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Teenagers with strong sun-seeking behaviors may be more likely to use an indoor tanning bed than those who seek less sun. We aimed to examine associations between sun-seeking behaviors and indoor tanning behavior during high school\/college in US females.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this cross-sectional study, we used data from The Nurses\u2019 Health Study II, a large prospective cohort of US female nurses. We included a total of 81,746 white females who provided responses on the average annual frequency of indoor tanning during high school\/college. Our study exposures were number of times\/week spent outdoors in a swimsuit and percentage of time wearing sunscreen at the pool\/beach as a teenager, weekly hours spent outdoors in direct sunlight during the daytime during high school\/college, and number of severe sunburns that blistered between ages 15\u201320 years. The main outcome was annual frequency of indoor tanning bed usage during high school\/college.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In multivariable-adjusted logistic regression, we demonstrated positive associations between sun-seeking behaviors and indoor tanning use. Specifically, teenagers who spent 7 times\/week outdoors in a swimsuit (adjusted odds ratio [aOR], 95% confidence interval [CI] for daily vs. &lt;1\/week: 2.68, 1.76\u20134.09) were more likely to use indoor tanning beds\u2009\u2265\u200912 times\/year. Teenagers with \u2265\u200910 sunburns (aOR, 95% CI for \u2265\u200910 vs. never: 2.18, 1.53\u20133.10) were more likely to use indoor tanning beds\u2009\u2265\u200912 times\/year. Also, teenagers\/undergraduates who spent\u2009\u2265\u20095\u00a0h\/week outdoors in direct sunlight (aOR, 95% CI for \u2265\u20095\u00a0h\/week vs. &lt;1\u00a0h\/week: 2.18, 1.39\u20133.44) were more likely to use indoor tanning\u2009\u2265\u200912 times\/year. However, there was not a significant association between average usage of sunscreen at the pool\/beach and average usage of indoor tanning beds. Multivariable-adjusted linear regression models also showed similar results.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Teenagers who spent more time outdoors in a swimsuit\/direct sunlight or got more sunburns tended to use indoor tanning more frequently. These findings provide evidence that teenagers with stronger sun-seeking behaviors may have more exposure to artificial ultraviolet radiation as well.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12889-024-17716-6","type":"journal-article","created":{"date-parts":[[2024,1,11]],"date-time":"2024-01-11T11:02:28Z","timestamp":1704970948000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Association of sun-seeking behaviors with indoor tanning behavior in US white females during high school\/college in Nurses\u2019 Health Study II"],"prefix":"10.1186","volume":"24","author":[{"given":"Bojung","family":"Seo","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sheng","family":"Yang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eunyoung","family":"Cho","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abrar A","family":"Qureshi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiali","family":"Han","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,1,11]]},"reference":[{"issue":"1","key":"17716_CR1","doi-asserted-by":"publisher","first-page":"7","DOI":"10.3322\/caac.21708","volume":"72","author":"RL Siegel","year":"2022","unstructured":"Siegel RL, Miller KD, Fuchs HE, Jemal A. 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