Tanning Salon Compliance Rates in States With Legislation to Protect Youth Access to UV Tanning | Adolescent Medicine | JAMA Dermatology | JAMA Network
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1.
Guy  GP  Jr, Zhang  Y, Ekwueme  DU, Rim  SH, Watson  M.  The potential impact of reducing indoor tanning on melanoma prevention and treatment costs in the United States: an economic analysis.  J Am Acad Dermatol. 2017;76(2):226-233.PubMedGoogle ScholarCrossref
2.
World Health Organization. Artificial tanning sunbeds: risks and guidance. http://www.who.int/uv/publications/en/sunbeds.pdf. Published 2003. Accessed February 12, 2016.
4.
National Conference of State Legislatures. Indoor tanning restrictions for minors: a state-by-state comparison. http://www.ncsl.org/research/health/indoor-tanning-restrictions.aspx. Accessed October 12, 2016.
5.
Guy  GP  Jr, Berkowitz  Z, Everett Jones  S, Holman  DM, Garnett  E, Watson  M.  Trends in indoor tanning among US high school students, 2009-2013.  JAMA Dermatol. 2015;151(4):448-450.PubMedGoogle ScholarCrossref
6.
Grewal  SK, Haas  AF, Pletcher  MJ, Resneck  JS  Jr.  Compliance by California tanning facilities with the nation’s first statewide ban on use before the age of 18 years.  J Am Acad Dermatol. 2013;69(6):883-889.e4.PubMedGoogle ScholarCrossref
7.
Tripp  MK, Gershenwald  JE, Davies  MA,  et al.  Assessment of compliance with Texas legislation banning indoor UV tanning by minors.  JAMA Dermatol. 2016;153(2):228-229.PubMedGoogle ScholarCrossref
8.
Hester  EJ, Heilig  LF, D’Ambrosia  R, Drake  AL, Schilling  LM, Dellavalle  RP.  Compliance with youth access regulations for indoor UV tanning.  Arch Dermatol. 2005;141(8):959-962.PubMedGoogle ScholarCrossref
9.
Pichon  LC, Mayer  JA, Hoerster  KD,  et al.  Youth access to artificial UV radiation exposure: practices of 3647 US indoor tanning facilities.  Arch Dermatol. 2009;145(9):997-1002.PubMedGoogle ScholarCrossref
10.
American Academy of Dermatology. Dangers of indoor tanning. https://www.aad.org/public/spot-skin-cancer/learn-about-skin-cancer/dangers-of-indoor-tanning. Accessed March 21, 2017.
11.
United States Census Bureau. Geographic terms and concepts: census divisions and census regions. https://www.census.gov/geo/reference/gtc/gtc_census_divreg.html. Accessed March 19, 2017.
12.
Mayer  JA, Hoerster  KD, Pichon  LC, Rubio  DA, Woodruff  SI, Forster  JL.  Enforcement of state indoor tanning laws in the United States.  Prev Chronic Dis. 2008;5(4):A125.PubMedGoogle Scholar
13.
Hoerster  KD, Mayer  JA, Woodruff  SI, Malcarne  V, Roesch  SC, Clapp  E.  The influence of parents and peers on adolescent indoor tanning behavior: findings from a multi-city sample.  J Am Acad Dermatol. 2007;57(6):990-997.PubMedGoogle ScholarCrossref
14.
Lazovich  D, Forster  J.  Indoor tanning by adolescents: prevalence, practices and policies.  Eur J Cancer. 2005;41(1):20-27.PubMedGoogle ScholarCrossref
15.
Hurd  AL, Mayer  JA, Woodruff  SI, Belch  GE, Patel  MR.  Comparing two methods of measuring legislation compliance among indoor tanning facilities.  J Am Acad Dermatol. 2006;54(3):433-439.PubMedGoogle ScholarCrossref
Original Investigation
January 2018

Tanning Salon Compliance Rates in States With Legislation to Protect Youth Access to UV Tanning

Author Affiliations
  • 1Department of Dermatology, Marshfield Clinic, Marshfield, Wisconsin
  • 2Department of Dermatology, University of Wisconsin–Madison
  • 3Department of Internal Medicine, Loyola University Medical Center, Maywood, Illinois
JAMA Dermatol. 2018;154(1):67-72. doi:10.1001/jamadermatol.2017.3736
Key Points

Question  How compliant are the tanning salons in 42 states and the District of Columbia with current indoor tanning legislation?

Findings  In this cross-sectional telephone survey of 427 tanning salons in 42 states and the District of Columbia, 159 tanning salons were out of compliance with state legislation. Statistically significant decreases in compliance were found for rural, independently owned, and southern US tanning salons.

Meaning  Tanning salon compliance with state laws restricting access to minors is unsatisfactory, and monitoring and enforcement efforts are needed to ensure compliance with these laws that are intended to minimize the harmful effects of UV tanning in minors.

Abstract

Importance  The US Food and Drug Administration has classified tanning beds as carcinogenic. Most states have enacted legislation to prevent or create barriers for minors accessing tanning establishments. Determining tanning salon compliance with legislation would provide an indication of the influence of legislation at preventing exposure to the carcinogen in minors.

Objectives  To investigate compliance rates in the 42 states and the District of Columbia with legislation restricting tanning bed use in minors and to identify differences in compliance based on population, regional location, salon ownership, age group being regulated, and time since the law was enacted.

Design, Setting, and Participants  This investigation was a cross-sectional telephone survey conducted between February 1, 2015, and April 30, 2016, by callers posing as minors attempting to schedule a tanning appointment. The setting was tanning salons in the 42 states and the District of Columbia that currently have legislation restricting tanning bed use in minors. Included in the study were 427 tanning salons, 10 randomly selected from each state or territory with tanning legislation.

Main Outcomes and Measures  Overall compliance of tanning salons with state tanning legislation and differences in compliance based on community population, regional location, independent vs chain tanning salon, age group being regulated, and time since the law was enacted.

Results  Of the 427 tanning salons surveyed, overall noncompliance with state legislation was 37.2% (n = 159). There were more noncompliant tanning salons in rural locations (45.5%; 95% CI, 37.5%-53.7%; P = .009), southern regions of the United States (49.4%; 95% CI, 41.4%-57.4%; P = .001), independently owned salons (43.9%; 95% CI, 37.3%-50.6%; P = .003), states with younger age groups being regulated (53.5%; 95% CI, 45.7%-61.2%; P < .001), and states with more than one tanning regulation (50.0%; 95% CI, 42.0%-58.0%; P < .001). No difference was found based on time since the law was enacted.

Conclusions and Relevance  Compliance with state legislation aimed at limiting tanning bed use among US minors is unsatisfactory, indicating that additional efforts to enforce the laws and education of the harmful effects of UV tanning are necessary, especially in rural, independently owned, and tanning salons in southern regions, which have decreased compliance rates.

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