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Cancer Causes & Control
Published in: Cancer Causes & Control 5/2006

01-06-2006 | Original Paper

Frequent Tanning Bed Use, Weight Concerns, and Other Health Risk Behaviors in Adolescent Females (United States)

Authors: David L. O’Riordan, Alison E. Field, Alan C. Geller, Daniel R. Brooks, Gideon Aweh, Graham A. Colditz, A. Lindsay Frazier

Published in: Cancer Causes & Control | Issue 5/2006

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Abstract

Objective

To examine the association between tanning bed use and weight concerns, health risk behaviors, and peer influence.

Methods

The Growing Up Today Study (GUTS) is an ongoing prospective cohort study of adolescents established in 1996. In 1999, a total of 6,373 adolescent females ages 12–18 (offspring of participants in the Nurses Health Study 2) completed the survey.

Results

Almost nine percent (8.6%) of the adolescent girls had used a tanning bed 1–9 times and an additional 5.4% had used tanning beds at least 10 times in the past year (frequent users). Logistic regression models revealed that frequent tanning bed use was associated with being highly concerned about weight (OR = 1.5, 95%CI = 1.1, 2.0), frequently dieting to lose weight (OR = 1.5, 95%CI = 1.1, 2.0), using laxatives or vomiting to control weight (OR = 3.6; 95%CI = 2.2–5.8), having friends who placed a lot of importance on being thin (OR = 2.6; 95%CI = 1.3–5.1), smoking cigarettes (OR=1.7, 95%CI = 1.1, 2.6), binge drinking (OR = 2.1, 95%CI = 1.3, 3.1), using recreational drugs (OR = 3.0; 95%CI = 2.4, 3.8), and trying to look like females in the media (sometimes/pretty much: OR = 1.3, 95%CI = 1.0, 1.8).

Conclusion

Frequent tanning bed use among adolescent females is associated with a range of health risk behaviors. This effect may be mediated by peer influence and a desire to look like other females in the media. Multi-pronged approaches, particularly those that target attitudes of young females, are needed to combat increased use of tanning beds.
Literature
1.
Lazovich D, Forster J (2005) Indoor tanning by adolescents: prevalence, practices and policies. Eur J Cancer 41:20–27CrossRefPubMed
2.
Culley AC, Mayer JA, Eckhardt L, Busic AJ, Eichenfield LF, Sallis JF, Quintana PJE, Woodruff SI (2001) Compliance with federal and state legislation by indoor tanning facilities in San Diego. J Am Acad Dermatol 44:53–60CrossRefPubMed
3.
Diffey BL (1986) Use of sunbeds for cosmetic tanning. Brit J Dermatol 115:67–76
4.
Wester U (2000) Measurements of solar UVA. UVB and of ozone: estimates of population ultraviolet doses. Radiat Protect Dosim 91:115–118
5.
Spencer JM, Amonette RA (1995) Indoor tanning: risks, benefits, and future trends. J Am Acad Dermatol 33:288–298CrossRefPubMed
6.
Swerdlow AJ, Weinstock MA (1998) Do tanning lamps cause melanoma? An epidemiologic assessment. J Am Acad Dermatol 38:89–98CrossRefPubMed
7.
Karagas MR, Stannard VA, Mott LA, Slattery MJ, Spencer SK, Weinstock MA (2002) Use of tanning devices and risk of basal cell and squamous cell skin cancers. J Natl Cancer Inst 94:224–226PubMed
8.
Veierød MB, Weiderpass E, Thörn M, Hansson J, Lund E, Armstrong B, Adami HO (2003) A prospective study of pigmentation, sun exposure, and risk of cutaneous malignant melanoma in women. J Natl Cancer Inst 95:1530–1538PubMed
9.
Report on Carcinogens (10th Edition). (2002) United States Department of Health and Human Services, Public Health Service, National Toxicological Program
10.
World Health Organization, United Nations Environment Program, and International Commission on Non-Ionizing Radiation Protection (1994) Ultraviolet Radiation, Environmental Health Criteria 160. World Health Organization, Geneva
11.
International Non-ionizing Radiation Committee of the International Radiation Protection Association (1991) Guidelines 1 1991: health issues of ultraviolet ‘A’ sunbeds used for cosmetic purposes. Health Phys 61:285–288
12.
Lazovich D, Forster J, Sorensen G, Emmons K, Stryker J, Demierre MF, Hickle A, Remba N (2004) Characteristics associated with use or intention to use indoor tanning among adolescents. Arch Pediatr Adolesc Med 158:918–924CrossRefPubMed
13.
Cokkinides VE, Weinstock MA, O’Connell MC, Thun MJ (2002) Use of indoor tanning sunlamps by US youth, ages 11–18 years, and by their guardian caregivers: prevalence and correlates. Pediatrics 109:1124–1130CrossRefPubMed
14.
Geller AC, Colditz G, Oliveria S, Emmons KM, Jorgenson C, Aweh GN, Frazier AL (2002) Use of sunscreen, sunburning rates, and tanning bed use among more than 10 000 US children and adolescents. Pediatrics 109:1009–1014CrossRefPubMed
15.
Boldeman C, Beitner H, Jansson B, Nilsson B, Ullén H (1996) Sunbed use in relation to phenotype, erythema, sunscreen use and skin diseases. A questionnaire survey among Swedish adolescents. Brit J Dermatol 135:712–716
16.
Lillquist PP, Baptiste MS, Witzigman MA, Nasca PC (1994) A population-based survey of sun lamp and tanning palor use in New York State, 1990. J Am Acad Dermatol 31:510–512PubMed
17.
Mawn VB, Fleischer AB (1993) A survey of attitudes, beliefs, and behavior regarding tanning bed use, sunbathing, and sunscreen use. J Am Acad Dermatol 29:959–962PubMed
18.
Fiala B, Kopp M, Günther V (1997) Why do young women use sunbeds? A comparative psychological study. Brit J Dermatol 137:950–954
19.
Hillhouse JJ, Turrisi R, Kastner M (2000) Modeling tanning salon behavioral tendencies using appearance motivation, self monitoring and the theory of planned behavior. Health Edu Res 15:405–414
20.
Leary MR, Jones JL (1993) The social psychology of tanning and sunscreen use: self-presentational motives as a predictor of health risk. J Appl Soc Psychol 23:1390–1406
21.
Hillhouse JJ, Adler CM, Drinnon J, Turrisi R (1997) Application of Azjen’s theory of planned behavior to predict sunbathing, tanning salon use, and sunscreen use intentions and behaviors. J Behav Med 20:365–378CrossRefPubMed
22.
Miller A, Ashton W, McHoskey J, Gimbel J (1990) What price attractiveness? Stereotype and risk factors in suntanning behaviour. J Appl Soc Psychol 20:1272
23.
Knight JM, Kirincich AN, Farmer ER, Hood AF (2002) Awareness of the risks of tanning lamps does not influence behavior among college students. Arch Dermatol 138:1311–1315CrossRefPubMed
24.
Field AE, Camargo CA, Taylor CB, Berkley CS, Frazier AL, Gillman MW, Colditz GA (1999) Overweight, weight concerns, and bulimic behaviors among girls and boys. J Am Acad Child Adolsc Psych 38:754–760
25.
Casper RC, Offer D (1990) Weight and dieting concerns in adolescents, fashion or symptom? Pediatrics 86:384–390PubMed
26.
Tomeo CA, Field AE, Berkley CS, Colditz GA, Frazier AL (1999) Weight concerns, weight control behaviors, and smoking initiation. Pediatrics 104:918–924CrossRefPubMed
27.
Demko CA, Borawski EA, Debanne SM, Cooper KD, Stange KC (2003) Use of indoor tanning facilities by white adolescents in the United States Arch Pediatr Adolsc Med 157:854–860
28.
Rockett HR, Berkey CS, Field AE, Colditz CA (2001) Cross-sectional measurement of nutrient intake among adolescents in 1996. Prev Med 33:27–37CrossRefPubMed
29.
Solomon CG, Willett WC, Carey VJ, Rich-Edwards J, Hunter DJ, Colditz GA, Stampfer MJ, Speizer FE, Spiegelman D, Manson JE (1997) A prospective study of pregravid determinants of gestational diabetes mellitus. JAMA 278:1078–1083CrossRefPubMed
30.
Wechsler H, Davenport A, Dowdall G, Moeykens B, Castillo S (1994) Health and behavioral consequences of binge drinking in college. A national survey of students at 140 campuses. JAMA 272:1672–1677CrossRefPubMed
31.
Kann L, Warren CW, Harris WA, Collins JL, Williams BI, Ross JG, Kolbe LJ (1996) Youth risk behavior surveillance – United States, 1995 MMWR CDC Surveill Summ 45:1–84PubMed
32.
Neumark-Sztainer D, Story M, French S, Cassuto N, Jacobs DR, Jr, Resnick MD (1996) Patterns of health-compromising behaviors among Minnesota adolescents: sociodemographic variations. Am J Pub Health 86:1599–1606PubMed
33.
Shisslak CM, Renger R, Sharpe T, Crago M, McKnight KM, Gray N, Bryson S, Estes LS, Parnaby OG, Killen J, Taylor CB (1999) Development and evaluation of the McKnight Risk Factor Survey for assessing potential risk and protective factors for disordered eating in preadolescent and adolescent girls. Intl J Eat Disord 25:195–214
34.
Kuczmarski RJ, Ogden CL, Grummer-Strawn LM, Flegal KM, Guo SS, Wei R, Mei Z, Curtin LR, Roche AF, Johnson CL (2000) CDC growth charts: United States. Adv Data 1–27
35.
Field AE, Cheung L, Wolf AM, Herzog DB, Gortmaker SL, Colditz GA (1999) Exposure to the media and weight concerns among girls Pediatrics 103:e36CrossRefPubMed
36.
George PM, Kuskowski M, Schmidt C (1996) Trends in photoprotection in American fashion magazines, 1983–1993. J Am Acad Dermatol 34:424–428PubMed
37.
Chapman S, Marks R, King M, (1992) Trends in tans and skin protection in Australian fashion magazines, 1982 through 1992. Am J Pub Health 82:1677–1680PubMed
38.
Broadstock M, Borland R, Gason R (1992) Effects of suntan on judgements of healthiness and attractiveness by adolescents. J Appl Soc Psychol 22:157–172
39.
Hillhouse J, Turrisi R, Holwiski F, McVeigh S (1999) An examination of psychological variables relevant to artificial tanning tendencies. J Health Psychol 4:507–516
40.
Jones JL, Leary MR (1994) Effects of appearance-based admonitions against sun exposure on tanning intentions in young adults. Health Psychol 13:86–90CrossRefPubMed
41.
Kerr C, Taylor R, Heard G (eds.) (1998) Handbook of Public Health Methods. Roseville, McGraw-Hill Book Company Australia Pty. Ltd
42.
Coughlin SS (1990) Recall bias in epidemiologic studies. J Clin Epidemiol 43: 87PubMed
43.
Turrisi R, Hillhouse J, Gebert C (1998) Examination of cognitive variables relevant to sunbathing. J Behav Med 21:299–313CrossRefPubMed
44.
Stryker JE, Lazovich D, Forster JL, Emmons KM, Sorensen G, Demierre MF (2004) Maternal/female caregiver influences on adolescent indoor tanning. J Adolesc Health 35(528):e1–e9PubMed
45.
Sarigiani PA, Ryan L, Petersen AC (1999) Prevention of high-risk behaviors in adolescent women. J Adolesc Health 25:109–119CrossRefPubMed
46.
47.
Kwon HT, Mayer JA, Walker KK, Yu H, Lewis EC, Belch GE (2002) Promotion of frequent tanning sessions by indoor tanning facilities: two studies. J Am Acad Dermatol 46:700–705CrossRefPubMed
48.
Dellavalle RP, Parker ER, Cersonsky NM, Hester EJ, Hemme BJ, Burkhardt DL, Chen AK, Schilling LM (2003) Youth access laws: in the dark at the tanning parlor? Arch Dermatol 139:443–448PubMed
49.
Demierre M-F (2003) Time for the national legislation of indoor tanning to protect minors. Arch Dermatol 139:520–524PubMed
Metadata
Title
Frequent Tanning Bed Use, Weight Concerns, and Other Health Risk Behaviors in Adolescent Females (United States)
Authors
David L. O’Riordan
Alison E. Field
Alan C. Geller
Daniel R. Brooks
Gideon Aweh
Graham A. Colditz
A. Lindsay Frazier
Publication date
01-06-2006
Publisher
Kluwer Academic Publishers
Published in
Cancer Causes & Control / Issue 5/2006
Print ISSN: 0957-5243
Electronic ISSN: 1573-7225
DOI
https://doi.org/10.1007/s10552-005-0453-9

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