Association of sun-seeking behaviors with indoor tanning behavior in US white females during high school/college in Nurses' Health Study II
dc.contributor.author | Seo, Bojung | |
dc.contributor.author | Yang, Sheng | |
dc.contributor.author | Cho, Eunyoung | |
dc.contributor.author | Qureshi, Abrar A. | |
dc.contributor.author | Han, Jiali | |
dc.contributor.department | Epidemiology, Richard M. Fairbanks School of Public Health | |
dc.date.accessioned | 2024-05-22T11:26:39Z | |
dc.date.available | 2024-05-22T11:26:39Z | |
dc.date.issued | 2024-01-11 | |
dc.description.abstract | Background: Frequent exposure to ultraviolet light has more detrimental and longer-term effects on the skin in early life than in adulthood. Teenagers with strong sun-seeking behaviors may be more likely to use an indoor tanning bed than those who seek less sun. We aimed to examine associations between sun-seeking behaviors and indoor tanning behavior during high school/college in US females. Methods: In this cross-sectional study, we used data from The Nurses' Health Study II, a large prospective cohort of US female nurses. We included a total of 81,746 white females who provided responses on the average annual frequency of indoor tanning during high school/college. Our study exposures were number of times/week spent outdoors in a swimsuit and percentage of time wearing sunscreen at the pool/beach as a teenager, weekly hours spent outdoors in direct sunlight during the daytime during high school/college, and number of severe sunburns that blistered between ages 15-20 years. The main outcome was annual frequency of indoor tanning bed usage during high school/college. Results: In multivariable-adjusted logistic regression, we demonstrated positive associations between sun-seeking behaviors and indoor tanning use. Specifically, teenagers who spent 7 times/week outdoors in a swimsuit (adjusted odds ratio [aOR], 95% confidence interval [CI] for daily vs. <1/week: 2.68, 1.76-4.09) were more likely to use indoor tanning beds ≥ 12 times/year. Teenagers with ≥ 10 sunburns (aOR, 95% CI for ≥ 10 vs. never: 2.18, 1.53-3.10) were more likely to use indoor tanning beds ≥ 12 times/year. Also, teenagers/undergraduates who spent ≥ 5 h/week outdoors in direct sunlight (aOR, 95% CI for ≥ 5 h/week vs. <1 h/week: 2.18, 1.39-3.44) were more likely to use indoor tanning ≥ 12 times/year. However, there was not a significant association between average usage of sunscreen at the pool/beach and average usage of indoor tanning beds. Multivariable-adjusted linear regression models also showed similar results. Conclusions: Teenagers who spent more time outdoors in a swimsuit/direct sunlight or got more sunburns tended to use indoor tanning more frequently. These findings provide evidence that teenagers with stronger sun-seeking behaviors may have more exposure to artificial ultraviolet radiation as well. | |
dc.eprint.version | Final published version | |
dc.identifier.citation | Seo B, Yang S, Cho E, Qureshi AA, Han J. Association of sun-seeking behaviors with indoor tanning behavior in US white females during high school/college in Nurses' Health Study II. BMC Public Health. 2024;24(1):162. Published 2024 Jan 11. doi:10.1186/s12889-024-17716-6 | |
dc.identifier.uri | https://hdl.handle.net/1805/40931 | |
dc.language.iso | en_US | |
dc.publisher | Springer Nature | |
dc.relation.isversionof | 10.1186/s12889-024-17716-6 | |
dc.relation.journal | BMC Public Health | |
dc.rights | Attribution 4.0 International | en |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | |
dc.source | PMC | |
dc.subject | Skin cancer | |
dc.subject | Sun exposure | |
dc.subject | Sun-seeking | |
dc.subject | Tanning bed | |
dc.subject | Tanning behavior | |
dc.title | Association of sun-seeking behaviors with indoor tanning behavior in US white females during high school/college in Nurses' Health Study II | |
dc.type | Article |