{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T17:29:14Z","timestamp":1790357354511,"version":"4.1.0"},"reference-count":40,"publisher":"BMJ","issue":"8","funder":[{"DOI":"10.13039\/501100007437","name":"TrygFonden","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100007437","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2018,7,25]]},"published-print":{"date-parts":[[2018,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the effect of the Danish Sun Safety Campaign 2007\u20132015 on the prevalence of sunbed use and to model future effects on the skin cancer incidences 2007\u20132040.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>The study has a repeated, cross-sectional design.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Exposure to ultraviolet radiation is the main risk factor for skin cancer. Denmark has the highest prevalence of sunbed use reported and one of the highest incidences of skin cancer worldwide.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>During 2007\u20132015, survey data were collected for 37 766 Danes, representative of the Danish population with regards to age, gender and region.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>In 2007, an ongoing long-term antisunbed campaign was launched in Denmark.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Primary and secondary outcome measures<\/jats:title>\n                    <jats:p>Sunbed use was evaluated by annual cross-sectional surveys. Skin cancer incidence was modelled in the Prevent programme, using population projections, historic cancer incidence, sunbed use exposure and relative risk of sunbed use on melanoma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The prevalence of recent sunbed use in Denmark was reduced from 32% and 18% to 13% and 8%\u2009for women and men, respectively. The campaigns results during 2007\u20132015 are estimated to reduce the number of skin cancer cases from more than 5000 (746malignant melanoma, 1562 SCC, 2673 BCC) totally during 2007\u20132040. Keeping the 2015 level of sunbed use constant by continued campaign pressure or introduction of structural interventions would potentially prevent more than 750 skin cancer cases annually in 2040 and 16 000 skin cancer cases in total during 2007\u20132040.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>We have shown the value of prevention and of long-term planning in prevention campaigning. Sunbed use was reduced significantly during 2007\u20132015 and further reductions are possible by structural interventions. Consequently, significantly fewer skin cancer cases are anticipated during 2007\u20132040. The Danish Parliament has population support to enforce structural interventions to avoid a large burden of this disease.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2018-022094","type":"journal-article","created":{"date-parts":[[2018,8,29]],"date-time":"2018-08-29T11:40:28Z","timestamp":1535542828000},"page":"e022094","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":19,"title":["Sunbed use 2007\u20132015 and skin cancer projections of campaign results 2007\u20132040 in the Danish population: repeated cross-sectional surveys"],"prefix":"10.1136","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8352-3066","authenticated-orcid":false,"given":"Brian","family":"K\u00f8ster","sequence":"first","affiliation":[{"name":"Department of Prevention and Information, Danish Cancer Society, Copenhagen, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria KH","family":"Meyer","sequence":"additional","affiliation":[{"name":"Department of Prevention and Information, Danish Cancer Society, Copenhagen, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Therese M-L","family":"Andersson","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerda","family":"Engholm","sequence":"additional","affiliation":[{"name":"Department of Documentation and Quality, Danish Cancer Society, Copenhagen, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Dalum","sequence":"additional","affiliation":[{"name":"Department of Prevention and Information, Danish Cancer Society, Copenhagen, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2018,8,29]]},"reference":[{"key":"2025121601055543000_8.8.e022094.1","doi-asserted-by":"publisher","DOI":"10.1016\/S1011-1344(01)00198-1"},{"key":"2025121601055543000_8.8.e022094.2","unstructured":"IARC. Radiation: Volume 100 D \u2013 a review of human carcinogens: World Health Organization, 2012."},{"key":"2025121601055543000_8.8.e022094.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2004.10.016"},{"key":"2025121601055543000_8.8.e022094.4","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-09-0567"},{"key":"2025121601055543000_8.8.e022094.5","unstructured":"Engholm GFJ , Christensen N , Johannesen TB , et al . NORDCAN: Cancer incidence, mortality, prevalence and survival in the nordic countries, version 7.3 (08.07.2016). association of the nordic cancer registries. Danish Cancer Society 2016 http:\/\/www.ancr.nu (accessed on 15\/08\/2016)."},{"key":"2025121601055543000_8.8.e022094.6","doi-asserted-by":"crossref","unstructured":"Erdmann F , Lortet-Tieulent J , Schuz J , et al . International trends in the incidence of malignant melanoma 1953-2008\u2014are recent generations at higher or lower risk? IntJCancer 2012. epub.","DOI":"10.1002\/ijc.27616"},{"key":"2025121601055543000_8.8.e022094.7","doi-asserted-by":"crossref","first-page":"1087","DOI":"10.1001\/jamadermatol.2015.1481","article-title":"Incidence of in situ and invasive melanoma in denmark from 1985 through 2012: a national database study of 24,059 melanoma cases","volume":"151","author":"Helvind","year":"2015","journal-title":"JAMA Dermatol"},{"key":"2025121601055543000_8.8.e022094.8","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.canep.2014.10.010","article-title":"Incidence and survival in patients with cutaneous melanoma by morphology, anatomical site and TNM stage: a Danish Population-based Register Study 1989-2011","volume":"39","author":"Bay","year":"2015","journal-title":"Cancer Epidemiol"},{"key":"2025121601055543000_8.8.e022094.9","doi-asserted-by":"publisher","DOI":"10.1177\/1403494810391526"},{"key":"2025121601055543000_8.8.e022094.10","unstructured":"Behrens CL , Schi\u00f8th C , Christensen AS . Sun habits of the Danes in sunny vacations 2015 (Report in Danish. 2016 www.skrunedforsolen.dk."},{"key":"2025121601055543000_8.8.e022094.11","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-3083.2010.03960.x"},{"key":"2025121601055543000_8.8.e022094.12","doi-asserted-by":"publisher","DOI":"10.1177\/1403494810371250"},{"key":"2025121601055543000_8.8.e022094.13","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(09)70213-X"},{"key":"2025121601055543000_8.8.e022094.14","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1001\/jamadermatol.2015.2938","article-title":"Association between indoor tanning and melanoma in younger men and women","volume":"152","author":"Lazovich","year":"2016","journal-title":"JAMA Dermatol"},{"key":"2025121601055543000_8.8.e022094.15","doi-asserted-by":"crossref","unstructured":"Vogel RI , Ahmed RL , Nelson HH , et al . Exposure to indoor tanning without burning and melanoma risk by sunburn history. JNCI: Journal of the National Cancer Institute 2014;106.doi:10.1093\/jnci\/dju219","DOI":"10.1093\/jnci\/dju219"},{"key":"2025121601055543000_8.8.e022094.16","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-09-1249"},{"key":"2025121601055543000_8.8.e022094.17","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.25576"},{"key":"2025121601055543000_8.8.e022094.18","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.e4757"},{"key":"2025121601055543000_8.8.e022094.19","doi-asserted-by":"publisher","DOI":"10.1001\/jamadermatol.2013.6896"},{"key":"2025121601055543000_8.8.e022094.20","unstructured":"Meyer M . Unges solarievaner CL Youth Sunbed use 2015, in Danish. Copenhagen: Danish Cancer Society & TrygFonden smba (TryghedsGruppen smba), 2016:978\u201387. www.skrunedforsolen.dk. (accessed 31 Mar 2017)."},{"key":"2025121601055543000_8.8.e022094.21","unstructured":"Behrens CL , Schi\u00f8th C , Christensen AS . Danskernes solarievaner 2015 \u2013 en kortl\u00e6gning [Sunbed use of the Danes 2015, in Danish. Copenhagen: Danish Cancer Society & TrygFonden smba (TryghedsGruppen smba), 2016. wwwskrunedforsolendk. (accessed 31 Mar 2017)."},{"key":"2025121601055543000_8.8.e022094.22","unstructured":"Campaign DSS. Rapporter. https:\/\/www.cancer.dk\/forebyg\/skru-ned-for-solen\/forskning-og-evaluering\/rapporter\/."},{"key":"2025121601055543000_8.8.e022094.23","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2004.04.004"},{"key":"2025121601055543000_8.8.e022094.24","doi-asserted-by":"publisher","DOI":"10.1097\/00008469-200108000-00007"},{"key":"2025121601055543000_8.8.e022094.25","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.1988.01670060015008"},{"key":"2025121601055543000_8.8.e022094.26","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2010.07.051"},{"key":"2025121601055543000_8.8.e022094.27","unstructured":". Barendregt J . http:\/\/www.epigear.com\/index_files\/prevent.html [.2016]."},{"key":"2025121601055543000_8.8.e022094.28","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1016\/j.ypmed.2017.03.012","article-title":"Sunbed use among 64,000 Danish students and the associations with demographic factors, health-related behaviours, and appearance-related factors","volume":"100","author":"Meyer","year":"2017","journal-title":"Prev Med"},{"key":"2025121601055543000_8.8.e022094.29","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.2011.10352.x"},{"key":"2025121601055543000_8.8.e022094.30","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2008.12.012"},{"key":"2025121601055543000_8.8.e022094.31","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.e5909"},{"key":"2025121601055543000_8.8.e022094.32","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwq238"},{"key":"2025121601055543000_8.8.e022094.33","doi-asserted-by":"publisher","DOI":"10.1111\/j.1751-1097.2008.00330.x"},{"key":"2025121601055543000_8.8.e022094.34","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1001\/2013.jamadermatol.562","article-title":"Sunbed use, user characteristics, and motivations for tanning: results from the German population-based SUN-Study 2012","volume":"149","author":"Schneider","year":"2013","journal-title":"JAMA Dermatol"},{"key":"2025121601055543000_8.8.e022094.35","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1016\/j.ypmed.2016.10.005","article-title":"Burden of skin cancer in Belgium and cost-effectiveness of primary prevention by reducing ultraviolet exposure","volume":"93","author":"Pil","year":"2016","journal-title":"Prev Med"},{"key":"2025121601055543000_8.8.e022094.36","unstructured":"WHO. Artificial tanning devices - Public health interventions to manage sunbeds, 2017."},{"key":"2025121601055543000_8.8.e022094.37","doi-asserted-by":"crossref","first-page":"e69","DOI":"10.2105\/AJPH.2013.301850","article-title":"State indoor tanning laws and adolescent indoor tanning","volume":"104","author":"Guy","year":"2014","journal-title":"Am J Public Health"},{"key":"2025121601055543000_8.8.e022094.38","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2013.301620"},{"key":"2025121601055543000_8.8.e022094.39","unstructured":"Belgium SHC . ADVISORY REPORT OF THE SUPERIOR HEALTH COUNCIL no. 9216 Recommendations on the use of artificial UV devices in Belgium, 2017. Contract No.: 9216."},{"key":"2025121601055543000_8.8.e022094.40","unstructured":"WHO. Legislation of artificial tanning sunbeds. 2017 http:\/\/apps.who.int\/gho\/data\/node.main.SUNBEDS?lang=en (cited Jul 2017)."}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2018-022094","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T09:06:12Z","timestamp":1765875972000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2018-022094"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,8]]},"references-count":40,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2018,8,29]]},"published-print":{"date-parts":[[2018,8]]}},"alternative-id":["10.1136\/bmjopen-2018-022094"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2018-022094","relation":{},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"value":"2044-6055","type":"print"},{"value":"2044-6055","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,8]]}}}