期刊论文详细信息
The Journal of Clinical and Aesthetic Dermatology
Examining Dermatologist Use and Opinions of Ultraviolet Radiation for Cosmetic and Medical Purposes
Blake P. Sampson1  Aaron M. Secrest2  Christopher B. Hansen3 
[1] Dr. Sampson is with Oregon Health Sciences University in Portland, Oregon.;Drs. Secrest and Hansen are with the Department of Dermatology at the University of Utah in Salt Lake City, Utah.;Mr. Geller is with the Harvard T.H. Chan School Of Public Health in Boston, Massachusetts.
关键词: Dermatologist referrals;    legislation;    pediatric dermatology;    phototherapy;    public health policy;    tanning;    tanning regimen;    tanning salon;    tanning bed;    ultraviolet radiation;    UV;    UV counseling practices;    UV exposure;   
DOI  :  
学科分类:医学(综合)
来源: Matrix Medical Communications, LLC
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【 摘 要 】

BACKGROUND: The commercial tanning industry has opposed efforts to educate the public on the risks of tanning as well as attempts to restrict minors’ access to tanning services. Despite a paucity of supporting literature, statements from the tanning industry claiming that dermatologists routinely use in-office phototherapy for cosmetic treatments and refer patients to tanning salons have successfully derailed and defeated legislation in many states. OBJECTIVE: This study aims to evaluate dermatologist referrals for ultraviolet radiation for cosmetic and medical purposes via tanning beds or phototherapy, as well as their opinions on tanning, legislation, and ultraviolet radiation counseling practices. DESIGN: The study was conducted using a 10-question anonymous survey. SETTING: The participants were surveyed during meetings of three regional dermatologic societies. PARTICIPANTS: One hundred and fifty-two dermatologists attending society meetings participated in the study. MEASURES: The authors measured physician referrals, opinions, and recommendations regarding ultraviolet exposure. RESULTS: Zero physicians (0/152) recommended tanning salons for cosmetic reasons. These 152 dermatologists referred 458 (417 adult, 41 pediatric) out of an estimated 809,369 patients (0.057%) to tanning salons for medical treatment. Of these physicians, 76 out of 152 and 15 out of 152 reported referring at least one adult or one pediatric patient, respectively, within the last year. All respondents supported ultraviolet tanning legislation and discouraged cosmetic tanning. CONCLUSION: These findings directly contradict the assertion that dermatologists use ultraviolet radiation for cosmetic purposes or routinely refer patients to tanning salons. This study underscores the complex nature of ultraviolet radiation, as dermatologists infrequently utilize ultraviolet radiation for medical purposes and unanimously support restrictive legislation. In addition, these dermatologists counsel against cosmetic tanning and list tanning bed use among their highest concerns with regard to the health of pediatric patients.

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