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Utilization of indoor tanning: a cross-sectional study using mobile device data

Published:December 06, 2022DOI:https://doi.org/10.1016/j.jid.2022.10.013
      Indoor tanning using ultraviolet (UV) radiation is a known carcinogen (
      • El Ghissassi F.
      • Baan R.
      • Straif K.
      • Grosse Y.
      • Secretan B.
      • Bouvard V.
      • et al.
      A review of human carcinogens--part D: radiation.
      ), associated with increased risks of melanoma (

      Colantonio S, Bracken MB, Beecker J. The association of indoor tanning and melanoma in adults: systematic review and meta-analysis. Journal of the American Academy of Dermatology 2014;70(5):847-857 e1-18.

      ), squamous cell carcinoma, and basal cell carcinoma (
      • Wehner M.R.
      • Shive M.L.
      • Chren M.M.
      • Han J.
      • Qureshi A.A.
      • Linos E.
      Indoor tanning and non-melanoma skin cancer: systematic review and meta-analysis.
      ). However, there is little information on where or when indoor tanning is used. The majority of literature on indoor tanning use is survey-based and designed to measure population-level behavior changes (
      • Rodriguez-Acevedo A.J.
      • Green A.C.
      • Sinclair C.
      • van Deventer E.
      • Gordon L.G.
      Indoor tanning prevalence after the International Agency for Research on Cancer's statement on carcinogenicity of artificial tanning devices: systematic review and meta-analysis.
      ). Surveys are susceptible to recall bias and only allow sequential cross-sectional ‘snap shots,’ often with years in between surveys. Our objective was to evaluate tanning salon geographic distribution and patterns of indoor tanning use using objective, longitudinal data.
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