A qualitative investigation of the motivations, experiences and views of female sunbed users under the age of 18 in England

Lake, J. R.; Thomson, Catherine S.; Twelves, Christopher; Davies, Elizabeth

doi:10.1093/pubmed/fds107

Cited by 17 publications

(34 citation statements)

References 12 publications

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“…Thus, even if a successful impact of sunbed ban and/or the large‐scale skin cancer screening programme were observed in the current study, a need for further improvement can be assumed. This is also highlighted by the data from other countries like the UK where specific information on the skin cancer hazards alone did not substantially change risk behaviour in young persons . Similar data were found in Germany, too …”

Section: Discussionsupporting

confidence: 61%

Decreasing sunbed use in the German population between 2001 and 2015: survey in 155 679 working persons

Augustin

Schäfer

Reusch

et al. 2019

Acad Dermatol Venereol

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Background UV radiation is a proven cause of skin cancer. Use of sunbeds has been shown to provide an attributable risk. Objective To evaluate the proportion of regular sunbed use in Germany based on large‐scale population‐based surveys over 15 years. Methods Skin cancer screenings by dermatologists were conducted between 2001 and 2015 in more than 500 German companies, including a clinical examination and interviews on the risk behaviour related to sunburns and sunbeds. Results Among 155 679 persons included regular sunbed use significantly declined from 11.0% in 2001 to 1.6% in 2015 (P < 0.001). There were significantly higher rates of sunbed use in women (12.5%/2.0%) vs. men (7.3%/1.3%; P < 0.001), in younger persons and in participants with darker skin (type II and III) vs. fair skin (type I). Individuals with sunburns in childhood were significantly more often sunbed users (5.1% vs. 4.6%; P = 0.002). A remarkable decline of sunbed use was observed after 2009 (7.0% in 2001–2008 and 2.2% in 2009–2015). This reduction occurred in the time of a legal ban of sunbed use for minors but also with the start of the national skin cancer screening programme. Conclusion Use of sunbeds in the German adult population has dropped by more than 85% in the past decade. Primary prevention, including the large public awareness following the legal ban of sunbed use for young people and the effects of the statutory skin cancer screening programme may have contributed to this.

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Section: Discussionsupporting

confidence: 61%

Decreasing sunbed use in the German population between 2001 and 2015: survey in 155 679 working persons

Augustin

Schäfer

Reusch

et al. 2019

Acad Dermatol Venereol

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“…Similar reasons prompted a ‘base-tan’ from sunbeds before starting a holiday. These false concepts40 are reported in a multitude of studies,2 19 41–43 but, contradictory to Schneider and Kramer's ' 2009 review,18 participants did know the associated risks from sunbed use: two sunbed users were medical students. Correcting sun protection and tanning misconceptions is imperative.…”

Section: Discussionmentioning

confidence: 84%

“…Malignant melanoma is the fifth most common cancer in the UK1 and second most common between 15 and 34 years 2. The UK Department of Health3 has funded prevention campaigns to address skin cancer, including SunSmart launched in 2003 3…”

Section: Introductionmentioning

confidence: 99%

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Knowledge and attitudes of UK university students in relation to ultraviolet radiation (UVR) exposure and their sun-related behaviours: a qualitative study

Kirk

Greenfield

2017

BMJ Open

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ObjectivesTo explore whether knowledge about the harms of ultraviolet radiation (UVR) influences UK university students' sun-related behaviours and examine in depth their attitudes towards: sun protection, natural and artificial tanning behaviours.DesignQualitative methodology with 15 semistructured, individual interviews. Thematic analysis using the Framework Method with analyst triangulation and member validation.SettingOne university in the West Midlands, UK.Participants15 Caucasian male (n=4) and female (n=11) students, aged 18–22 years, from a UK university. Participants were recruited using convenience sampling from the university's main campus followed by purposive sampling for: gender, course and sun-related behaviours.ResultsFive main themes emerged: (1) knowledge of UVR; (2) sun-protection practices; (3) attitudes towards tanning; (4) external influences and (5) internal influences. All students knew the associated skin cancer risks from the sun and sunbed use, but this did not appear an important influence in their sun-related behaviours. Body image strongly motivated sun-protection practices and the desire to tan naturally or artificially, across both genders. However, participants' final decision-making appeared to be influenced by their beliefs that practising known harmful sun-related behaviours would not affect them or the perceived susceptibility to sunburn. Beliefs about sunbathing and sunscreen use prompted improper use of sun protection and inadvertently caused more harmful practices. Participants' peers, family and the media had dual roles influencing the development of attitudes towards sun protection and tanning, which contributed to how participants behaved in the sun and their engagement in tanning methods.ConclusionsKnowledge about the risk of skin cancer associated with UVR did not strongly influence sun-related behaviours, whereas body image appeared as a key motivator. Attitudes towards sun protection and tanning stemmed from the media, peers and family, and particularly from childhood habits. Public health strategies may benefit from appearance-related skin cancer prevention campaigns, encouraging safer parental sun-related habits and correcting sun-related misconceptions.

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“…Modifying the tanning perception among a population at risk may play an important role in behavioral changes that could help reduce skin cancer risk . Public health campaigns began at the national level first in Australia, and nowadays in different countries in Europe and the United States, to increase public awareness regarding risks associated with excessive UV exposure and to encourage sun protective behavior . A study by Montague et al .…”

Section: Introductionmentioning

confidence: 99%

Tanning practice, perception, and sunburn among Emirati youth

et al. 2017

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A qualitative investigation of the motivations, experiences and views of female sunbed users under the age of 18 in England

Cited by 17 publications

References 12 publications

Decreasing sunbed use in the German population between 2001 and 2015: survey in 155 679 working persons

Decreasing sunbed use in the German population between 2001 and 2015: survey in 155 679 working persons

Knowledge and attitudes of UK university students in relation to ultraviolet radiation (UVR) exposure and their sun-related behaviours: a qualitative study

Tanning practice, perception, and sunburn among Emirati youth

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