{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:56:31Z","timestamp":1791420991578,"version":"4.3.3"},"reference-count":37,"publisher":"Wiley","issue":"s2","license":[{"start":{"date-parts":[[2015,1,13]],"date-time":"2015-01-13T00:00:00Z","timestamp":1421107200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Roche SA"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acad Dermatol Venereol"],"published-print":{"date-parts":[[2015,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>In addition to natural sunlight, indoor tanning has emerged as a common source of ultraviolet (<jats:styled-content style=\"fixed-case\">UV<\/jats:styled-content>) radiation associated with an increased risk of melanoma. It is classified as a class I human carcinogen by the World Health Organization.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>This analysis presents data on the prevalence of sunbed use in France, on factors associated with sunbed use, and on risk factors, attitude and awareness of risk among sunbed users and non\u2010users.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Edifice Melanoma, a nationwide observational survey, was conducted in France via telephone interviews among a representative sample of 1502 subjects aged \u226518\u00a0years, using the quota method. Sunbed users were defined as individuals who reported having used a sunbed at least once in their lifetime. Logistical regressions were conducted in order to identify which factors differentiate the population of sunbed users from that of non\u2010users.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One in ten respondents was a sunbed user and three out of four declared having used tanning facilities for over one year. In multivariate analysis, factors significantly associated with the sunbed\u2010user group were female gender (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a03.897 [2.573\u20135.903], <jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.001), a higher socio\u2010professional category (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a02.227 [1.542\u20133.217]; <jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.001), fair hair (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a01.583 [1.025\u20132.447], <jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.039), fair skin (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a01.879 [1.086\u20133.253]; <jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.024), freckles (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a01.570 [1.071\u20132.302]; <jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.021) and a history of smoking (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a02.383 [1.633\u20133.476]; <jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.001). In a second multivariate model, the fact of having a large number of melanoma risk factors was strongly associated with sunbed use (<jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.001). Sunbed users were more likely to be informed of the role of sun exposure in reducing the skin's regenerative capacity (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a02.181 [1.319\u20133.607]; <jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.002) but were nevertheless more likely to consider that a tan makes a person look more attractive (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a02.309 [1.312\u20134.064]; <jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.004) and protects the skin (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a02.490 [1.532\u20134.046]; <jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.001); they were also more frequently exposed to natural sunlight (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a02.214 [1.196\u20134.102]; <jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.011).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Compared to non\u2010users, sunbed users cumulate risk factors for melanoma. Knowledge, attitudes and intentions of individuals are critical targets for public education programmes. However, awareness campaigns focusing on sunbed use, and more generally on skin cancer, should also take social and cultural norms into account.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jdv.12899","type":"journal-article","created":{"date-parts":[[2015,1,13]],"date-time":"2015-01-13T10:28:45Z","timestamp":1421144925000},"page":"23-30","source":"Crossref","is-referenced-by-count":35,"title":["Prevalence of sunbed use, and characteristics and knowledge of sunbed users: results from the <scp>F<\/scp>rench population\u2010based <scp>E<\/scp>difice <scp>M<\/scp>elanoma survey"],"prefix":"10.1111","volume":"29","author":[{"given":"F.","family":"Grange","sequence":"first","affiliation":[{"name":"Department of Dermatology Robert Debr\u00e9 University Hospital Reims France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Mortier","sequence":"additional","affiliation":[{"name":"Department of Dermatology H\u00f4pital Claude Huriez Lille France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Crine","sequence":"additional","affiliation":[{"name":"Kantar Health Montrouge France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Robert","sequence":"additional","affiliation":[{"name":"Department of Dermatology Institut Gustave Roussy Villejuif France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Sassolas","sequence":"additional","affiliation":[{"name":"Department of Internal medicine and Respiratory Diseases H\u00f4pital Cavale Blanche Brest France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Lebbe","sequence":"additional","affiliation":[{"name":"Department of Dermatology H\u00f4pital Saint\u2010Louis Paris Diderot University Inserm U976 Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Lhomel","sequence":"additional","affiliation":[{"name":"Roche Boulogne\u2010Billancourt France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Saiag","sequence":"additional","affiliation":[{"name":"Department of Dermatology H\u00f4pital Ambroise Par\u00e9 Boulogne\u2010Billancourt France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,1,13]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(02)09779-9"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0151-9638(05)79560-0"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clindermatol.2008.09.001"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.25516"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sder.2011.08.003"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(09)70213-X"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwq238"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.26408"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.26347"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.e4757"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.e5909"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.22453"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/2150131913482142"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0781.2011.00613.x"},{"key":"e_1_2_6_16_1","unstructured":"Cancer Council Australia.Position statement solariums. 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