Mannheim Institute of Public Health, Social and Preventive Medicine, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
JAMA Dermatol. 2013 Jan;149(1):43-9. doi: 10.1001/2013.jamadermatol.562.
To calculate sunbed use prevalence rates, to investigate the motivations for tanning, and to identify typical target groups for interventions to prevent skin cancer.
Cross-sectional, representative, population-based study, primary analysis of the SUN-Study 2012 (Sunbed-Use: Needs for Action-Study).
Nationwide telephone survey of the general population in Germany. PARTICIPANTS Study participants (n=4851) aged 14 to 45 years.
Frequency of sunbed use and, if applicable, motivational reasons for use, the location of the most recent use, and the available advisory service. Characteristics of typical sunbed users were identified using logistic regression analysis.
The overall prevalence of sunbed use was 39.2% (ever users); 14.6% had used a sunbed within the last 12 months (current users). Among minors and persons with skin types I or II, this proportion was 5.2% and 8.9%, respectively. Positive determinants of current sunbed use (quantified as odds ratios [95% CIs]) were female sex (1.97 [1.64-2.37]), immigrant background (1.46 [1.21-1.77]), and full-time (1.93 [1.53-2.43]) or part-time employment (1.44 [1.11-1.85]). The main motivations for tanning were relaxation and increased attractiveness. Sunbeds were mainly used in tanning studios (74.9%), and many users had never been advised about potential health risks (72.8%).
The results of this study emphasize the need for more frequent and higher-quality educational interventions to change tanning behavior, particularly among women, people with darker skin, and those with an immigrant background. Owing to their elevated vulnerability, minors and people with pale skin should also be the focus of such interventions.
计算日光浴床使用的流行率，调查晒黑的动机，并确定预防皮肤癌的干预措施的典型目标人群。
横断面、代表性、基于人群的研究，对 2012 年 SUN 研究（日光浴床使用：行动需求研究）的初步分析。
德国全国范围内的电话调查。
年龄在 14 至 45 岁之间的研究参与者（n=4851）。
日光浴床使用的频率，如果适用，使用的动机原因、最近使用的地点以及可用的咨询服务。使用逻辑回归分析确定典型日光浴床使用者的特征。
总体日光浴床使用率为 39.2%（曾经使用者）；14.6%的人在过去 12 个月内使用过日光浴床（当前使用者）。在未成年人和皮肤类型 I 或 II 的人中，这一比例分别为 5.2%和 8.9%。当前日光浴床使用的阳性决定因素（量化为优势比[95%置信区间]）为女性（1.97[1.64-2.37]）、移民背景（1.46[1.21-1.77]）和全职（1.93[1.53-2.43]）或兼职就业（1.44[1.11-1.85]）。晒黑的主要动机是放松和增加吸引力。日光浴床主要在日光浴沙龙中使用（74.9%），许多使用者从未接受过有关潜在健康风险的建议（72.8%）。
这项研究的结果强调需要更频繁和更高质量的教育干预措施来改变晒黑行为，特别是针对女性、皮肤较深的人和移民背景的人。由于他们的脆弱性增加，未成年人和皮肤白皙的人也应该成为此类干预措施的重点。
