Department of Population Medicine, Ontario Veterinary College, University of Guelph, Guelph, ON, N1G 2W1, Canada.
School of Rehabilitation Therapy, Queen's University, Kingston, ON, K7L 3N6, Canada.
J Community Health. 2019 Aug;44(4):675-683. doi: 10.1007/s10900-019-00658-1.
Evidence of the dangers of indoor tanning and its popularity, including among youth, led the Government of Ontario to pass the Skin Cancer Prevention Act (Tanning Beds) (SCPA) in 2014. This legislation includes prohibiting the sale of indoor tanning services to individuals under 18, requiring warning signs be posted, and other safety regulations. We collected information from Ontario Public Health Units to conduct a process evaluation of the SCPA to: understand legislation implementation; assess available evidence about compliance, inspection, and enforcement; and, note barriers and facilitators related to inspection and enforcement. Data was collected March-April 2018. All 36 Ontario Public Health Units were invited to participate in an online questionnaire about the SCPA. Questions covered complaints, inspection, and enforcement, and used both close- and open-ended questions. Participants from 20 Public Health Units responded to the questionnaire; a response rate of 56%. These agencies reported 485 facilities offer indoor tanning. Since 2014, there have been 242 infractions by tanning facility owner/operators related to the SCPA, with most being uncovered during non-mandatory routine inspections (n = 234, 97%), rather than mandatory complaint-based inspections (n = 8, 3%). Most infractions were related to warning signs (n = 201, 83%). No charges were issued for any infractions. Instead, providing education (n = 90, 62%) and issuing warnings (n = 33, 23%) were the most common enforcement strategies. SCPA amendments are needed, including mandatory, routinely scheduled inspections. In addition to providing education, fines may improve compliance. More resources are required for inspection and enforcement of the SCPA.
室内晒黑的危害及其普及程度的证据，包括在年轻人中的普及程度，促使安大略省政府于 2014 年通过了《皮肤癌预防法（晒黑床）》（SCPA）。该法规包括禁止向 18 岁以下个人出售室内晒黑服务，要求张贴警告标志和其他安全规定。我们从安大略省公共卫生部门收集信息，对 SCPA 进行了过程评估，以：了解法规的实施情况；评估有关合规性、检查和执法的现有证据；并注意与检查和执法相关的障碍和促进因素。数据于 2018 年 3 月至 4 月收集。邀请安大略省的 36 个公共卫生部门参加关于 SCPA 的在线问卷调查。问题涵盖投诉、检查和执法，并使用封闭式和开放式问题。来自 20 个公共卫生部门的参与者回答了问卷；回应率为 56%。这些机构报告有 485 个设施提供室内晒黑服务。自 2014 年以来，已有 242 项违反 SCPA 的行为由晒黑设施所有者/经营者报告，其中大多数是在非强制性例行检查期间发现的（n=234，97%），而不是强制性投诉检查（n=8，3%）。大多数违规行为与警告标志有关（n=201，83%）。对任何违规行为都没有发出指控。相反，提供教育（n=90，62%）和发出警告（n=33，23%）是最常见的执法策略。需要对 SCPA 进行修订，包括强制性、定期安排的检查。除了提供教育外，罚款可能会提高合规性。需要更多资源来检查和执行 SCPA。
