Chapman Stephanie, Ashack Kurt, Bell Eric, Sendelweck Myra Ann, Dellavalle Robert
Department of Dermatology, University of Colorado Anschutz Medical Campus, Aurora, Colorado Dermatology Service, U.S. Department of Veterans Affairs, Eastern Colorado Health Care System, Denver, Colorado, Department of Epidemiology, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, Colorado.
Dermatol Online J. 2017 Sep 15;23(9):13030/qt9pj4r3kv.
Understanding of associations between indoor tanning and risky health related behaviors such as sexual activity and substance abuse among high school students across the United States is incomplete.
To identify risky health related behaviors among high school students utilizing indoor tanning and analyze differences between state specific data.
Results from the Youth Risk Behavior Surveillance System (YRBSS) 2013 in 14 different states were analyzed. Participants were 90,414 high school students. Responses to questions assessing indoor tanning habits, sexual activity, and use of substances were analyzed.
Sexual activity was associated with indoor tanning in 10 of 14 states, with Nebraska having the strongest association (adjusted odds ratio, 3.8; 95% CI, 2.4-6.2; p<0.001). Indoor tanning was also associated with use of alcohol, marijuana, ecstasy, cocaine, prescription medications, and cigarettes.
Only 15 states asked students about their personal history of indoor tanning use, and Minnesota was excluded from our analysis as they administered a non-YRBS questionnaire. Additionally, our study only analyzed results from the 2013 YRBS. Lastly, our data was analyzed in 14 individual data sets, giving a high likelihood of Type 1 error.
High school students utilizing indoor tanning are more likely to engage in sexual activity and substance abuse as compared to students who do not utilize indoor tanning.
在美国，对于高中生室内晒黑与危险性健康相关行为（如性行为和药物滥用）之间关联的了解并不全面。
确定使用室内晒黑的高中生中的危险性健康相关行为，并分析各州特定数据之间的差异。
分析了2013年青少年风险行为监测系统（YRBSS）在14个不同州的结果。参与者为90414名高中生。对评估室内晒黑习惯、性行为和药物使用情况的问题的回答进行了分析。
在14个州中的10个州，性行为与室内晒黑有关联，内布拉斯加州的关联最为强烈（调整后的优势比为3.8；95%置信区间为2.4 - 6.2；p<0.001）。室内晒黑还与酒精、大麻、摇头丸、可卡因、处方药和香烟的使用有关。
只有15个州询问了学生的室内晒黑个人使用史，明尼苏达州被排除在我们的分析之外，因为他们使用的是非YRBS问卷。此外，我们的研究仅分析了2013年YRBS的结果。最后，我们的数据是在14个单独的数据集中进行分析的，出现I类错误的可能性很高。
与不使用室内晒黑的学生相比，使用室内晒黑的高中生更有可能从事性行为和药物滥用。
