美国皮肤科医生与其他医学专家的室内晒黑态度及行为比较。

Indoor tanning attitudes and practices of US dermatologists compared with other medical specialists.

作者信息

Johnson Kathryn R, Heilig Lauren F, Hester Eric J, Francis Shayla O, Deakyne Sara Jane, Dellavalle Robert P

机构信息

Department of Dermatology, University of Colorado at Denver and Health Sciences Center, USA.

出版信息

Arch Dermatol. 2006 Apr;142(4):465-70. doi: 10.1001/archderm.142.4.465.

DOI:10.1001/archderm.142.4.465

PMID:16618866

Abstract

OBJECTIVE

To compare the indoor tanning attitudes and practices of dermatologists with physicians in other medical specialties (internal medicine, pediatrics, and family medicine) commonly providing sun safety counseling to patients.

DESIGN

Cross-sectional study.

SETTING

Questionnaire mailed to randomly selected US dermatologists, internists, family practitioners, and pediatricians.

RESULTS

The overall response rate was 38% (364/949): 71% indicated that patients had asked their opinions about indoor UV tanning, 80% believed that UV tanning was unsafe, and 90% agreed they would counsel patients against nonmedical indoor UV tanning. Many supported increased UV tanning legislation, including minimum age restrictions (91%) and parental consent requirements (90%). Dermatologists were significantly more likely than other physicians to respond to the survey (52% vs 31%, P<.001), speak with patients about indoor UV tanning (odds ratio [OR], 26.5; 95% confidence interval [CI], 9.5-74.1]), believe that indoor UV tanning is unsafe (OR, 14.0; 95% CI, 5.0-39.4), and support increased regulation (OR, 11.7; 95% CI, 1.5-88.5). Women discouraged indoor UV tanning more than men (OR, 5.2; 95% CI, 1.8-15.2). Physicians who had used indoor UV tanning (19%) more often agreed that non-UV tanning lotion (OR, 2.0; 95% CI, 1.1-3.8) and airbrush tanning (OR, 1.9; 95% CI, 1.1-3.4) were safe but did not differ in attitudes regarding UV tanning safety. Physicians practicing in the Northeast and Midwest were more likely to support UV tanning to improve mood (OR, 2.0; 95% CI, 1.1-3.5) and more commonly believed that UV tanning could help treat depression (OR, 2.6; 95% CI, 1.5-4.6) or prevent vitamin D deficiency (OR, 1.7; 95% CI, 1.0-2.8).

CONCLUSIONS

Physicians, especially dermatologists, are frequently asked about and generally discourage indoor UV tanning. Dermatologists regard indoor UV tanning more negatively compared with other physicians. Physician sex and geographic location were associated with specific indoor UV tanning attitudes.

摘要

目的

比较皮肤科医生与其他通常为患者提供防晒建议的医学专业（内科、儿科和家庭医学）医生对室内晒黑的态度和行为。

设计

横断面研究。

背景

问卷邮寄给随机抽取的美国皮肤科医生、内科医生、家庭医生和儿科医生。

结果

总体回复率为38%（364/949）：71%表示患者曾询问他们对室内紫外线晒黑的看法，80%认为紫外线晒黑不安全，90%同意他们会建议患者不要进行非医疗目的的室内紫外线晒黑。许多人支持加强紫外线晒黑方面的立法，包括最低年龄限制（91%）和父母同意要求（90%）。皮肤科医生比其他医生更有可能回复调查（52%对31%，P<0.001），与患者谈论室内紫外线晒黑（优势比[OR]，26.5；95%置信区间[CI]，9.5 - 74.1），认为室内紫外线晒黑不安全（OR，14.0；95% CI，5.0 - 39.4），并支持加强监管（OR，11.7；95% CI，1.5 - 88.5）。女性比男性更不鼓励室内紫外线晒黑（OR，5.2；95% CI，1.8 - 15.2）。使用过室内紫外线晒黑的医生（19%）更常认为非紫外线晒黑乳液（OR，2.0；95% CI，1.1 - 3.8）和气垫晒黑（OR，1.9；95% CI，1.1 - 3.4）是安全的，但在对紫外线晒黑安全性的态度上没有差异。在东北部和中西部执业的医生更有可能支持通过紫外线晒黑来改善情绪（OR，2.0；95% CI，1.1 - 3.5），并且更普遍地认为紫外线晒黑有助于治疗抑郁症（OR，2.6；95% CI，1.5 - 4.6）或预防维生素D缺乏（OR，1.7；95% CI，1.0 - 2.8）。