Cited by 353Cutaneous Melanoma Detection and ManagementSkin Protection and Agingmelanin and skin pigmentation

Indoor Tanning and Risk of Melanoma: A Case-Control Study in a Highly Exposed Population

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Lazovich, DeAnn, Vogel, Rachel Isaksson, Berwick, Marianne, Weinstock, Martin A., Anderson, Kristin E., Warshaw, Erin M.·2010·Cancer Epidemiology, Biomarkers & Prevention

Abstract

Background: Indoor tanning has been only weakly associated with melanoma risk; most reports were unable to adjust for sun exposure, confirm a dose-response, or examine specific tanning devices. A population-based case-control study was conducted to address these limitations. Methods: Cases of invasive cutaneous melanoma, diagnosed in Minnesota between 2004 and 2007 at ages 25 to 59, were ascertained from a statewide cancer registry; age-matched and gender-matched controls were randomly selected from state driver's license lists. Self-administered questionnaires and telephone interviews included information on ever use of indoor tanning, types of device used, initiation age, period of use, dose, duration, and indoor tanning–related burns. Odds ratios (OR) and 95% confidence intervals (CI) were adjusted for known melanoma risk factors. Results: Among 1,167 cases and 1,101 controls, 62.9% of cases and 51.1% of controls had tanned indoors (adjusted OR 1.74; 95% CI, 1.42-2.14). Melanoma risk was pronounced among users of UVB-enhanced (adjusted OR, 2.86; 95% CI, 2.03-4.03) and primarily UVA-emitting devices (adjusted OR, 4.44; 95% CI, 2.45-8.02). Risk increased with use: years (P < 0.006), hours (P < 0.0001), or sessions (P = 0.0002). ORs were elevated within each initiation age category; among indoor tanners, years used was more relevant for melanoma development. Conclusions: In a highly exposed population, frequent indoor tanning increased melanoma risk, regardless of age when indoor tanning began. Elevated risks were observed across devices. Impact: This study overcomes some of the limitations of earlier reports and provides strong support for the recent declaration by the IARC that tanning devices are carcinogenic in humans. Cancer Epidemiol Biomarkers Prev; 19(6); 1557–68. ©2010 AACR.

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  • UVA induces melanoma in mice and in humans who use tanning beds, but it is inefficient at making the cytosine-containing CPD that cause C→T mutations.

    “The lower-energy UVA (315-400 nm), which constitutes ~95% of the ultraviolet energy that penetrates the atmosphere, also induces melanoma in mice and in humans who use tanning beds, but it is inefficient at making the cytosine-containing CPD that cause C→T mutations (12, 13).”

    From Chemiexcitation of melanin derivatives induces DNA photoproducts long after UV exposure (2015) · cites this paper as [12]

    The Abstract Results report elevated melanoma odds among indoor tanners, including users of primarily UVA-emitting devices. The Discussion cautions that the study cannot determine whether UVA or UVB caused those associations. The paper does not report melanoma induction in mice or address cytosine-containing CPDs and C→T mutations. (LLM, conf=0.88)

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  • Some studies found a similar dose-dependent effect of indoor tanning independent of age, while another found that tanning increased risk for young women.

    “Some studies have found a similar dose-dependent effect of indoor tanning independent of age166, although another found that tanning increased risk for young women167.”

    From Mechanisms and prevention of <scp>UV</scp>‐induced melanoma (2018) · cites this paper as [166]

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Research works printed but not linked: 1

  1. [28]Westerdahl J Ingvar C Masback A Jonsson N Olsson H Risk of cutaneous malignant melanoma in relation to use of sunbeds: further evidence for UV-A carcinogenicity Br J Cancer 2000 82 1593 9 10789730 PMC2363407

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Authors
Lazovich, D., Vogel, R. I., Berwick, M., Weinstock, M. A., Anderson, K. E., & Warshaw, E. M.
Affiliations
University of Minnesota (US)
Corresponding author
Lazovich, DeAnn
Venue
Cancer Epidemiology, Biomarkers & Prevention
Published
2010-06-01
Volume
19
Issue
6
Pages
1557-1568
ISSN
  • 1055-9965 (ISSN-L)
  • 1538-7755
OpenAlex
W2097779490
Cited by
353
References
60
Citations by year
2026: 3 · 2025: 8 · 2024: 3 · 2023: 3 · 2022: 13 · 2021: 13 · 2020: 15 · 2019: 15 · 2018: 21 · 2017: 30 · 2016: 28 · 2015: 21 · 2014: 33 · 2013: 42 · 2012: 40
FWCI
23.21
Type
journal article
Language
en
Open access
Locations
  • Cancer Epidemiology Biomarkers & Prevention (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Cancer Institute (R01CA106807)
Topics
  • Health Sciences › Medicine › Oncology › Cutaneous Melanoma Detection and Management
  • Health Sciences › Medicine › Dermatology › Skin Protection and Aging
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › melanin and skin pigmentation
Keywords
indoor tanning, melanoma, tanning beds, dose-response relationship, sun exposure, melanoma risk factors
MeSH terms
Adult, Beauty Culture, Female, Humans, Male, Melanoma, Middle Aged, Minnesota, Surveys and Questionnaires, Risk Factors, Skin, Skin Neoplasms, Ultraviolet Rays, Case-Control Studies

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