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Predictors of tanning dependence in white non‐Hispanic females and males
Author(s) -
Cartmel B.,
Bale A.E.,
Mayne S.T.,
Gelernter J.E.,
DeWan A.T.,
Spain P.,
Leffell D.J.,
Pagoto S.,
Ferrucci L.M.
Publication year - 2017
Publication title -
journal of the european academy of dermatology and venereology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.655
H-Index - 107
eISSN - 1468-3083
pISSN - 0926-9959
DOI - 10.1111/jdv.14138
Subject(s) - medicine , white (mutation) , demography , dermatology , genetics , sociology , biology , gene
Background Growing evidence suggests that some individuals may exhibit symptoms of dependence on ultraviolet ( UV ) light, a known carcinogen, in the context of tanning; however, few studies have investigated predictors of tanning dependence ( TD ). Objective To identify predictors of TD . Methods Non‐Hispanics of European ancestry who had previously participated in a case–control study of early‐onset basal cell carcinoma completed an online survey to ascertain TD and other behaviours (alcohol dependence, nicotine dependence, seasonal affective disorder ( SAD ), exercise ‘addiction’ and depression). Information on host factors, such as skin and eye colour and history of sunbathing and indoor tanning, was obtained from a study in which the participants were previously enrolled. Lifetime TD was assessed using the modified Cut down, Annoyed, Guilty, Eye‐opener (m CAGE ) and the modified Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (m DSM ‐ IV ‐ TR ) questionnaires. Participants were classified as ‘ TD ’ if positive on both questionnaires and not TD if negative on both questionnaires. Results In total, 499 individuals completed the online survey (81.9% participation rate), and 24.4% were classified as ‘ TD ’. In the multivariate model, women were more likely to be TD [odds ratio ( OR ) 6.93; 95% confidence intervals (95% CI ) (3.36–14.27)] than men. Alcohol dependence ( OR 6.55: 95% CI 3.19–13.42), SAD ( OR 2.77; 95% CI 1.26–6.09) and exercise ‘addiction’ ( OR 5.47; 95% CI 1.15–26.06) were all significant predictors for TD . Conclusion Increased knowledge of those at risk for TD will allow appropriate interventions to be designed.