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Natural and artificial tanning.

Although sunlight is beneficial to provide light and warmth and aids the body in the formation of vitamin D, tanning is potentially damaging to an individual's health. The incidence of skin cancer and retinal damage from both natural and artificial light is on the rise. This article explores the concept of tanning, types of ultraviolet rays and related health hazards. Health care provider interventions for prevention and client education are also emphasized.

Heliotherapy↗
PubMed2003

A randomised population-based intervention to examine the effects of the ultraviolet index on tanning behaviour.

The aim of the following study was to examine the effects of the Ultraviolet (UV) Index and a personal ultraviolet radiation (UVR) intensity indicator on tanning behaviour compared with general, written information about sun protection. A population-based random sample in Sweden was randomly assigned to four groups receiving different information packages (n=3200). Questionnaires were sent before and after the summer of 2001. Positive attitudes towards sunbathing as well as tanning and sunburn frequencies decreased. Knowledge about UV radiation and the use of sun protection increased for all groups. There were no between-group differences. Sun-related behaviours and beliefs changed, but information about the UV Index or a personal UVR intensity indicator did not decrease sunbathing and sunburn more than general, written information.

Adolescent↗
PubMed2003

Genetic epidemiology of melanoma.

Melanoma incidence has risen in many Caucasians populations over the last 20 years and research on the potential environmental and genetic risk factors has led to some interesting new findings but also to many more questions. The relationship between melanoma and ultraviolet radiation is complex and this area of research is controversial especially regarding the use of sunbeds and sunscreens. In terms of genetic factors, the discovery of two genes CDKN2A and CDK4 has been a great advance with more understanding of melanocyte biology in relation to defects in senescence. For phenotypic risk factors such as fair skin and high numbers of naevi, the role of genetic factors is clearly evident but these traits are complex and the discovery of genes involved in skin pigmentation and naevi formation is not an easy task. Research on the MC1R gene has not only shown the importance of this gene in hair and skin pigmentation but also in senescence and immunity. Functional studies involving CDKN2A and MC1R are leading to important new findings. There is also some hope regarding the use of micro-arrays in helping to dissect many genetic events in melanoma. The collection of large datasets including family, twin and case-control studies as well as tumour banks with collaborations between countries will hopefully lead to more discoveries. For the primary and secondary prevention of this tumour, efforts need to be sustained in public health campaigns on sun exposure and the recognition of individuals at high risk.

Disease Progression↗
PubMed1996

Predictors of sun exposure in adolescents in a southeastern U.S. population.

PURPOSE: With the increase in melanoma incidence, the sun exposure and protective behaviors of adolescents are of great concern. Limited data are available on the prevalence and predictors of risk behavior in adolescents in the southeastern United States. This study examined the levels of sun exposure and variables predictive of sun exposure among adolescents in two Alabama middle schools. METHODS: A total of 509 sixth-graders completed a self-administered survey assessing: (a) their knowledge, attitudes, and beliefs about malignant melanoma; and (b) their sun exposure and sunburns for a specific weekend and for the summer. RESULTS: Levels of sun exposure and frequency of sunburn were high. Regression models determined the predictors of weekend and summer sun exposure, and weekend sunburn. Significant predictors varied by outcome and included gender, perceived importance of a suntan, parent and peer modeling, and sunscreen use. CONCLUSION: Reducing the risk of melanoma will require a three-pronged intervention strategy with efforts directed at adolescents, their parents, and the broader community.

Adolescent↗
PubMed2002

Indoor tanning facility density in eighty U.S. cities.

The purpose of this study was to examine the number of tanning facilities in select U.S. cities. The twenty most populated cities from each of 4 U.S. regions were selected for the sample. For each city, data on the number of tanning facilities, climate, and general demographic profile were collected. Data for state tanning facility legislation also were collected. A tanning facility density variable was created by dividing the city's number of facilities by its population size. The 80 cities had an average of 50 facilities each. Results of linear regression analysis indicated that higher density was significantly associated with colder climate, lower median income, and higher proportion of Whites. These data indicate that indoor tanning facilities are prevalent in the environments of U.S. urban-dwellers. Cities having the higher density profile may be logical targets for interventions promoting less or safer use of these facilities.

Beauty Culture↗
PubMed1998

Examination of cognitive variables relevant to sunbathing.

This study examined cognitions relevant to sunbathing decision-making in college-aged subjects. Using Jaccard's (1981) theory of alternative behavior as a guiding model, 263 subjects were recruited from psychology classes and administered questionnaires assessing their sunbathing behavioural tendencies, attitudes toward sunbathing, attitudes toward reasonable behavioral alternatives to sunbathing, and cognitive variables underlying these attitudinal variables. The fits of models predicting sunbathing attitudes and sunbathing behavioural tendencies (evaluated using covariate structural equations modeling techniques; LIS-REL VIII) were good for all models tested. In contrast to previous work, the results of this study support the notion that young people will make their decisions regarding sunbathing based on the behavioral alternatives available to them (i.e., generally the one that they prefer most). Furthermore, the multivariate approach used clearly delineates the specific cognitive beliefs and orientations that might be targeted to change these attitudes. The relevance of these findings to skin cancer prevention interventions is discussed.

Adult↗
PubMed1997

Application of Azjen's theory of planned behavior to predict sunbathing, tanning salon use, and sunscreen use intentions and behaviors.

Ajzen's (1988) theory of planned behavior (TOPB) was used to examine psychological determinants of high-risk UV radiation exposure-related behaviors (sunbathing, tanning salon use, and sunscreen use). Undergraduates at a midsized southeastern university were assessed on their psychological and behavioral tendencies toward high-risk UV radiation exposure-related behaviors. The results generally supported the utility of the TOPB as an explanatory model for high-risk behavior. Attitudes were strongly associated with high-risk intentions (e.g., not utilize sunscreen, use salons), whereas subjective norms were less so. Perceived behavioral control was found to moderate the relationship among attitudes, norms, and intentions to sunbathe and tan at a salon. Implications for intervention strategies and future model building in this area are discussed.

Adolescent↗
PubMed2004

Examination of the short-term efficacy of a parent-based intervention to prevent skin cancer.

The research evaluated an intervention strategy designed to prevent skin cancer in young adolescents. The intervention used parents as change agents to effectively communicate the risks of skin cancer and encourage their children to avoid high-risk sun-related behaviors while increasing positive sun-safe behaviors. Three hundred and forty parents in two regions of the United States were educated about the dangers of risky sun behaviors and how to convey information about skin cancer prevention to their children. Parents were then encouraged to talk with their children about these issues over a 1-month period prior to the onset of summer. Following this time period, children whose parents received and implemented the intervention materials were compared with a control sample of 129 children. These two groups were matched on age, gender, and school on number of sunburns and sunburn severity, attitudes and beliefs, and sunbathing behavior. Children in the treatment condition differed significantly from controls in the predicted directions on all outcome variables. The findings are discussed in terms of reducing skin cancer risk behaviors of children via parent-based intervention approaches.

Adolescent↗
PubMed2003

[Tuberculosis and the modern ideal of living].

Sunlight and fresh air belong to the everyday life's myths. It has influenced our times and personal lives as much as industrialization. Today we are hardly aware of the multiple and omnipresent consequences of this myth. The modern movement with all its facets including modern architecture is barely conceivable without it. What is the link between this triad with all its effects and tuberculosis, the oldest and most important infectious disease which still claims more than 3 million deaths per year worldwide? Tuberculosis was treated by sunlight and fresh air at all times. This treatment was at its zenith during the second half of the 19th century after Hermann Brehmer had initiated this treatment within sanatoria in 1862. The sanatorium vogue lasted until the middle of the last century when streptomycin was isolated by Selman Waksman 1943. A new type of hospital was necessary for treating the patients with sunlight and fresh air: the sanatorium with its wide windows, sheltered open balconies, terraces and "Liegehallen". In return, this airy type of building was the forrunner of a new architectural style, called "Neues Bauen". The latter has profoundly influenced our modern ideal of living since Le Corbusiier built the Villa Savoye, one of the architectural highlights of the 20th century.

Air↗
PubMed1996

Promoting healthier behaviors, attitudes, and beliefs toward sun exposure in parents of young children.

The present study examined the impact of a conceptually driven intervention designed to increase skin cancer knowledge and promote healthier, "sun-safe" attitudes, beliefs, and behaviors about sun exposure in mothers of children ages 6 months to 10 years old. Participants (N = 55) were assigned to a comprehensive prevention program (CPP), information-only condition (IOC), or a no-information control group (NIC). An assessment battery measuring skin cancer knowledge, sun-safe behaviors, and sun exposure attitudes and beliefs was administered at baseline, 2 weeks postintervention, and 12 weeks postintervention. Consistent with prediction, mothers in the CPP and IOC groups showed significant increases in skin cancer knowledge; however, only those in the CPP condition showed increases in sun-safe behaviors, attitudes, and beliefs that were maintained at the 12-week follow-up. Also, results provide support for the influence of perceived severity, self-efficacy, response-efficacy, and perceived barriers on sun-safe behaviors.

Attitude to Health↗