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Open AccessArticle

Trends in Tanning Bed Use, Motivation, and Risk Awareness in Germany: Findings from Four Waves of the National Cancer Aid Monitoring (NCAM)

1
Mannheim Institute of Public Health, Social and Preventive Medicine, Medical Faculty Mannheim, Heidelberg University, Ludolf-Krehl-Str. 7-11, 68167 Mannheim, Germany
2
Arbeitsgemeinschaft Dermatologische Prävention (ADP) e. V., Cremon 11, 20457 Hamburg, Germany
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(20), 3913; https://doi.org/10.3390/ijerph16203913
Received: 25 September 2019 / Revised: 8 October 2019 / Accepted: 11 October 2019 / Published: 15 October 2019
Indoor tanning is an important risk factor for the development of melanoma and non-melanoma skin cancer. With our nationally representative monitoring, we aimed at describing tanning bed use, user characteristics, reasons for use, and risk awareness over time. In the framework of the National Cancer Aid Monitoring (NCAM), we collected representative data on 12,000 individuals aged 14 to 45 years in annual waves of n = 3,000 participants in Germany between 2015 and 2018. We used descriptive statistics and chi²-tests to uncover group differences. To compare data from the different waves, we calculated confidence intervals. The use of tanning beds decreased from 2015 (11.0%, 95%-CI: 9.9%–12.1%) to 2018 (8.8%, 95%-CI: 7.8%–9.8%). However, this decrease did not affect all subgroups. For instance, there was an (non-significant) increase in minors and the prevalence remained stable for individuals with immigrant background and males. Attractiveness was an important reason for tanning bed use in each wave. Over time, there was an increase in medical-related reasons for use. Furthermore, monitoring showed a decrease in risk awareness regarding tanning bed use and ultraviolet (UV) radiation. While it is a positive development that the overall use of tanning beds in Germany has decreased over time, the increasing use by minors despite the legal ban is alarming. Due to the declining risk awareness it is necessary to implement prevention and education campaigns specifically targeted at this group. View Full-Text
Keywords: tanning bed use; artificial tanning; skin cancer; melanoma; indoor tanning tanning bed use; artificial tanning; skin cancer; melanoma; indoor tanning
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MDPI and ACS Style

Diehl, K.; Görig, T.; Greinert, R.; Breitbart, E.W.; Schneider, S. Trends in Tanning Bed Use, Motivation, and Risk Awareness in Germany: Findings from Four Waves of the National Cancer Aid Monitoring (NCAM). Int. J. Environ. Res. Public Health 2019, 16, 3913. https://doi.org/10.3390/ijerph16203913

AMA Style

Diehl K, Görig T, Greinert R, Breitbart EW, Schneider S. Trends in Tanning Bed Use, Motivation, and Risk Awareness in Germany: Findings from Four Waves of the National Cancer Aid Monitoring (NCAM). International Journal of Environmental Research and Public Health. 2019; 16(20):3913. https://doi.org/10.3390/ijerph16203913

Chicago/Turabian Style

Diehl, Katharina; Görig, Tatiana; Greinert, Rüdiger; Breitbart, Eckhard W.; Schneider, Sven. 2019. "Trends in Tanning Bed Use, Motivation, and Risk Awareness in Germany: Findings from Four Waves of the National Cancer Aid Monitoring (NCAM)" Int. J. Environ. Res. Public Health 16, no. 20: 3913. https://doi.org/10.3390/ijerph16203913

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