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PubMed2005

Body piercing practices and attitudes among urban adolescents.

PURPOSE: This article describes adolescents' attitudes and practices toward body piercing and their awareness of associated health risks. METHODS: An anonymous, 32-item, random, convenience-sample survey was administered to 225 participants, ages 12-21 years, at an urban, hospital-based, adolescent clinic. RESULTS: The mean participant age was 16.5 +/- 2.1 years; 78% were female; and 58% were African-American and 30% were Caucasian. Forty-eight percent had a body piercing. About half of participants (range, 45%-62%) endorsed each site as accepted by the public, except for nipple and genital sites, which fewer than 10% endorsed as accepted. African-Americans were more likely to have pierced noses, and to find that site acceptable, whereas Caucasians were more likely to have pierced navels and nipples, and to find those sites acceptable (odds ratio [OR] range, 3.05-19.37). Youth tended to see their own pierced site as more acceptable and less risky than others did (OR range, 8.99-23.61; effect sizes [r] range, .15-.60). The most common health problems from body piercing reported by participants from their personal experience were infection (10%), allergic reaction (1%), and bruising (1%). The most common health problems from body piercing reported by participants based on others' experiences were infection (74%), bleeding (30%), allergic reaction (26%), bruising (19%), and keloids (19%). Those who were pierced in a body-piercing shop reported more infections (18.4%) than those pierced in other places (1.9%) (OR, 11.49; 95% confidence interval [CI], 1.39-90.91). Youth who had pierced themselves perceived less risk from piercing from a nonprofessional (50%) compared with those pierced by a professional (77%) (p = .003). CONCLUSIONS: Youth from this hospital-based urban adolescent clinic considered body piercings to be generally accepted by the public. Pierced youth in our survey often participated in body piercing practices that they perceived as minimally risky and that they defined as normative. Based on these findings, clinicians should discuss body piercing in the context of providing routine anticipatory guidance to adolescents and should educate adolescents about safer piercing strategies to help minimize associated health risks.

Adolescent↗
PubMed2000

Body piercing: what nurse practitioners need to know.

Body piercing is a growing trend among today's youth. Chances are, nurse practitioners will be in contact with someone who has a body piercing and/or complication relating to piercing. This article includes the history of body piercing, the environment of piercing parlors, the methods commonly used, site-specific explanations of select piercings, complications, treatment and practice implications. Nurse practitioners need to establish collaborative working relationships with their clients as well as those who do the piercings.

Cosmetic Techniques↗
PubMed2001

Prevalence of tattooing and body piercing in the Australian community.

Tattooing and body piercing are now worldwide fashion crazes. The health risks associated with these procedures are as yet unclear. This article examines the prevalence of body decoration and the associated health risks within the Australian population using a random sample survey of individuals aged 14 years and over, collected between June and September 1998 (n = 10,030). The results show that one in 10 people have had a tattoo at some point in their lives and 8 per cent some form of body piercing, excluding ear piercing. Men are more likely than women to report tattooing, while females are more likely to report body and ear piercing. Some 10 per cent of respondents report drinking alcohol or using other drugs when the procedures were undertaken. The prevalence of tattooing and body piercing is considerably higher among injecting drug users. Although the rates of transmission of bloodborne disease due to body decoration are believed to be low, the strong association with youth and with injecting drug use suggests considerable potential for transmission.

Adolescent↗
PubMed1999

Body piercing medical concerns with cutting-edge fashion.

OBJECTIVE: To review the current information on medical complications, psychological implications, and legislative issues related to body piercing, a largely unregulated industry in the United States. METHODS: We conducted a MEDLINE search of English language articles from 1966 until May 1998 using the search terms "body piercing" and "ear piercing." Bibliographies of these references were reviewed for additional citations. We also conducted an Internet search for "body piercing" on the World Wide Web. MAIN RESULTS: In this manuscript, we review the available body piercing literature. We conclude that body piercing is an increasingly common practice in the United States, that this practice carries substantial risk of morbidity, and that most body piercing in the United States is being performed by unlicensed, unregulated individuals. Primary care physicians are seeing growing numbers of patients with body pierces. Practitioners must be able to recognize, treat, and counsel patients on body piercing complications and be alert to associated psychological conditions in patients who undergo body piercing.

Body Image↗
PubMed2006

A case of Staphylococcus aureus endocarditis after ear piercing in a patient with normal cardiac valve and a questionnaire survey on adverse events of body piercing in college students of Korea.

Body piercing in young adults is on the rise in western countries and also in Korea. It is usually practised by non-medical persons, and therefore frequently entails local adverse events. Serious complications, such as septic arthritis or infective endocarditis, are occasionally reported, but infective endocarditis in patients with normal cardiac valve is rare. We experienced a case of acute S. aureus endocarditis after ear piercing. Thereafter we studied the status and complications of body piercing in college students of Korea based on a questionnaire survey, and revealed that the rate of ear piercing is high (96.5%) and 61.3% of the pierced persons experience local complications.

Adolescent↗
PubMed2006

Tattoos and body piercings in the United States: a national data set.

BACKGROUND: Little is known about the prevalence and consequences of body art application. OBJECTIVE: Our aim was to provide US tattooing and body piercing prevalence, societal distribution, and medical and social consequence data. METHODS: Random digit dialing technology was used to obtain a national probability sample of 253 women and 247 men who were 18 to 50 years of age. RESULTS: Of our respondents, 24% had tattoos and 14% had body piercings. Tattooing was equally common in both sexes, but body piercing was more common among women. Other associations were a lack of religious affiliation, extended jail time, previous drinking, and recreational drug use. Local medical complications, including broken teeth, were present in one third of those with body piercings. The prevalence of jewelry allergy increased with the number of piercings. Of those with tattoos, 17% were considering removal but none had had a tattoo removed. LIMITATIONS: This was a self-reported data set with a 33% response rate. CONCLUSION: Tattooing and body piercing are associated with risk-taking activities. Body piercing has a high incidence of medical complications.

Adult↗
PubMed2004

Body piercing: a rare cause of mitral valve endocarditis.

Body piercing has become a way of life for many individuals. It represents freedom, as well as rebellion, and can provide shock value to the public. Often, it is used as a rite of passage from adolescence into adulthood, and can also provide a boost in self-esteem. However, body piercing may lead to non-infectious complications such as prolonged bleeding and keloid formation, while infectious complications include the transmission of blood-borne infections (e.g. human immunodeficiency virus, hepatitis B, C and D), as well as bacteremia through the site of piercing. Infective endocarditis in individuals with congenital heart defects has been identified after body piercing. Here, the first documented case is reported of mitral valve endocarditis in a previously fit and healthy young female following navel piercing.

Adult↗
PubMed2001

Body piercing as a risk factor for viral hepatitis: an integrative research review.

The relationship of viral hepatitis and body piercing has been investigated in 12 research studies published between 1974 and 1997. Because there are often a large number of unknowns regarding the cause of viral hepatitis, most of the studies were conducted to identify multiple risk factors for hepatitis. Eight of the 12 studies identified percutaneous exposure, including body piercing and ear piercing, as a risk factor for viral hepatitis. Six studies found that hepatitis seropositivity was significantly associated with ear piercing. Conclusions indicate that evidence is sufficient to institute public health education along with regulation of the body-piercing industry. Recent research has found a significant increase in legislative efforts to regulate body piercing. Little research has focused directly on body piercing as a specific risk factor for viral hepatitis. Further research in this area is necessary to increase the understanding of hepatitis transmission by body piercing.

Adolescent↗
PubMed1999

Risks associated with tattooing and body piercing.

The purpose of this article is to highlight the importance of including cosmetic body-piercing and tattooing in HIV prevention and education. Little information about risks associated with tattoos or having one's body pierced is evident in the health promotion and disease prevention literature, particularly among adolescents, ethnic groups, and incarcerated populations. It is incumbent that preventionists address behaviors such as tattooing and body piercing as possible vectors for HIV transmission in addition to typical concerns (homosexuality, i.v. drug use, condom use and safer sex practices). This article draws attention to the need for formation of regulatory policy issues related to body piercing and tattooing parlors. Currently, 26 percent of the states have regulatory authority over tattooing establishments, while only 4 states exercise such authority over body-piercing establishments. Implications for future research and policy initiatives are identified.

Adolescent↗
PubMed2004

Body piercing and high-risk behavior in adolescents.

PURPOSE: To evaluate the association of body piercing with sociodemographic factors, peer substance use, and high-risk behaviors. METHODS: Cross-sectional analysis using Wave II of the National Longitudinal Study of Adolescent Health (Add Health) Public Use Dataset, a nationally representative, school-based sample of 4337 adolescents, aged 13-18 years, surveyed in 1996. The major predictor variable was body piercing at locations other than the ears. The outcome variables were selected from five areas of high-risk behaviors including sexual intercourse, substance use (problem drinking, smoking, and marijuana use), violent behavior (fighting and inflicting injuries), antisocial behavior (truancy, shoplifting, and running away), and mood problems (depression, suicidal ideation and suicide attempts). The association between body piercing and peer substance use was also examined. RESULTS: Females (7.2% vs. 1.5%) and older adolescents were more likely to report piercing (all p's <.01) In linear regression analysis, controlling for sociodemographic factors, body piercing was significantly associated with higher levels of peer substance use (beta = 1.40 [99% CI.57-2.23]). In logistic regression analyses, controlling for sociodemographic factors, piercing was associated with sexual intercourse (OR = 4.5 [99% CI 2.1-10.0]), smoking (3.1 [1.6-5.9]), marijuana use (3.0 [1.6-5.9]), truancy (2.6 [1.3-5.3]), running away from home (3.0 [1.2-7.2]), suicidal ideation (2.5 [1.2-4.9]), and suicide attempts (3.0 [1.2-7.5]). CONCLUSIONS: Clinically, body piercing may serve as a marker for higher levels of peer substance use and potential problem behavior.

Adolescent↗
PubMed2006

[Prevalence, sociodemography, mental health and gender differences of tattooing and body piercing].

OBJECTIVE: To obtain representative data on incidence and psychological background of tattooing and body piercing. METHOD: Prevalence of tattooing and body piercing is derived from a representative survey (N = 2043, age 14-93 years). Data are evaluated with respect to mental health (GHQ), Beck Depression Inventory (BDI) and sensation-seeking (AISS). RESULTS: The total prevalence of tattoo and piercing is 8.5 % and 6.8 %, respectively. In the age 14-44 15 % are tattooed and 14 % are pierced. Unemployment and lack of partnership correlate positively with body modifications. Tattooing correlates with the perception of reduced mental health and both, tattooing and body piercing correlate highly with increased "Sensation-Seeking" behaviour. DISCUSSION: Gender specific investigations show a differentiated picture background for body modifications.

Adolescent↗
PubMed2005

Body piercing: issues and challenges for nurses.

To provide safe and effective care for patients with body piercings, nurses must become more knowledgeable about this increasingly common practice. Competent nursing care is more than simply noting the presence or absence of body piercings, but includes accurate assessment, cultural sensitivity, and related patient education. Body piercings can create treatment challenges during trauma or post-assault care. An increased awareness of the history of body piercing, the piercing process, care of piercings, (including related wound care), and issues related to patient education, can enhance comprehensive nursing care.

Attitude to Health↗
PubMedDate not supplied

Body piercing: could you answer your patient's queries?

This article addresses the increasingly popular activity of body piercing. The activity occurs across the social spectrum and a range of differing ages. The author calls for all registered nurses to consider the many issues surrounding body piercing. A definition of body piercing and a historical overview are given. The risks posed by some body piercings are described and information nurses need to know, if asked, is outlined. Nurses and midwives work with a variety of clinical settings and therefore they need to be able to make an informed response to patients' questions and queries. Finally, examples of how to care for piercings post insertion in order to minimize the risk of infection and to prevent complications are provided.

Cosmetic Techniques↗
PubMed2004

Body piercing.

A student comes to your office excited about the prospect of getting her tongue pierced. "Isn't it cool?" The popular trend of body piercing is on the rise. It is our job as nurses and health promoters to alert students to the facts. Students must be informed about the risks involved so they can make suitable decisions about their bodies. Piercing may be more than an assertion of individuality. This article describes body piercing health risks and treatment methods, and how school nurses can advise students on the risks and care of body piercing.

Adolescent↗
PubMed1995

Body piercing: promoting informed decision making.

Although school nurses may be unfamiliar with adolescent body piercing, they are in a key position to assist students who are considering these procedures. Information about various types of body piercing, student experiences, and teaching strategies to talk with adolescents about this procedure are presented. Nurses can utilize the data to help students make informed decisions about body piercing.

Adolescent↗
PubMed2004

Body piercing: a growing problem for clinicians.

Until recently body piercing was mainly confined to the ears and/or nose. In the last few years there has been a significant increase in the prevalence of body piercing which, in some instances, has had serious health consequences. This industry has the potential to significantly damage or interfere with health care. Urgent legislation is needed to remedy this situation.

Cosmetic Techniques↗
PubMedDate not supplied

Intraoral body-piercing: a case report.

Body-piercing is growing in popularity. Intraoral sites are being selected more frequently for piercing. A case of a lingual barbell is described.

Adult↗
PubMed2002

Prevalence of body art (body piercing and tattooing) in university undergraduates and incidence of medical complications.

OBJECTIVES: To survey the prevalence of body art (body piercing and tattooing) in university undergraduate students and to determine the incidence of medical complications from these procedures. SUBJECTS AND METHODS: Between February and May 2001, students were offered the opportunity to complete an anonymous, voluntary survey at the beginning of class or organizational meetings. The survey instrument requested information concerning body piercing and tattooing (current or removed) by body site, age, sex, height, weight, body mass index, undergraduate class, athletic status, and the occurrence of medical complications. RESULTS: Four hundred fifty-four (94.4%) of 481 students completed the survey (14.7% of total campus enrollment). The prevalence of body piercing was 51%, and that of tattooing was 23%. The chi2 analysis showed female students were more likely to be pierced than males (P=.002); there was no significant difference in the prevalence of tattooing by sex. Male athletes were more likely to be tattooed than male nonathletes (P=.02). No relationships were shown between piercing/tattooing and age or measures of body somatotype. The incidence of medical complications of piercing was 17%, and these complications included bleeding, tissue trauma, and bacterial infections. Pierced navels were particularly prone to infection. There were no reported medical complications from tattooing. Eighteen percent of piercings (58/315) and 4% of tattoos (6/149) had been removed. CONCLUSIONS: Body art is prevalent among undergraduate university students, and there is a significant incidence of medical complications among students with piercing. Male athletes were significantly more likely to be tattooed than male nonathletes.

Adolescent↗