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Since the industrialization and urbanization of the Western workforce, tanned skin has been perceived increasingly as attractive and fashionable for naturally light-skinned individuals. However, in addition to causing tanning, photo-aging, and other health effects, ultraviolet radiation (UV) is a well-known carcinogen. Despite wide-spread awareness of UV risks, tanning has become increasingly popular in several Western countries including the USA. While millions of individuals tan indoors each day, relatively little is known about this phenomenon. This book fills that gap by providing an overview of indoor tanning, reasons for its popularity, its risks including skin cancers, and the public health context surrounding the behavior. We have invited some of the preeminent experts in the field to summarize the existing scientific literature for each of the chapters. Shedding Light on Indoor Tanning is an up-to-date and comprehensive book that provides a unique and essential overview of the most significant current issues related to indoor tanning for scientists, educators, students, clinicians, and the general public interested in dermatology, aesthetic trends, skin care, and skin cancer.
Content Level »Research
Keywords »Indoor tanning - Skin cancer - Ultraviolet radiation
1. Introduction.- 2. History and Culture of Tanning in the United States.- 2.1. The Great American Tan.- 2.2. Skin Deep.- 2.3. Beyond the Pale.- 2.4. Before the Dawn.- 2.5. Into the Light.- 2.6. No Tan, No Cure.- 2.7. Sunshine of Life.- 2.8. The Bronze Age.- 2.9. Sun Scorched.- 2.10. Fry Now, Pay Later.- 2.11. Dying for a Tan.- 2.12. Selling the Suntan .- 2.13. The Age of Contradiction .- 2.14. Light on the Horizon.- 2.1.5 Conclusion.- References.- 3. Prevalence and Correlates of Indoor Tanning.- 3.1. Historical and Medical Contexts of Indoor Tanning.- 3.2. Availability of Indoor Tanning Facilities.- 3.3. Prevalence of Indoor Tanning.- 3.4. Correlates of Indoor Tanning.- 3.5. Measurement of Indoor Tanning.- 3.6. Key Points and Conclusions.- References.- 4. Motivations for Indoor Tanning: Theoretical Models.- 4.1. Introduction.- 4.2. Theories and Models.- 4.3. Summary.- 4.4. Future directions.- References.- 5. How Ultraviolet Radiation Tans Skin.- 5.1. Ultraviolet radiation.- 5.2. DNA damage and skin cancer development.- 5. 3. Evolution of Skin Pigment.- 5.4. Physiology of Pigmentation.- 5. 5. Physiology of Tanning.- 5. 6. Indoor Tanning.- 5.7. Summary.- References.- 6. Skin Cancer and Other Health Effects of Indoor Tanning.- 6.1. Background.- 6.2. Artificial Tanning and the Risk for Melanoma.- 6.3. Artificial Tanning and Non Melanoma Skin Cancers.- 6.4. Photoaging.- 6.5. UV Radiation and the Immune System.- 6.6. Medical Use of Artificial UV Radiation – Phototherapy.- 6.7. Summary.- References.- 7. Tanning Dependence: Is tanning an addiction?- 7.1. Introduction.- 7.2. Defining Substance Abuse and Dependence.- 7.3. DSM-IV-TR model.- 7.4. Social Learning and Cognitive Model.- 7.5. Behavioral Model.- 7.6. Pharmacologic Model.- 7.7. Mechanism behind tanning dependence.- 7.8. Discussion.- 7.9. Future Research and Conclusions.- References.- 8. Selected Indoor Tanning Myths and Controversies.- 8.1. Introduction.-
8.2. Myth #1: Year-Round UV Exposure is Essential for Good Health.- 8.3. Myth #2: Indoor Tanning is Safer than Suntanning.- 8.4. Myth #3: A Base Tan Before Vacation Reduces Overall Sun Damage.- 8.5. Myth #4: Indoor Tanning is a Safe, Effective, and Less Expensive Alternative to Physician Supervised Phototherapy.- 8.6. Summary.- References.- 9. A Systematic Review of Intervention Efforts to Reduce Indoor Tanning.- 9.1. Introduction.- 9.2. Methods.- 9.3. Results.- 9.4. Issues in Current and Future IT Intervention Research.- 9.5. Conclusions.- References.- 10. Indoor Tanning Regulation, Enforcement, Taxation, and Policy.- 10.1. Introduction.- 10.2. Restrictions on indoor UV tanning access.- 10.3. United States Federal regulations.- 10.4. Indoor tanning advertisements.- 10.5. Compliance with regulations.- 10.6. The role of parental consent and education in youth access to indoor tanning.- 10.7. Lessons learned from tobacco control.- 10.8. Conclusion.- References.- 11. Sunless Tanning.- 11.1. Definition and History .- 11.2. Safety and Adverse Effects of DHA-Based Sunless Tanners.- 11.3. Clinical Uses.- 11.4. Measurement.- 11.5. Prevalence of Use.- 11.6. Association of Sunless Tanning and Other UVR-Related Behaviors.- 11.7. Promotion of Sunless Tanning for Skin Cancer Prevention.- 11.8. Sunless Tanning in Development.- 11.9. Promising Directions for Future Research on Sunless Tanning.- 11.10. Conclusions.- References.- 12. International Perspectives on Indoor Tanning.- 12.1. Introduction.- 12.2. Prevalence in Europe.- 12.3. Prevalence in Canada and Australia.- 12.4. Predictors of sunbed use.- 12.5. Regulation of sunbed use.- 12.6. Summary and directions for further research.- References.- 13. Indoor Tanning:Past, Present, and Future.- References.