{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T21:26:12Z","timestamp":1769808372751,"version":"3.49.0"},"reference-count":80,"publisher":"American Academy of Pediatrics (AAP)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2013,4,1]]},"abstract":"<jats:p>In October 2011, California became the first US state to ban indoor tanning for minors under age 18 years. Vermont followed in May 2012. Increasingly, scientific evidence shows that artificial tanning raises the risk of skin cancer, including melanoma, a common cancer in adolescents and young adults and the type most likely to result in death. The World Health Organization, the American Academy of Pediatrics, the American Academy of Dermatology, the American Medical Association, and other organizations strongly recommend legislation to ban minors under age 18 from indoor tanning. Several nations have banned teen tanning. Yet, tanning in salons is still a prevalent practice in the United States, especially among teen girls, where rates for the oldest teens approach 40%. There is no federal legislation to restrict minors from salon tanning. More than 60% of states have some kind of legislation regarding minors\u2019 use of tanning salons, but only California and Vermont have passed complete bans of indoor tanning for minors. The Indoor Tanning Association, an industry advocacy group, has vigorously opposed legislative efforts. Pediatricians can play key roles in counseling families and with legislative efforts. In this update, we review the prevalence of salon tanning, association with skin cancer risk, tanning addiction, the roles of the federal and state governments in regulation and legislation, and responses to arguments created by industry to oppose legislation. Preventing exposure to artificial tanning may save lives, including young lives, and is a key cancer prevention opportunity for pediatricians.<\/jats:p>","DOI":"10.1542\/peds.2012-2404","type":"journal-article","created":{"date-parts":[[2013,3,19]],"date-time":"2013-03-19T01:50:45Z","timestamp":1363657845000},"page":"772-785","source":"Crossref","is-referenced-by-count":20,"title":["Teens and Indoor Tanning: A Cancer Prevention Opportunity for Pediatricians"],"prefix":"10.1542","volume":"131","author":[{"given":"Sophie J.","family":"Balk","sequence":"first","affiliation":[{"name":"Children's Hospital at Montefiore, Albert Einstein College of Medicine, Bronx, New York;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David E.","family":"Fisher","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Cutaneous Biology Research Center, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alan C.","family":"Geller","sequence":"additional","affiliation":[{"name":"Harvard School of Public Health, Massachusetts General Hospital, Boston, Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"417","published-online":{"date-parts":[[2013,4,1]]},"reference":[{"issue":"5","key":"2021120903252748300_B1","doi-asserted-by":"crossref","first-page":"1116","DOI":"10.1002\/ijc.22453","article-title":"The association of use of sunbeds with cutaneous malignant melanoma and other skin cancers: a systematic review.","volume":"120","author":"International Agency for Research on Cancer Working Group on Artificial Ultraviolet (UV) Light and Skin cancer","year":"2007","journal-title":"Int J Cancer"},{"issue":"6","key":"2021120903252748300_B2","doi-asserted-by":"crossref","first-page":"1038","DOI":"10.1016\/j.jaad.2005.07.066","article-title":"The indoor UV tanning industry: a review of skin cancer risk, health benefit claims, and regulation.","volume":"53","author":"Levine","year":"2005","journal-title":"J Am Acad Dermatol"},{"issue":"5","key":"2021120903252748300_B3","first-page":"A116","article-title":"Use of indoor tanning devices by high school students in the United States, 2009.","volume":"8","author":"Guy","year":"2011","journal-title":"Prev Chronic Dis"},{"issue":"6","key":"2021120903252748300_B4","doi-asserted-by":"crossref","first-page":"1009","DOI":"10.1542\/peds.109.6.1009","article-title":"Use of sunscreen, sunburning rates, and tanning bed use among more than 10 000 US children and adolescents.","volume":"109","author":"Geller","year":"2002","journal-title":"Pediatrics"},{"issue":"3","key":"2021120903252748300_B5","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1016\/j.amepre.2008.10.020","article-title":"Density of indoor tanning facilities in 116 large U.S. cities.","volume":"36","author":"Hoerster","year":"2009","journal-title":"Am J Prev Med"},{"key":"2021120903252748300_B6"},{"issue":"3","key":"2021120903252748300_B7","doi-asserted-by":"crossref","first-page":"e791","DOI":"10.1542\/peds.2010-3502","article-title":"Ultraviolet radiation: a hazard to children and adolescents.","volume":"127","author":"Balk","year":"2011","journal-title":"Pediatrics"},{"key":"2021120903252748300_B8"},{"key":"2021120903252748300_B9","doi-asserted-by":"crossref","first-page":"e4757","DOI":"10.1136\/bmj.e4757","article-title":"Cutaneous melanoma attributable to sunbed use: systematic review and meta-analysis.","volume":"345","author":"Boniol","year":"2012","journal-title":"BMJ"},{"key":"2021120903252748300_B10","unstructured":"American Cancer Society. 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