Multi-level Assessment of Indoor Tanning Practices

描述（由申请人提供）：经常在室内晒黑场所的青少年在以后的生活中患皮肤癌和急性不良反应的风险可能会增加。在美国不同地理区域的这一年龄组中，室内晒黑的相关数据很少。此外，尽管大约有一半的州立法提高室内晒黑期间消费者的安全，但这些法律的影响尚不清楚。在制定干预措施或其他政策以降低青少年风险之前，有必要对室内晒黑的相关因素进行全面评估。因此，拟议项目的主要目的将是进行多变量分析，以解释青少年使用晒黑设施的原因。基于生态概念模型，潜在的预测将涉及多个层面的影响，包括心理/情感、社会文化、环境和政策变量。为了达到主要目的，以及获得有价值的描述性数据，我们将收集信息，这些信息将形成五个离散的数据集。以下次要目标将实现：1)对青少年进行电话访谈，以评估室内晒黑使用的潜在个人层面相关因素；60

DESCRIPTION (provided by applicant): Adolescents who frequent indoor tanning establishments may be at an increased risk of developing skin cancer later in life and acute adverse reactions. Data on the correlates of indoor tanning among this age group across various geographical regions of the U.S. are scarce. Additionally, although approximately one half of the states have legislation to increase consumer safety during indoor tanning, the impact of these laws is unknown. Before developing interventions or additional policies to reduce adolescent risk, a comprehensive assessment of the correlates of indoor tanning is warranted. Therefore, the primary aim of the proposed project will be to perform a multivariate analysis to explain use of tanning facilities by adolescents. Based on an ecological conceptual model, potential predictors will address multiple levels of influence, including psychological/affective, sociocultural, environmental, and policy variables. In order to achieve the primary aim, as well as to obtain valuable descriptive data, we will collect information that will form five discrete data sets. The following secondary aims will be accomplished: 1) to conduct telephone interviews with adolescents to assess potential individual-level correlates of indoor tanning use; 60 adolescents per the largest 100 U.S. cities will be included; 2) to assess whether each of the 50 U.S. states has a law that attempts to protect consumers from overexposure to UVR from indoor tanning and the level of stringency of each law; 3) to quantify the level of law enforcement in each of the 100 cities in the sample; 4) to assess the number of indoor tanning facilities (absolute and relative to the population) in each of the sample cities; and 5) to assess compliance of indoor tanning facilities with federal and, if applicable, state laws. Findings will be used to inform future multi-level interventions for reducing risks associated with indoor tanning.