{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T02:14:09Z","timestamp":1771640049034,"version":"3.50.1"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,9,9]],"date-time":"2018-09-09T00:00:00Z","timestamp":1536451200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100005972","name":"Deutsche Krebshilfe","doi-asserted-by":"publisher","award":["111207"],"award-info":[{"award-number":["111207"]}],"id":[{"id":"10.13039\/501100005972","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Photoderm Photoimm Photomed"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Sunless tanning products (<jats:styled-content style=\"fixed-case\">STP<\/jats:styled-content>s) are often seen as \u201chealthy alternative\u201d to sunbathing and indoor tanning. However, <jats:styled-content style=\"fixed-case\">STP<\/jats:styled-content> use may entail indirect risks such as overestimating an individual's natural skin type, resulting in risky (natural and artificial) tanning behavior. We aimed to explore <jats:styled-content style=\"fixed-case\">STP<\/jats:styled-content> use in combination with other health\u2010related risk behaviors (eg, smoking), skin cancer risk, risk awareness of ultraviolet radiation, and preventive behavior.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We used data from the <jats:styled-content style=\"fixed-case\">NCAM<\/jats:styled-content>, a nationwide representative cross\u2010sectional sample (n\u00a0=\u00a03000, aged 14\u201045, 48.6% female) interviewed via telephone. Differences between <jats:styled-content style=\"fixed-case\">STP<\/jats:styled-content> users and nonusers regarding the abovementioned aspects were identified using chi\u00b2\u2010test.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The 1\u2010year prevalence of <jats:styled-content style=\"fixed-case\">STP<\/jats:styled-content> use was 7.5%. Tanning bed users showed a higher prevalence of <jats:styled-content style=\"fixed-case\">STP<\/jats:styled-content> use than past and never users (16.1% vs 9.6% vs 5.8%, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.05). Although <jats:styled-content style=\"fixed-case\">STP<\/jats:styled-content> users had a higher skin cancer risk based on individual characteristics, they were less likely to have participated in a skin cancer screen.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The identified parallel use of <jats:styled-content style=\"fixed-case\">STP<\/jats:styled-content>s and tanning beds can have severe health consequences, since the \u201cfake tan\u201d of <jats:styled-content style=\"fixed-case\">STP<\/jats:styled-content>s may lead to an overestimation of the individual's skin type, which may result in overdosed <jats:styled-content style=\"fixed-case\">UV<\/jats:styled-content> exposure. The lower risk awareness among <jats:styled-content style=\"fixed-case\">STP<\/jats:styled-content> users accompanied with their higher skin cancer risk calls for target group\u2010specific prevention.<\/jats:p><\/jats:sec>","DOI":"10.1111\/phpp.12419","type":"journal-article","created":{"date-parts":[[2018,8,16]],"date-time":"2018-08-16T10:54:16Z","timestamp":1534416856000},"page":"40-46","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Profile of sunless tanning product users: Results from a nationwide representative survey"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5408-652X","authenticated-orcid":false,"given":"Katharina","family":"Diehl","sequence":"first","affiliation":[{"name":"Mannheim Institute of Public Health, Social and Preventive Medicine Medical Faculty Mannheim Heidelberg University  Mannheim Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3435-1071","authenticated-orcid":false,"given":"Tatiana","family":"G\u00f6rig","sequence":"additional","affiliation":[{"name":"Mannheim Institute of Public Health, Social and Preventive Medicine Medical Faculty Mannheim Heidelberg University  Mannheim Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Schilling","sequence":"additional","affiliation":[{"name":"Mannheim Institute of Public Health, Social and Preventive Medicine Medical Faculty Mannheim Heidelberg University  Mannheim Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R\u00fcdiger","family":"Greinert","sequence":"additional","affiliation":[{"name":"Association of Dermatological Prevention (ADP)  Hamburg Germany"},{"name":"Center of Dermatology Elbe Clinics  Buxtehude Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eckhard W.","family":"Breitbart","sequence":"additional","affiliation":[{"name":"Association of Dermatological Prevention (ADP)  Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sven","family":"Schneider","sequence":"additional","affiliation":[{"name":"Mannheim Institute of Public Health, Social and Preventive Medicine Medical Faculty Mannheim Heidelberg University  Mannheim Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,9,9]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-842X.2003.tb00828.x"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph13020231"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/0190-9622(92)70300-5"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/archdermatol.2010.220"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2003.12.006"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2005.06.002"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.smj.0000189988.12031.ac"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(09)70213-X"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/archdermatol.2007.45"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2006.01.014"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mrgentox.2004.03.002"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.saa.2007.09.029"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/archdermatol.2011.2072"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.148.1.123"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmedr.2014.12.004"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.15888"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/phpp.12351"},{"key":"e_1_2_7_19_1","doi-asserted-by":"crossref","first-page":"895","DOI":"10.1111\/ddg.13305","article-title":"German \u201cNational Cancer Aid Monitoring\u201d 2015\u20132019\u2010study protocol and initial results","volume":"15","author":"Schneider S","year":"2017","journal-title":"J Dtsch Dermatol Ges"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00103-006-0018-4"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2006.08.051"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1001\/archdermatol.2010.203"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/1359105310396393"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1001\/archdermatol.2012.491"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.141.3.373"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0781.2004.00118.x"}],"container-title":["Photodermatology, Photoimmunology &amp; 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