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Younger people might be more susceptible to the carcinogenic effects of ultraviolet radiation. We investigated the association between sunbed use and risk of early\u2010onset cutaneous malignant melanoma. From the Australian Melanoma Family Study, a multicentre, population\u2010based, case\u2010control\u2010family study, we analysed data for 604 cases diagnosed between ages 18 and 39 years and 479 controls. Data were collected by interview. Associations were estimated as odds ratios (ORs) using unconditional logistic regression, adjusting for age, sex, city, education, family history, skin color, usual skin response to sunlight and sun exposure. Compared with having never used a sunbed, the OR for melanoma associated with ever\u2010use was 1.41 (95% confidence interval (CI) 1.01\u20131.96), and 2.01 (95% CI 1.22\u20133.31) for more than 10 lifetime sessions (<jats:italic>P<\/jats:italic><jats:sub>trend<\/jats:sub> 0.01 with cumulative use). The association was stronger for earlier age at first use (<jats:italic>P<\/jats:italic><jats:sub>trend<\/jats:sub> 0.02). The association was also stronger for melanoma diagnosed when aged 18\u201329 years (OR for more than 10 lifetime sessions = 6.57, 95% CI 1.41\u201330.49) than for melanoma diagnosed when 30\u201339 years (OR 1.60, 95% CI 0.92\u20132.77; <jats:italic>P<\/jats:italic><jats:sub>interaction<\/jats:sub> 0.01). Among those who had ever used a sunbed and were diagnosed between 18 and 29 years of age, three quarters (76%) of melanomas were attributable to sunbed use. Sunbed use is associated with increased risk of early\u2010onset melanoma, with risk increasing with greater use, an earlier age at first use and for earlier onset disease.<\/jats:p>","DOI":"10.1002\/ijc.25576","type":"journal-article","created":{"date-parts":[[2010,7,28]],"date-time":"2010-07-28T13:45:53Z","timestamp":1280324753000},"page":"2425-2435","source":"Crossref","is-referenced-by-count":197,"title":["Sunbed use during adolescence and early adulthood is associated with increased risk of early\u2010onset melanoma"],"prefix":"10.1002","volume":"128","author":[{"given":"Anne E.","family":"Cust","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruce K.","family":"Armstrong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris","family":"Goumas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark A.","family":"Jenkins","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen","family":"Schmid","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John L.","family":"Hopper","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard F.","family":"Kefford","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Graham G.","family":"Giles","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanne F.","family":"Aitken","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Graham J.","family":"Mann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2010,7,28]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.22453"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2004.09.015"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2008.01.020"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-3083.2009.03509.x"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.109.6.1009"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.141.4.523"},{"key":"e_1_2_6_8_2","volume-title":"SEER cancer statistics review, 1975\u20102006","author":"Horner MJ","year":"2009"},{"key":"e_1_2_6_9_2","volume-title":"Cancer in Australia: an overview, 2008","author":"AIHW (Australian Institute of Health and Welfare) & AACR (Australasian Association of Cancer Registries)","year":"2008"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.3322\/caac.20006"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-842X.2004.tb00641.x"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-842X.2006.tb00468.x"},{"key":"e_1_2_6_13_2","unstructured":"AIHW (Australian Institute of Health and Welfare) & AACR (Australasian Association of Cancer Registries)2008. 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