Health experts are urging government regulators to take action to protect the nation’s youth by restricting the use of artificial tanning devices, which are linked to an increase in the risk of skin cancer, according to an article published online in the March 18, 2013 edition of Pediatrics, the journal of the American Academy of Pediatrics.

Indoor tanning has grown rapidly over the years with nearly one million Americans using tanning beds each day. Adolescent girls, some as young as 10 years old, are among the most prevalent users of these devices. One in four female students reported having used an indoor tanning device at least once within the past year.

No Federal regulation
In October 2011, California became the first state to ban indoor tanning for minors under age 18 years. Vermont followed in May 2012. However, “There is no federal law and few state laws to protect our youth from the harmful, and possibly deadly, effects of tanning beds, which can emit up to 15 times as much UV-A radiation as the midday sun,” comments lead author Sophie J. Balk, M.D., attending pediatrician,The Children’s Hospital at Montefiore(CHAM) and professor of clinical pediatrics,Albert Einstein College of MedicineofYeshiva University. “We place age restrictions on the use of tobacco and alcohol, and it’s time to take action against indoor tanning before more people die from tanning-related skin cancer.”

Increase in melanoma incidence
Data show that the incidence of melanoma skin cancer has increased two fold in women between 15 and 39 years old in the last 30 years and yet there is no federal legislation to limit tanning and restrict use by minors who, many researchers believe, are the most vulnerable users.

Tanning salons outnumber Starbucks or McDonalds in the average U.S. city, and the tanning industry uses claims such as tanned skin is more protective and people who use tanning beds are less likely to burn to entice teens to use the inexpensive services. Teens are also enticed to use tanning beds as they often believe that having darker skin is more attractive and it signifies good health, but someestimatessuggest that 25% of melanomas in young women could be attributable to using tanning beds.

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Beyond aesthetics, many girls believe tanning elevates their mood and helps them to relax. This thinking is often influenced not only by the tanning industry, but by girls’ mothers who also use tanning devices, which is why Balk is calling on pediatricians around the country to better educate families about the dangerous and possibly addictive nature of indoor tanning.

“Tanning releases endorphins, which can promote feelings of relaxation and well-being. Studies suggest that frequent users may exhibit addictive behaviors and withdrawal symptoms when they decrease usage,” Balk said. “It is unacceptable that tanning devices are classified in the same category as tongue depressors and elastic bandages ? devices that present minimal potential for harm. Clearly, this needs to be reconsidered and use needs to be better regulated by the FDA.”

Today each state determines tanning bed regulations, ranging from complete bans for people under 18 inCaliforniaandVermont, to no legislation regarding minors in 17 states. Balk believes that national policies and guidelines should be implemented to completely ban access for minors. However, the IndoorTanningAssociation (ITA), an industry advocacy group, vigorously opposes legislative efforts.

According to Balk, pediatricians may play an important role in education parents and teens.“I encourage pediatricians to begin tanning discussions with parents and children beginning at the 12-year-old well-child visit,” Balk noted. “Taking a proactive approach and teaching teens to “love the skin you’re in” is one of the best lines of defense against skin cancer.”

Preventing exposure to artificialtanningmay save lives, including young lives, and is a key cancer prevention opportunity for pediatricians.

For more information

Balk SJ, Fisher DE, Geller AC. Teens and IndoorTanning: A Cancer Prevention Opportunity for Pediatricians. Pediatrics(doi: 10.1542/peds.2012-2404)onlineMarch 18, 2013

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