Dermatology Association Calls for Tighter Regulations on Indoor Tanning

-- End Ad Box --->their tanning beds that emit a significant amount
For most teens, getting a tan during spring breakof UVB and UVA radiation — both of which
or in preparation for the prom is as common asare associated with the development of skin
these rites of passage themselves. Althoughcancer and premature aging. In fact, the
teens hear dermatologists’ warnings thatDepartment of Health and Human Services has
tanning is the most avoidable risk factor in theadded UV radiation from the sun or artificial light
prevention of skin cancer, studies find they forgosources such as tanning beds and sun lamps to
this advice in favor of the bronzed look.the government’s list of known
Speaking at the American Academy ofcarcinogens.
Dermatology’s (AAD) Melanoma/SkinThe manufacturers of indoor tanning equipment
Cancer Detection and Prevention Month newsare regulated at the federal level. Once
conference, dermatologist James M. Spencer, M.D.,manufacturers sell the equipment to a tanning
vice chairman, department of dermatology, Mountsalon, it is generally up to the states to regulate
Sinai School of Medicine in New York City,their operations. While 29 states regulate tanning
addressed the incidence of teens and tanning andsalon operators, the legislation varies in severity
how the AAD is trying to combat it.and there is limited enforcement. While some
Alarming Trends This year, more than 1 millionstates go so far as to prohibit access to tanning
new cases of skin cancer will be diagnosed in thebooths by minors without parental consent, some
United States — exceeding the incidence ofrequire salon owners to post warning signs in a
all other cancers combined. It is estimated thatvisible location in the salon, and others may only
there will be about 95,880 new cases ofestablish educational and training standards for
melanoma (the deadliest form of skin cancer) intanning salon operators.
2004, which represents a 4 percent increase in“Even in those states that have some
new cases of melanoma from 2003.elementary safety regulations, it is not clear who
“While many health issues are complex andwould enforce them,” explained Dr. Spencer.
involve multiple factors, in the case of skin cancer“That means children and teens have open
we know that ultraviolet light is the culprit andaccess to equipment that appears to be utilized in
avoiding excessive exposure is the solution,”an often careless fashion. We applaud states like
said Dr. Spencer. “Yet despite this knowledge,Texas, California and Tennessee that have
the number of skin cancers continues to rise eachworked feverishly to enact tough legislation
year. Even more disheartening is the fact thatrestricting the use of indoor tanning facilities,
teens continue to tan despite the known healthespecially among minors. But more states need to
risks.”take their lead and enforce regulations that limit
A national study of 6,903 non-Hispanic whiteaccess to this dangerous activity.”
adolescents — between the ages of 13The American Academy of Dermatology
and 19 — found that indoor tanning is notAssociation (AADA) recently issued a new
only prevalent, but influenced by factors such asposition statement on indoor tanning, encouraging
demographics, the use of controlled substancesstates to aggressively pursue legislation that
(e.g., alcohol, tobacco and marijuana),protects children and urging the Food and Drug
appearance-related factors (e.g., dieting), andAdministration (FDA) to take action that will ban
psychosocial factors (e.g., cognitive ability). Thethe sale and use of tanning equipment for
study, “Use of Indoor Tanning Facilities bynon-medical purposes. Specifically, the AADA
White Adolescents in the United States,” wassupports the following requirements for indoor
published in the September 2003 issue oftanning facilities:
Archives of Pediatric Adolescent Medicine.No minor should be permitted to use tanning
Overall, when taking the national population intodevices. A Surgeon General’s warning
consideration, the number of young women whoshould be placed on all tanning devices.
reported using a tanning booth at least once farNo person or facility should advertise the use of
outweighed the number of young men whoany Ultraviolet A or Ultraviolet B tanning device
engaged in this activity (36.8 percent vs. 11.2using wording such as “safe,” “safe
percent, respectively). The number of youngtanning,” “no harmful rays,” “no
women who reported using tanning booths alsoadverse effect,” or similar wording or concepts.
increased with age. The study found that 47“Throughout most of the country, none of the
percent of young women aged 18 to 19 years oldbasic safety measures that we are proposing are
reported using a tanning booth three or morerequired,” explained Dr. Spencer. “Research
times, compared with 11.2 percent of 13- tohas shown that indoor tanning is dangerous, and
14-year-old girls.there should be laws to protect children from
Geographic region greatly influenced the likelihoodengaging in this activity as there are from other
of using an indoor tanning facility, with adolescentsunhealthy behaviors such as drinking or smoking.
in the Midwest and South being two to threeWe urge all states to take immediate action to
times more likely to use tanning booths than theprohibit indoor tanning for minors.”
rest of the country. In addition, teens thatIn addition to the AADA’s call for tighter
attended a rural high school were more likely toregulations, the AAD is targeting teens with print
report using an indoor tanning facility than theirand broadcast public service announcements
counterparts at urban high schools.(PSAs) on the dangers of tanning that are
“This study confirms that despite the risk,scheduled to be released nationwide to the media
indoor tanning seems to be increasingly popularthis summer.
with young people — and particularly young“We conducted focus group testing with teens
women,” said Dr. Spencer. “It’sacross the country and found that while teens
unfortunate that the pressure these teens faceknow that overexposure to the sun can cause
to conform to cosmetic ideals presented inskin cancer and premature aging, they are
popular culture and advertising is so powerful,reluctant to change their behavior because they
even with all we know about the dangers offeel more attractive with a tan,” said Dr.
tanning.”Spencer. “For our new PSA campaign, we used
Dermatologists Take Actionthis research to develop the messages and
Indoor tanning is a booming business in the Unitedimages that almost force teens to stop and
States, generating estimated revenues in excessre-examine their behavior.
of $5 billion dollars a year. Most salons use bulbs in