Use of indoor tanning facilities by white adolescents in the United States
Use of indoor tanning facilities by white adolescents in the United States
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DOI：
10.1001/archpedi.157.9.854
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发表时间：
2003-09-01
影响因子：
--
通讯作者：
Stange, KC
中科院分区：
文献类型：
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作者：
Demko, CA;Borawski, EA;Stange, KC
背景：室内晒黑是皮肤癌的危险因素，但这种行为在青少年中的人群流行率尚不清楚。目的：描述美国白人青少年中使用日光浴摊位的流行率，并评估其与社会人口学因素、健康行为和外表的关系。设计、环境和参与者：6903名具有全国代表性的样本，年龄13至19岁，参加第11波(1996年4月1日至8月31日，结果：36.8%的白人女性青少年和11.2%的白人男性青少年一生中至少使用过一次日光浴，而28.1%的女性和6.9%的男性青少年报告使用过3次或更多的日光浴。女性青少年使用3次或3次以上日光浴的比例随着年龄的增长而增加，从13-14岁的11.2%增加到18-19岁的47.0%，而且随着晒黑能力的增强，也会增加，从劣质皮肤的12.6%增加到强烈皮肤反应的38.1%。经过多因素调整后，居住在中西部(调整后的优势比[AOR]，2.38；95%可信区间[CI]，1.53-3.68)或南部(AOR，2.91；95%CI，1.894.53)、上过农村高中(AOR，1.80；95%CI，1.09-2.98)、报告使用2或3种物质(AOR，3.06；95%CI，2.44-3.82)的人更有可能使用室内晒黑设施，节食者也是如此(AOR，1.26；95%可信区间为1.01-1.57)，与体重指数无关。有受过大学教育的母亲(AOR，0.68；95%CI，0.51-0.90)和认知能力较强(每增加10分；AOR，0.89；95%CI，0.82-0.96)的人在室内晒黑的几率较低，而经常参加体育活动仅在女性青少年中显著降低了室内晒黑的几率。结论：室内晒黑普遍存在，尤其是在女性青少年中，并与其他危险行为、外表相关因素和故意日光浴一致。需要在青少年中更多地强调人工晒黑的风险，特别是在中西部和南部，那里极端的自然光似乎会让人故意在室内晒黑。
Context: Indoor tanning is a risk factor for skin cancer, but the population-based prevalence of this behavior among adolescents is not clearly known.Objectives: To describe the prevalence of tanning booth use among white US adolescents and to assess its association with sociodemographic factors, health behaviors, and appearance.Design, Setting, and Participants: A nationally representative sample of 6903 non-Hispanic white adolescents, aged 13 to 19 years, who participated in Wave 11 (between April 1, 1996, and August 31, 1996) of the National Longitudinal Study of Adolescent Health.Main Outcome Measure: Frequency of lifetime use of indoor artificial tanning facilities.Results: With the data weighted to national levels, 36.8% of the white female adolescents and 11.2% of the white male adolescents have used a tanning booth at least once in their life, while 28.1% and 6.9% of the female and male adolescents, respectively, reported tanning booth use 3 or more times. The percentage of female adolescents using tanning booths 3 or more times increased with age, from 11.2% of the 13- to 14-year-olds to 47.0% of 18- to 19-year-olds and also increased with greater tanning ability, from 12.6% of the poor tanners to 38.1% of those with a strong tan response. After multivariate adjustment, those residing in the Midwest (adjusted odds ratio [aOR], 2.38; 95% confidence interval [CI], 1.53-3.68) or South (aOR, 2.91; 95% CI, 1.894.53), attending a rural high school (aOR, 1.80; 95% CI, 1.09-2.98), and reporting the use of 2 or 3 substances (aOR, 3.06; 95% CI, 2.44-3.82) were more likely to use indoor tanning facilities, as were dieters (aOR, 1.26; 95% CI, 1.01-1.57) regardless of their body mass index. Decreased odds of indoor tanning were observed among those with a college-educated mother (aOR, 0.68; 95% CI, 0.51-0.90) and greater cognitive ability (per 10-point score increase; aOR, 0.89; 95% CI, 0.82-0.96) while routine participation in physical activity significantly lowered the odds of indoor tanning only among female adolescents.Conclusions: Indoor tanning is prevalent, particularly among female adolescents, and aligns with other risk behaviors, appearance-related factors, and intentional sunbathing. The risks of artificial tanning need increased emphasis among adolescents, especially in the Midwest and South where extremes in the availability of natural light appear to send intentional tanners indoors.