Skip to main content

Advertisement

Log in

Exposure to sunlamps, tanning beds, and melanoma risk

  • Original Paper
  • Published:
Cancer Causes & Control Aims and scope Submit manuscript

Abstract

Objective

To estimate the separate effects of sunlamp and tanning bed device use on melanoma risk.

Methods

Population-based case–control study of 423 cases of melanoma and 678 controls in the state of New Hampshire. Exposure data, including sunlamp and tanning bed use, were collected by telephone interview. Associations were evaluated using logistic regression analyses.

Results

About 17% of participants ever used a sunlamp, and most use (89%) occurred before 1980. The OR was 1.39 (95% CI 1.00–1.96) for ever using a sunlamp, 1.23 (95% CI 0.81–1.88) for those starting sunlamp use <20 years, and 1.71 (95% CI 1.00–2.92) for those starting ≥20 years. Data suggested increasing risk with number of sunlamp uses and with duration of use (tests of trend p = 0.02). The overall prevalence of tanning bed use was 22% and most use (83%) occurred after 1980. The OR was 1.14 (95% CI 0.80–1.61) for ever using a tanning bed; there was no evidence that risk increased with frequency or duration of use. The OR was 1.96 (95% CI 1.06–3.61) for having used both devices.

Conclusion

Results suggest a modest association between sunlamp use and melanoma risk, and increasing risk with greater frequency and duration of use. No association with tanning bed use was found, but sufficient lag time may not have elapsed to assess a potential effect.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Berwick M, Wiggins C (2006) The current epidemiology of cutaneous malignant melanoma. Front Biosci 11:1244–1254

    Article  PubMed  Google Scholar 

  2. Brochez L, Naeyaert JM (2000) Understanding the trends in melanoma incidence and mortality: where do we stand? Eur J Dermatol 10:71–75; quiz 76

    PubMed  CAS  Google Scholar 

  3. de Vries E, Bray FI, Coebergh JW, Parkin DM (2003) Changing epidemiology of malignant cutaneous melanoma in Europe 1953–1997: rising trends in incidence and mortality but recent stabilizations in western Europe and decreases in Scandinavia. Int J Cancer 107:119–126

    Article  PubMed  CAS  Google Scholar 

  4. American Cancer Society (2007). Cancer facts & figures 2007, Atlanta, GA, http://www.cancer.org

  5. The American Cancer Society website http://www.cancer.org (2005)

  6. Desmond RA, Soong SJ (2003) Epidemiology of malignant melanoma. Surg Clin North Am 83:1–29

    Google Scholar 

  7. Gallagher RP, Elwood JM, Hill GB (1986) Risk factors for cutaneous malignant melanoma: the western Canada melanoma study. Recent Results Cancer Res 102:38–55

    PubMed  CAS  Google Scholar 

  8. Gandini S, Sera F, Cattaruzza MS et al (2005) Meta-analysis of risk factors for cutaneous melanoma: I. Common and atypical naevi. Eur J Cancer 41:28–44

    Article  PubMed  Google Scholar 

  9. Gandini S, Sera F, Cattaruzza MS et al (2005) Meta-analysis of risk factors for cutaneous melanoma: III. Family history, actinic damage and phenotypic factors. Eur J Cancer 41:2040–2059

    Article  PubMed  Google Scholar 

  10. Titus-Ernstoff L (2000) An overview of the epidemiology of cutaneous melanoma. Clin Plast Surg 27:305–316, vii

    PubMed  CAS  Google Scholar 

  11. Titus-Ernstoff L, Perry AE, Spencer SK et al (2005) Pigmentary characteristics and moles in relation to melanoma risk. Int J Cancer 116:144–149

    Article  PubMed  CAS  Google Scholar 

  12. Weinstock MA (1998) Issues in the epidemiology of melanoma. Hematol Oncol Clin North Am 12:681–698

    Article  PubMed  CAS  Google Scholar 

  13. Gandini S, Sera F, Cattaruzza MS et al (2005) Meta-analysis of risk factors for cutaneous melanoma: Ii. Sun exposure. Eur J Cancer 41:45–60

    Article  PubMed  Google Scholar 

  14. Garland CF, Garland FC, Gorham ED (2003) Epidemiologic evidence for different roles of ultraviolet a and b radiation in melanoma mortality rates. Ann Epidemiol 13:395–404

    Article  PubMed  Google Scholar 

  15. Jhappan C, Noonan FP, Merlino G (2003) Ultraviolet radiation and cutaneous malignant melanoma. Oncogene 22:3099–3112

    Article  PubMed  CAS  Google Scholar 

  16. Kligman LH, Akin FJ, Kligman AM (1980) Sunscreens prevent ultraviolet photocarcinogenesis. J Am Acad Dermatol 3:30–35

    Article  PubMed  CAS  Google Scholar 

  17. Knox JM, Griffin AC, Hakim RE (1960) Protection from ultraviolet carcinogenesis. J Invest Dermatol 34:51–58

    PubMed  CAS  Google Scholar 

  18. Wang SQ, Setlow R, Berwick M et al (2001) Ultraviolet a and melanoma: a review. J Am Acad Dermatol 44:837–846

    Article  PubMed  CAS  Google Scholar 

  19. Elwood JM, Lee JA, Walter SD, Mo T, Green AE (1974) Relationship of melanoma and other skin cancer mortality to latitude and ultraviolet radiation in the united states and canada. Int J Epidemiol 3:325–332

    Article  PubMed  CAS  Google Scholar 

  20. Lancaster HO (1956) Some geographical aspects of the mortality from melanoma in europeans. Med J Aust 43:1082–1087

    PubMed  CAS  Google Scholar 

  21. Hannuksela-Svahn A, Sigurgeirsson B, Pukkala E et al (1999) Trioxsalen bath puva did not increase the risk of squamous cell skin carcinoma and cutaneous malignant melanoma in a joint analysis of 944 Swedish and Finnish patients with psoriasis. Br J Dermatol 141:497–501

    Article  PubMed  CAS  Google Scholar 

  22. Lindelof B, Sigurgeirsson B, Tegner E et al (1999) Puva and cancer risk: the Swedish follow-up study. Br J Dermatol 141:108–112

    Article  PubMed  CAS  Google Scholar 

  23. Stern RS (2001) The risk of melanoma in association with long-term exposure to puva. J Am Acad Dermatol 44:755–761

    Article  PubMed  CAS  Google Scholar 

  24. Autier P (2004) Perspectives in melanoma prevention: the case of sunbeds. Eur J Cancer 40:2367–2376

    Article  PubMed  Google Scholar 

  25. Gallagher RP, Spinelli JJ, Lee TK (2005) Tanning beds, sunlamps, and risk of cutaneous malignant melanoma. Cancer Epidemiol Biomarkers Prev 14:562–566

    Article  PubMed  Google Scholar 

  26. Veierod MB, Weiderpass E, Thorn M et al (2003) A prospective study of pigmentation, sun exposure, and risk of cutaneous malignant melanoma in women. J Natl Cancer Inst 95:1530–1538

    PubMed  Google Scholar 

  27. Westerdahl J, Ingvar C, Masback A, Jonsson N, Olsson H (2000) Risk of cutaneous malignant melanoma in relation to use of sunbeds: further evidence for uv-a carcinogenicity. Br J Cancer 82:1593–1599

    Article  PubMed  CAS  Google Scholar 

  28. Young AR (2004) Tanning devices–fast track to skin cancer? Pigment Cell Res 17:2–9

    Article  PubMed  Google Scholar 

  29. IARC (2007) The association of use of sunbeds with cutaneous malignant melanoma and other skin cancers: a systematic review. Int J Cancer 120:1116–1122

    Article  CAS  Google Scholar 

  30. Autier P, Dore JF, Lejeune F et al (1994) Cutaneous malignant melanoma and exposure to sunlamps or sunbeds: an eortc multicenter case–control study in Belgium, France and Germany. Eortc melanoma cooperative group. Int J Cancer 58:809–813

    Article  PubMed  CAS  Google Scholar 

  31. Autier P, Joarlette M, Lejeune F et al (1991) Cutaneous malignant melanoma and exposure to sunlamps and sunbeds: a descriptive study in Belgium. Melanoma Res 1:69–74

    Article  PubMed  CAS  Google Scholar 

  32. Bataille V, Boniol M, De Vries E et al (2005) A multicentre epidemiological study on sunbed use and cutaneous melanoma in europe. Eur J Cancer 41:2141–2149

    Article  PubMed  Google Scholar 

  33. Chen YT, Dubrow R, Zheng T et al (1998) Sunlamp use and the risk of cutaneous malignant melanoma: a population-based case–control study in connecticut, USA. Int J Epidemiol 27:758–765

    Article  PubMed  CAS  Google Scholar 

  34. Holly EA, Aston DA, Cress RD, Ahn DK, Kristiansen JJ (1995) Cutaneous melanoma in women. I. Exposure to sunlight, ability to tan, and other risk factors related to ultraviolet light. Am J Epidemiol 141:923–933

    PubMed  CAS  Google Scholar 

  35. Osterlind A, Tucker MA, Stone BJ, Jensen OM (1988) The danish case–control study of cutaneous malignant melanoma. II. Importance of uv-light exposure. Int J Cancer 42:319–324

    Article  PubMed  CAS  Google Scholar 

  36. Swerdlow AJ, English JS, MacKie RM et al (1988) Fluorescent lights, ultraviolet lamps, and risk of cutaneous melanoma. Bmj 297:647–650

    PubMed  CAS  Google Scholar 

  37. Swerdlow AJ, Weinstock MA (1998) Do tanning lamps cause melanoma? An epidemiologic assessment. J Am Acad Dermatol 38:89–98

    Article  PubMed  CAS  Google Scholar 

  38. Walter SD, Marrett LD, From L et al (1990) The association of cutaneous malignant melanoma with the use of sunbeds and sunlamps. Am J Epidemiol 131:232–243

    PubMed  CAS  Google Scholar 

  39. Westerdahl J, Olsson H, Masback A et al (1994) Use of sunbeds or sunlamps and malignant melanoma in southern sweden. Am J Epidemiol 140:691–699

    PubMed  CAS  Google Scholar 

  40. Gallagher R (2005) Sunbeds–do they increase risk of melanoma or not? Eur J Cancer 41:2038–2039

    Article  PubMed  Google Scholar 

  41. Geller AC, Colditz G, Oliveria S et al (2002) Use of sunscreen, sunburning rates, and tanning bed use among more than 10,000 US children and adolescents. Pediatrics 109:1009–1014

    Article  PubMed  Google Scholar 

  42. O’Riordan DL, Field AE, Geller AC et al (2006) Frequent tanning bed use, weight concerns, and other health risk behaviors in adolescent females (united states). Cancer Causes Control 17:679–686

    Article  PubMed  Google Scholar 

  43. Cyr WH (1999) Cdrh evaluation of UV-emitting sunlamp products. In: Proceedings of the CDC and prevention conference. San Diego, CA

  44. Kwon HT, Mayer JA, Walker KK et al (2002) Promotion of frequent tanning sessions by indoor tanning facilities: two studies. J Am Acad Dermatol 46:700–705

    Article  PubMed  Google Scholar 

  45. http://www.abcnews.com (2003) Dangerous rays: tanners flock to beaches and booths despite cancer risks.

  46. Levine JA, Sorace M, Spencer J, Siegel DM (2005) The indoor uv tanning industry: a review of skin cancer risk, health benefit claims, and regulation. J Am Acad Dermatol 53:1038–1044

    Article  PubMed  Google Scholar 

  47. Diffey BL, Farr PM (1991) Tanning with uvb or uva: an appraisal of risks. J Photochem Photobiol B 8:219–223

    Article  PubMed  CAS  Google Scholar 

  48. Shuttleworth D (1993) Sunbeds and the pursuit of the year round tan. Bmj 307:1508–1509

    PubMed  CAS  Google Scholar 

  49. National institutes of health summary of the consensus development conference on sunlight, ultraviolet radiation, and the skin (1991). Bethesda, maryland, may 8–10, 1989. Consensus development panel. J Am Acad Dermatol 24:608–612

    Google Scholar 

  50. Cokkinides VE, Weinstock MA, Cardinez CJ, O’Connel MA (2004) Sun-safe practices in US. Youth and their parents: role of caregiver on youth sunscreen use. Am J Prev Med 26:147–151

    Article  PubMed  Google Scholar 

  51. de Vries E, Boniol M, Severi G et al (2005) Public awareness about risk factors could pose problems for case–control studies: the example of sunbed use and cutaneous melanoma. Eur J Cancer 41:2150–2154

    Article  PubMed  Google Scholar 

  52. Demierre MF (2006) Epidemiology and prevention of cutaneous melanoma. Curr Treat Options Oncol 7:181–186

    Article  PubMed  Google Scholar 

  53. http://www.aad.org/public (2005) American academy of dermatology website

  54. http://www.cancer.gov/cancertopics (2005) The national institute of health website

  55. Weinstock MA (2004) Public health messages regarding skin cancer. J Invest Dermatol 123:xvii–xix

    Article  PubMed  CAS  Google Scholar 

  56. Greenland S (1998) Introduction to regression modeling, chapter 21. In: Rothman KGS (ed) Modern epidemiology. Lippincott-Raven, Philadelphia, PA, pp 401–434

  57. The SAS Institute: Statistical Analysis System (SAS) (1999). Cary, NC

  58. Stern RS, Nichols KT, Vakeva LH (1997) Malignant melanoma in patients treated for psoriasis with methoxsalen (psoralen) and ultraviolet a radiation (puva). The puva follow-up study. N Engl J Med 336:1041–1045

    Article  PubMed  CAS  Google Scholar 

  59. Bataille V, Winnett A, Sasieni P, Newton Bishop JA, Cuzick J (2004) Exposure to the sun and sunbeds and the risk of cutaneous melanoma in the uk: a case–control study. Eur J Cancer 40:429–435

    Article  PubMed  CAS  Google Scholar 

  60. Buckel TB, Goldstein AM, Fraser MC, Rogers B, Tucker MA (2006) Recent tanning bed use: a risk factor for melanoma. Arch Dermatol 142:485–488

    Article  PubMed  Google Scholar 

  61. Walter SD, King WD, Marrett LD (1999) Association of cutaneous malignant melanoma with intermittent exposure to ultraviolet radiation: results of a case–control study in ontario, canada. Int J Epidemiol 28:418–427

    Article  PubMed  CAS  Google Scholar 

  62. Miller SA, Hamilton SL, Wester UG, Cyr WH (1998) An analysis of UVA emissions from sunlamps and the potential importance for melanoma. Photochem Photobiol 68:63–70

    Article  PubMed  CAS  Google Scholar 

  63. Spencer JM, Amonette RA (1995) Indoor tanning: risks, benefits, and future trends. J Am Acad Dermatol 33:288–298

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgments

We are grateful to Rebecca A. Silliman, Professor of Medicine and Public Health and Timothy L. Lash Associate Professor of Public Health and Medicine both at Boston University, for their informed advice and thoughtful critic of this study. We would like to thank the physicians in New Hampshire for their cooperation with this study and the men and women of New Hampshire, who generously gave their time to ensure the success of this project.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Kerri M. Clough-Gorr.

Additional information

This work was supported by grant RO1CA 66032 from the National Cancer Institute and conducted at Dartmouth Medical School. This manuscript contains original material that has not been previously presented. None of the authors have a conflict of interest.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Clough-Gorr, K.M., Titus-Ernstoff, L., Perry, A.E. et al. Exposure to sunlamps, tanning beds, and melanoma risk. Cancer Causes Control 19, 659–669 (2008). https://doi.org/10.1007/s10552-008-9129-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10552-008-9129-6

Keywords

Navigation