Indoor tanning in businesses and homes and risk of melanoma and nonmelanoma skin cancer in 2 US case-control studies

JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY

卷:71

Article

Ferrucci, Leah M.^1,2  Vogel, Rachel Isaksson³  Cartmel, Brenda^1,2  Lazovich, DeAnn^3,4  Mayne, Susan T.^1,2 

[1] Yale Univ, Sch Publ Hlth, New Haven, CT 06510 USA

[2] Yale Canc Ctr, New Haven, CT USA

[3] Univ Minnesota, Mason Canc Ctr, Minneapolis, MN 55455 USA

[4] Univ Minnesota, Div Epidemiol & Community Hlth, Minneapolis, MN 55455 USA

关键词: basal cell carcinoma;    epidemiology;    indoor tanning;    melanoma;    nonmelanoma skin cancer;    skin cancer;   

DOI  :  10.1016/j.jaad.2014.06.046

来源: Elsevier

【 摘 要 】

Background: Indoor tanning increases skin cancer risk. Beyond early research describing melanoma and sun lamps, few recent reports describe where individuals indoor tan and whether skin cancer risk varies by location (business, home-based). Objective: We sought to assess where individuals tanned indoors and skin cancer risk by tanning device location. Methods: Multivariate logistic regression was conducted in 2 US case-control studies of melanoma (1161 cases, 1083 controls, ages 25-59 years) and early-onset basal cell carcinoma (375 cases, 382 controls, age <40 years) conducted between 2004 and 2010. Results: Most indoor tanners (86.4%-95.1%), especially younger individuals, tanned exclusively in businesses. Persons who used indoor tanning exclusively in businesses were at increased risk of melanoma (odds ratio 1.82, 95% confidence interval 1.47-2.26) and basal cell carcinoma (odds ratio 1.69, 95% confidence interval 1.15-2.48) compared with non-users. Melanoma risk was also increased in the small number who reported tanning indoors only at home relative to non-users (odds ratio 4.14, 95% confidence interval 1.75-9.78); 67.6% used sun lamps. Limitations: Self-reported tanning and potential recall bias are limitations. Conclusion: Business-only tanning, despite claims of safe'' tanning, was positively associated with a significant risk of melanoma and basal cell carcinoma. Home tanning was uncommon and mostly from sun lamps, which were rarely used by younger participants. Regardless of location, indoor tanning was associated with increased risk of skin cancer.

【 授权许可】

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