Adolescents' use of indoor tanning: a large-scale evaluation of psychosocial, environmental, and policy-level correlates.
Adolescents' use of indoor tanning: a large-scale evaluation of psychosocial, environmental, and policy-level correlates.
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DOI：
10.2105/ajph.2010.300079
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发表时间：
2011-05
影响因子：
12.7
通讯作者：
Gilmer T
中科院分区：
文献类型：
--
作者：
Mayer JA;Woodruff SI;Slymen DJ;Sallis JF;Forster JL;Clapp EJ;Hoerster KD;Pichon LC;Weeks JR;Belch GE;Weinstock MA;Gilmer T
我们评估了青少年室内美黑使用的社会心理、建筑环境和政策相关因素。基于对6125名青少年（14-17岁）及其父母的访谈、对各州室内晒黑法的分析、对执法专家的访谈、对晒黑设施密度的计算，以及对这3399家设施的青少年使用情况的评估，我们在美国100个人口最多的城市开发了5个离散数据集。在单变量分析之后，我们用广义线性混合模型（glmm）构建了多层模型。在过去一年中，17.1%的女孩和3.2%的男孩使用室内美黑。glmm显示，一些社会心理或人口统计学变量显著预测使用，包括女性、老年人和白人；有较高的零用钱，父母使用室内日光浴，并允许他们的青少年使用；并且对室内晒黑的后果持有一定的信念。居住在日光浴设施2英里以内也是一个重要的预测因素。居住在有青少年接触立法的州与吸毒没有显著关联。现行法律在减少室内晒黑方面似乎无效；禁令可能是必要的。父母在预防工作中发挥着重要作用。
We evaluated psychosocial, built-environmental, and policy-related correlates of adolescents’ indoor tanning use. We developed 5 discrete data sets in the 100 most populous US cities, based on interviews of 6125 adolescents (aged 14–17 years) and their parents, analysis of state indoor tanning laws, interviews with enforcement experts, computed density of tanning facilities, and evaluations of these 3399 facilities’ practices regarding access by youths. After univariate analyses, we constructed multilevel models with generalized linear mixed models (GLMMs). In the past year, 17.1% of girls and 3.2% of boys had used indoor tanning. The GLMMs indicated that several psychosocial or demographic variables significantly predicted use, including being female, older, and White; having a larger allowance and a parent who used indoor tanning and allowed their adolescent to use it; and holding certain beliefs about indoor tanning’s consequences. Living within 2 miles of a tanning facility also was a significant predictor. Residing in a state with youth-access legislation was not significantly associated with use. Current laws appear ineffective in reducing indoor tanning; bans likely are needed. Parents have an important role in prevention efforts.