to tan not related to presence of a law

Pichon, LC, et al. (in press). Youth access to artificial ultraviolet radiation exposure: Practices of 3,647 indoor tanning facilities.Archives of Derm.

slide22

28 states (red) had an indoor tanning law

Alaska

Washington

Maine

Vermont

Montana

North Dakota

Minnesota

Oregon

New Hampshire

Idaho

Wisconsin

Massachusetts

South Dakota

New York

Michigan

Rhode Island

Wyoming

Connecticut

Iowa

Pennsylvania

New Jersey

Nebraska

Nevada

Ohio

Delaware

Indiana

Illinois

Utah

Maryland

West

Colorado

Virginia

California

Virginia

Kansas

Missouri

Kentucky

North

Carolina

Tennessee

Oklahoma

Arizona

South

Arkansas

New Mexico

Carolina

Mississippi

Georgia

Alabama

Hawaii

Texas

Louisiana

Florida

slide23

21 of those laws (red) included youth access restrictions

Alaska

Washington

Maine

Vermont

Montana

North Dakota

Minnesota

Oregon

New Hampshire

Idaho

Wisconsin

Massachusetts

South Dakota

New York

Michigan

Rhode Island

Wyoming

Connecticut

Iowa

Pennsylvania

New Jersey

Nebraska

Nevada

Ohio

Delaware

Indiana

Illinois

Utah

Maryland

West

Colorado

Virginia

California

Virginia

Kansas

Missouri

Kentucky

North

Carolina

Tennessee

Oklahoma

Arizona

South

Arkansas

New Mexico

Carolina

Mississippi

Georgia

Alabama

Hawaii

Texas

Louisiana

Florida

slide24

Case Study: Wisconsin

Alaska

Washington

Maine

Vermont

Montana

North Dakota

Minnesota

Oregon

New Hampshire

Idaho

Wisconsin

Massachusetts

South Dakota

New York

Michigan

Rhode Island

Wyoming

Connecticut

Iowa

Pennsylvania

New Jersey

Nebraska

Nevada

Ohio

Delaware

Indiana

Illinois

Utah

Maryland

West

Colorado

Virginia

California

Virginia

Kansas

Missouri

Kentucky

North

Carolina

Tennessee

Oklahoma

Arizona

South

Arkansas

New Mexico

Carolina

Mississippi

Georgia

Alabama

Hawaii

Texas

Louisiana

Florida

banning the tanning of 15 year olds confederate phone calls
Banningthe Tanning of 15 Year Olds—Confederate Phone Calls

Pichon, LC, et al. (in press). Youth access to artificial ultraviolet radiation exposure: Practices of 3,647 indoor tanning facilities.Archives of Derm.

conclusions
Conclusions
  • Parental consent laws are effective, but…
  • parents are consenting
conclusions continued
Conclusions, continued
  • Need local zoning ordinances
  • “All you can tan” packages-need to restrict these & session frequency
  • Need teen bans (like France & Australia)
slide28

Pending Bill in Ohio (HB 230)

Sec. 4713.50. Under no circumstances shall an operator or employee of a tanning facility allow an individual who is under eighteen years of age to use the tanning services of the facility unless the individual presents a prescription for receiving

ultraviolet radiation treatments written by a physician authorized under Chapter 4731. of the Revised Code to practice medicine and surgery or osteopathic medicine and surgery.

indoor tanning association
Indoor Tanning Association
  • Lobbying against pending Ohio law banning those under 18…
  • Businesses, parents, etc should choose a sample letter and send to local and state gov’t officials…

“Please put some common sense back into government. Whether or not a teen suntans is a decision for parents, not government.”

www.theita.com

what will city100 do
What will CITY100 do?
  • Strategically share our data and conclusions with key audiences
  • Health organizations, legislators, reporters
what might should you do
What might (should) you do?
  • (Continue to) advocate for Ohio’s ban of minors
  • Ohio as a model – “As goes Ohio, so goes…”
and thank you
And thank you!

For more information, contact

jmayer@mail.sdsu.edu

Ohio bill information:

www.ohderm.org

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