{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T16:27:36Z","timestamp":1789921656712,"version":"4.0.1"},"reference-count":61,"publisher":"Wiley","issue":"S2","license":[{"start":{"date-parts":[[2019,2,27]],"date-time":"2019-02-27T00:00:00Z","timestamp":1551225600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Almirall"},{"name":"Leo Pharma"},{"name":"Meda"},{"name":"La Roche-Posay"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acad Dermatol Venereol"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Sunbed use has been significantly associated with increased risk of melanoma and non\u2010melanoma skin cancer (<jats:styled-content style=\"fixed-case\">NMSC<\/jats:styled-content>), but its relationship with melanoma's risk factors such as high nevus count, atypical nevi and lentigines is poorly studied. Euromelanoma is a skin cancer prevention campaign conducted all over Europe. It offers a once\u2010a\u2010year screening during which participants\u2019 data, including sunbed use and phenotype, are collected via questionnaires.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To investigate the association of sunbed use with nevus count, atypical nevi, lentigines and suspicion of skin cancer.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>To ensure reliability of the data, we defined inclusion and exclusion criteria for countries\u2019 eligibility for the risk analysis. Multivariate logistic regression models (including age, gender, education, skin type, family history of melanoma, personal history of skin cancer, any sun exposure and any sunscreen use) were used to calculate summary odds ratios (<jats:styled-content style=\"fixed-case\">SOR<\/jats:styled-content>s) of each clinical endpoint for ever sunbed use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Overall, 227\u00a0888 individuals from 30 countries completed the Euromelanoma questionnaire. After the data quality check, 16 countries were eligible for the multivariate analysis, for a total of 145\u00a0980 participants (64.8% females; median age 43\u00a0years; 62.3% highly educated; 28.5% skin type I\u2013<jats:styled-content style=\"fixed-case\">II<\/jats:styled-content>; 11.0% ever sunbed use). Ever sunbed use was independently associated with nevus count &gt;50 [<jats:styled-content style=\"fixed-case\">SOR<\/jats:styled-content>\u00a0=\u00a01.05 (1.01\u20131.10)], atypical nevi [<jats:styled-content style=\"fixed-case\">SOR<\/jats:styled-content>\u00a0=\u00a01.04 (1.00\u20131.09)], lentigines [<jats:styled-content style=\"fixed-case\">SOR<\/jats:styled-content>\u00a0=\u00a01.16 (1.04\u20131.29)] and suspicion of melanoma [<jats:styled-content style=\"fixed-case\">SOR<\/jats:styled-content>\u00a0=\u00a01.13 (1.00\u20131.27)]. Conversely, no significant association was found between ever sunbed use and suspicion of <jats:styled-content style=\"fixed-case\">NMSC<\/jats:styled-content> [<jats:styled-content style=\"fixed-case\">SOR<\/jats:styled-content>\u00a0=\u00a01.00 (0.91\u20131.10)].<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Indoor tanning is significantly associated with well\u2010recognized risk factors for melanoma (including high nevus count, presence of atypical nevi and lentigines) as well as suspicion of melanoma within the Euromelanoma screenees. In order to reduce the prevalence of melanoma risk factors, avoidance\/discontinuation of sunbed use should always be encouraged, especially but not exclusively for individuals with high\u2010risk phenotypes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jdv.15307","type":"journal-article","created":{"date-parts":[[2019,2,27]],"date-time":"2019-02-27T20:49:08Z","timestamp":1551300548000},"page":"76-88","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Association of sunbed use with skin cancer risk factors in Europe: an investigation within the Euromelanoma skin cancer prevention campaign"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9266-0342","authenticated-orcid":false,"given":"M.","family":"Suppa","sequence":"first","affiliation":[{"name":"Department of Dermatology H\u00f4pital Erasme Universit\u00e9 Libre de Bruxelles Brussels 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