• Indoor tanning and tanning dependence in young people after a diagnosis of basal cell carcinoma

      Cartmel, Brenda; Ferrucci, Leah M.; Spain, Peter; Bale, Allen E.; Pagoto, Sherry L.; Leffell, David J.; Gelernter, Joel; Mayne, Susan T. (2013-09-05)
      Individuals who have had basal cell carcinoma (BCC) are at high risk of subsequent BCCs and melanoma. Indoor tanning is an established risk factor for BCC, squamous cell carcinoma, and melanoma. As such, continuing to tan indoors after a BCC diagnosis may elevate one’s risk for future skin cancers. Skin cancer survivors have sun protection behaviors that are similar to those of the general population, but little is known about their indoor tanning behavior. Notably, research suggests that some individuals develop tanning dependence, analogous to substance dependence,which could be related to continued indoor tanning. To understand better the patterns of and reasons for indoor tanning after BCC diagnosis, we assessed indoor tanning and symptoms of tanning dependence in people who had received at least 1 BCC diagnosis before age 40 years.
    • Prevalence and Correlates of Indoor Tanning in Nonsalon Locations Among a National Sample of Young Women

      Hillhouse, Joel; Stapleton, Jerod L.; Florence, L. Carter; Pagoto, Sherry L. (2015-10-01)
      Indoor tanning is a public health threat, and the Surgeon General has called for its reduction in adolescents and young adults. Research on indoor tanning has not distinguished between tanning-only salons vs other businesses and private residences that provide tanning (ie, nonsalon tanning). For example, gyms often offer free tanning, which may lead to riskier tanning habits. Better understanding of nonsalon tanning could have policy, prevention, and clinical implications. Our study addresses this literature gap by examining the prevalence and correlates of nonsalon tanning in a nationally representative sample of young women, who have the highest rates of indoor tanning use.
    • The sunless study: a beach randomized trial of a skin cancer prevention intervention promoting sunless tanning

      Pagoto, Sherry L.; Schneider, Kristin L.; Oleski, Jessica; Bodenlos, Jamie S.; Ma, Yunsheng (2010-09-01)
      Objective: To examine the impact of a skin cancer prevention intervention that promoted sunless tanning as a substitute for sunbathing. Design: Randomized controlled trial. Setting: Public beaches in Massachusetts. Participants: Women (N = 250) were recruited to participate in the study during their visit to a public beach. Intervention: The intervention included motivational messages to use sunless tanning as an alternative to UV tanning, instructions for proper use of sunless tanning products, attractive images of women with sunless tans, a free trial of a sunless tanning product, skin cancer education, and UV imaging. The control participants completed surveys. Main Outcome Measures: The primary outcome was sunbathing 2 months and 1 year after the intervention. Secondary outcomes included sunburns, sun protection use, and sunless tanning. Results: At 2 months, intervention participants reduced their sunbathing significantly more than did controls and reported significantly fewer sunburns and greater use of protective clothing. At 1 year, intervention participants reported significant decreases in sunbathing and increases in sunless tanning relative to control participants but no differences in the other outcomes. Conclusion: This intervention, which promoted sunless tanning as an alternative to UV tanning, had a short-term effect on sunbathing, sunburns, and use of protective clothing and a longer-term effect on sunbathing and sunless tanning. Trial Registration: clinicaltrials.gov Identifier: NCT00403377