{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T23:43:22Z","timestamp":1790639002288,"version":"4.1.0"},"reference-count":8,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T00:00:00Z","timestamp":1780012800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100010638","name":"Huntsman Cancer Institute, University of Utah","doi-asserted-by":"publisher","award":["CCPS program"],"award-info":[{"award-number":["CCPS program"]}],"id":[{"id":"10.13039\/100010638","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["T32TR004392"],"award-info":[{"award-number":["T32TR004392"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007316","name":"Division of Cancer Prevention, National Cancer Institute","doi-asserted-by":"publisher","award":["K99CA277580"],"award-info":[{"award-number":["K99CA277580"]}],"id":[{"id":"10.13039\/100007316","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007316","name":"Division of Cancer Prevention, National Cancer Institute","doi-asserted-by":"publisher","award":["P30CA042014"],"award-info":[{"award-number":["P30CA042014"]}],"id":[{"id":"10.13039\/100007316","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010637","name":"Huntsman Cancer Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010637","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Public Health Rep"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Tattooed individuals have reported reduced access to health care and have a higher prevalence of risky health behaviors compared with individuals without tattoos, but the overall health profile of this population is poorly understood. The objective of this study was to characterize associations between tattooing and health status in Utah.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We used data from approximately 27 000 respondents to the 2020, 2021, and 2022 Utah Behavioral Risk Factor Surveillance System surveys. We used multivariable Poisson regression to calculate the prevalence ratios (PRs) and 95% CIs associating ever receiving a tattoo with physical, oral, and mental health status.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>In this cross-sectional study, ever receiving a tattoo was associated with self-reported poor versus excellent overall health, particularly among women (PR\u2009=\u20093.08; 95% CI, 2.26-4.21). Tattooing was also associated with obesity (women: PR\u2009=\u20091.40; 95% CI, 1.22-1.61; men: PR\u2009=\u20091.21; 95% CI, 1.04-1.40) and chronic pain (women: PR\u2009=\u20091.59; 95% CI, 1.43-1.77; men: PR\u2009=\u20091.55; 95% CI, 1.37-1.76). Tattooed individuals (vs not tattooed) were more likely to have been diagnosed with a depressive disorder (women: PR\u2009=\u20091.64; 95% CI, 1.53-1.75; men: PR\u2009=\u20091.55; 95% CI, 1.39-1.73) and to have had \u22656 teeth removed versus none removed (women: PR\u2009=\u20092.18; 95% CI, 1.61-2.96; men: PR\u2009=\u20092.88; 95% CI, 2.10-3.95).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Public health entities may consider partnering with tattoo studios and conventions to provide information about nutrition, exercise, dental care, mental health resources, and health screenings to individuals with tattoos.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00333549261445868","type":"journal-article","created":{"date-parts":[[2026,5,30]],"date-time":"2026-05-30T06:21:37Z","timestamp":1780122097000},"page":"714-720","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Associations Between Tattooing and Health Status: A Population-Based Cross-Sectional Study of Adults in Utah, 2020-2022"],"prefix":"10.1177","volume":"141","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2742-3081","authenticated-orcid":false,"given":"Rachel D.","family":"McCarty","sequence":"first","affiliation":[{"name":"Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA"},{"name":"Department of Population Health Sciences, Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, UT, USA"},{"name":"Environment and Lifestyle Epidemiology Branch, International Agency for Research on Cancer, Lyon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Britton","family":"Trabert","sequence":"additional","affiliation":[{"name":"Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA"},{"name":"Department of Obstetrics and Gynecology, Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, UT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5532-6970","authenticated-orcid":false,"given":"Morgan M.","family":"Millar","sequence":"additional","affiliation":[{"name":"Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA"},{"name":"Department of Internal Medicine, University of Utah, Salt Lake City, UT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Kriebel","sequence":"additional","affiliation":[{"name":"Lowell Center for Sustainable Production, University of Massachusetts Lowell, Lowell, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2316-9143","authenticated-orcid":false,"given":"Laurie","family":"Grieshober","sequence":"additional","affiliation":[{"name":"Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA"},{"name":"Department of Population Health Sciences, Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, UT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4843-4655","authenticated-orcid":false,"given":"Mollie E.","family":"Barnard","sequence":"additional","affiliation":[{"name":"Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA"},{"name":"Department of Population Health Sciences, Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, UT, USA"},{"name":"Slone Epidemiology Center, Boston University Chobanian &amp; Avedisian School of Medicine, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0170-2592","authenticated-orcid":false,"given":"Lindsay J.","family":"Collin","sequence":"additional","affiliation":[{"name":"Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA"},{"name":"Department of Population Health Sciences, Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, UT, USA"},{"name":"Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4566-8448","authenticated-orcid":false,"given":"Jeffrey A.","family":"Gilreath","sequence":"additional","affiliation":[{"name":"College of Pharmacy, University of Utah, Salt Lake City, UT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul J.","family":"Shami","sequence":"additional","affiliation":[{"name":"Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer A.","family":"Doherty","sequence":"additional","affiliation":[{"name":"Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA"},{"name":"Department of Population Health Sciences, Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, UT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,29]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"Schaeffer K Dinesh S. 32% of Americans Have a Tattoo Including 22% Who Have More Than One. Pew Research Center; August 16 2023. Accessed August 16 2023. https:\/\/www.pewresearch.org\/short-reads\/2023\/08\/15\/32-of-americans-have-a-tattoo-including-22-who-have-more-than-one"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.21203\/rs.3.rs-4838597\/v1"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/ijd.14372"},{"issue":"1","key":"e_1_3_3_5_2","first-page":"52","article-title":"Behavioral risks associated with tattooing","volume":"35","author":"Stephens MB.","year":"2003","unstructured":"Stephens MB. Behavioral risks associated with tattooing. Fam Med. 2003;35(1):52-54.","journal-title":"Fam Med"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.48167"},{"key":"e_1_3_3_7_2","unstructured":"Office of Research and Evaluation Utah Department of Health and Human Services. Utah Behavioral Risk Factor Surveillance System Survey data. 2020-2022. Accessed January 2 2024. https:\/\/healthassessment.utah.gov\/access-brfss-data"},{"key":"e_1_3_3_8_2","unstructured":"Centers for Disease Control and Prevention. Behavioral Risk Factor Surveillance System. August 29 2023. Accessed January 2 2024. https:\/\/www.cdc.gov\/brfss\/index.html"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2010.11.038"}],"container-title":["Public Health Reports\u00ae"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00333549261445868","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00333549261445868","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00333549261445868","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T11:53:48Z","timestamp":1786103628000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00333549261445868"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,29]]},"references-count":8,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1177\/00333549261445868"],"URL":"https:\/\/doi.org\/10.1177\/00333549261445868","relation":{},"ISSN":["0033-3549","1468-2877"],"issn-type":[{"value":"0033-3549","type":"print"},{"value":"1468-2877","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,29]]}}}