{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T03:16:21Z","timestamp":1782875781357,"version":"3.54.5"},"reference-count":27,"publisher":"American Academy of Pediatrics (AAP)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,12,1]]},"abstract":"<jats:sec>\n                  <jats:title>BACKGROUND:<\/jats:title>\n                  <jats:p>The US Preventive Services Task Force recommends clinical counseling for individuals ages 10 to 24 years to decrease skin cancer risk.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS:<\/jats:title>\n                  <jats:p>A national, random sample of US American Academy of Pediatrics members practicing primary care in 2002 (response rate 55%) and 2015 (response rate 43%). Surveys explored attitudes and experiences regarding sun protection counseling; indoor tanning questions were added in 2015. \u03c72 tests compared demographics and counseling responses across years, and multivariable logistic regression models examined counseling predictors.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS:<\/jats:title>\n                  <jats:p>More pediatricians in 2015 (34%) than in 2002 (23%) reported discussing sun protection during recent summer months with \u226575% of patients. This pattern held across all patient age groups (each P &amp;lt;.001). Female and suburban pediatricians counseled more; those in the South and West counseled less. More pediatricians in 2015 than in 2002 named time as a barrier. Sun protection ranked lowest among preventive topics in both years. In 2015, approximately one-third of pediatricians reported discussing indoor tanning at least once with 10 to 13 year-old patients; approximately half discussed this with older adolescents. Most (70%) did not know if their states had laws on minors\u2019 indoor tanning access; those stating they knew whether a law existed counseled more.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS:<\/jats:title>\n                  <jats:p>Although improved, sun protection counseling rates remain low. Indoor tanning counseling can be improved. Because early-life exposure to UV radiation increases risk and clinician counseling can positively impact prevention behaviors, pediatricians have an important role in skin cancer prevention; counseling may save lives. Time constraints remain a barrier.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1542\/peds.2017-1680","type":"journal-article","created":{"date-parts":[[2017,11,10]],"date-time":"2017-11-10T08:30:17Z","timestamp":1510302617000},"source":"Crossref","is-referenced-by-count":11,"title":["Counseling on Sun Protection and Indoor Tanning"],"prefix":"10.1542","volume":"140","author":[{"given":"Sophie J.","family":"Balk","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Children\u2019s Hospital at Montefiore, Albert Einstein College of Medicine, Bronx, New York;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth A.","family":"Gottschlich","sequence":"additional","affiliation":[{"name":"Department of Research, American Academy of Pediatrics, Elk Grove Village, Illinois; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dawn M.","family":"Holman","sequence":"additional","affiliation":[{"name":"Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meg","family":"Watson","sequence":"additional","affiliation":[{"name":"Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2017,12,1]]},"reference":[{"key":"2021121022444657700_B1","unstructured":"US Department of Health and Human Services\n          . The Surgeon General\u2019s Call to Action to Prevent Skin Cancer.Washington, DC: US Department of Health and Human Services, Office of the Surgeon General; 2014. Available at: https:\/\/www.surgeongeneral.gov\/library\/calls\/prevent-skin-cancer\/call-to-action-prevent-skin-cancer.pdf. Accessed September 9, 2017"},{"issue":"1","key":"2021121022444657700_B2","doi-asserted-by":"crossref","first-page":"59","DOI":"10.7326\/0003-4819-157-1-201207030-00442","article-title":"Behavioral counseling to prevent skin cancer: U.S. Preventive Services Task Force recommendation statement.","volume":"157","author":"Moyer","year":"2012","journal-title":"Ann Intern Med"},{"issue":"3","key":"2021121022444657700_B3","doi-asserted-by":"crossref","first-page":"588","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"},{"issue":"8","key":"2021121022444657700_B4","doi-asserted-by":"crossref","first-page":"614","DOI":"10.1016\/j.annepidem.2008.04.006","article-title":"Sunburns and risk of cutaneous melanoma: does age matter? A comprehensive meta-analysis.","volume":"18","author":"Dennis","year":"2008","journal-title":"Ann Epidemiol"},{"key":"2021121022444657700_B5","doi-asserted-by":"crossref","first-page":"S38","DOI":"10.1016\/j.jaad.2011.04.038","article-title":"Melanoma in adolescents and young adults (ages 15-39 years): United States, 1999-2006.","volume":"65","author":"Weir","year":"2011","journal-title":"J Am Acad Dermatol"},{"issue":"6","key":"2021121022444657700_B6","doi-asserted-by":"crossref","first-page":"1080","DOI":"10.1158\/1055-9965.EPI-13-0821","article-title":"Long-term ultraviolet flux, other potential risk factors, and skin cancer risk: a cohort study.","volume":"23","author":"Wu","year":"2014","journal-title":"Cancer Epidemiol Biomarkers Prev"},{"key":"2021121022444657700_B7","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 [published correction appears in BMJ. 2012;345:e8503].","volume":"345","author":"Boniol","year":"2012","journal-title":"BMJ"},{"issue":"5","key":"2021121022444657700_B8","first-page":"1116","article-title":"The association of use of sunbeds with cutaneous malignant melanoma and other skin cancers: a systematic review [published correction appears in Int J Cancer. 2007;120(11):2526].","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":"8","key":"2021121022444657700_B9","doi-asserted-by":"crossref","first-page":"751","DOI":"10.1016\/S1470-2045(09)70213-X","article-title":"A review of human carcinogens\u2013part D: radiation.","volume":"10","author":"El Ghissassi","year":"2009","journal-title":"Lancet Oncol"},{"issue":"5","key":"2021121022444657700_B10","doi-asserted-by":"crossref","first-page":"847","DOI":"10.1016\/j.jaad.2013.11.050","article-title":"The association of indoor tanning and melanoma in adults: systematic review and meta-analysis.","volume":"70","author":"Colantonio","year":"2014","journal-title":"J Am Acad Dermatol"},{"issue":"10","key":"2021121022444657700_B11","doi-asserted-by":"crossref","first-page":"2425","DOI":"10.1002\/ijc.25576","article-title":"Sunbed use during adolescence and early adulthood is associated with increased risk of early-onset melanoma.","volume":"128","author":"Cust","year":"2011","journal-title":"Int J Cancer"},{"issue":"6","key":"2021121022444657700_B12","doi-asserted-by":"crossref","first-page":"1557","DOI":"10.1158\/1055-9965.EPI-09-1249","article-title":"Indoor tanning and risk of melanoma: a case-control study in a highly exposed population.","volume":"19","author":"Lazovich","year":"2010","journal-title":"Cancer Epidemiol Biomarkers Prev"},{"issue":"3","key":"2021121022444657700_B13","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"},{"issue":"1","key":"2021121022444657700_B14","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1158\/1055-9965.EPI-09-0567","article-title":"Sun and solarium exposure and melanoma risk: effects of age, pigmentary characteristics, and nevi.","volume":"19","author":"Veier\u00f8d","year":"2010","journal-title":"Cancer Epidemiol Biomarkers Prev"},{"issue":"5","key":"2021121022444657700_B15","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1001\/jamadermatol.2016.6273","article-title":"Prevalence of indoor tanning and association with sunburn among youth in the United States.","volume":"153","author":"Guy","year":"2017","journal-title":"JAMA Dermatol"},{"issue":"4","key":"2021121022444657700_B16","doi-asserted-by":"crossref","first-page":"1056","DOI":"10.1542\/peds.2004-1305","article-title":"Counseling parents and children on sun protection: a national survey of pediatricians.","volume":"114","author":"Balk","year":"2004","journal-title":"Pediatrics"},{"issue":"12","key":"2021121022444657700_B17","doi-asserted-by":"crossref","first-page":"2905","DOI":"10.1038\/jid.2008.159","article-title":"Recent trends in incidence of cutaneous melanoma among US Caucasian young adults.","volume":"128","author":"Purdue","year":"2008","journal-title":"J Invest Dermatol"},{"issue":"20","key":"2021121022444657700_B18","doi-asserted-by":"crossref","first-page":"1920","DOI":"10.1001\/jamainternmed.2013.10013","article-title":"Indoor tanning among young non-Hispanic white females.","volume":"173","author":"Guy","year":"2013","journal-title":"JAMA Intern Med"},{"issue":"4","key":"2021121022444657700_B19","doi-asserted-by":"crossref","DOI":"10.1542\/peds.2006-0652","article-title":"Drowning in a sea of advice: pediatricians and American Academy of Pediatrics policy statements.","volume":"118","author":"Belamarich","year":"2006","journal-title":"Pediatrics"},{"issue":"5","key":"2021121022444657700_B20","doi-asserted-by":"crossref","DOI":"10.1542\/peds.109.5.e83","article-title":"Pediatrician counseling about preventive health topics: results from the Physicians\u2019 Practices Survey, 1998-1999.","volume":"109","author":"Galuska","year":"2002","journal-title":"Pediatrics"},{"issue":"3","key":"2021121022444657700_B21","doi-asserted-by":"crossref","first-page":"853","DOI":"10.1542\/peds.2005-3109","article-title":"Trends in sunburns, sun protection practices, and attitudes toward sun exposure protection and tanning among US adolescents, 1998-2004.","volume":"118","author":"Cokkinides","year":"2006","journal-title":"Pediatrics"},{"key":"2021121022444657700_B22","unstructured":"American Academy of Pediatrics\n          . Sun and water safety tips. Available at: https:\/\/www.aap.org\/en-us\/about-the-aap\/aap-press-room\/news-features-and-safety-tips\/pages\/sun-and-water-safety-tips.aspx. Accessed September 9, 2017"},{"key":"2021121022444657700_B23","unstructured":"Centers for Disease Control and Prevention\n          . Protect all the skin you\u2019re in. Available at: https:\/\/www.cdc.gov\/cancer\/skin\/basic_info\/protect_infographic.htm. Accessed September 9, 2017"},{"issue":"4","key":"2021121022444657700_B24","doi-asserted-by":"crossref","first-page":"772","DOI":"10.1542\/peds.2012-2404","article-title":"Teens and indoor tanning: a cancer prevention opportunity for pediatricians.","volume":"131","author":"Balk","year":"2013","journal-title":"Pediatrics"},{"key":"2021121022444657700_B25","unstructured":"National Conference of State Legislatures\n          . Indoor tanning restrictions for minors. A state-by-state comparison. Available at: www.ncsl.org\/research\/health\/indoor-tanning-restrictions.aspx. Accessed October 11, 2017"},{"key":"2021121022444657700_B26","unstructured":"West Virginia Legislature\n          . West Virginia House Bill 2520. 2017. Available at: http:\/\/www.wvlegislature.gov\/Bill_Text_HTML\/2017_SESSIONS\/RS\/Bills\/HB2520 SUB.htm"},{"issue":"4","key":"2021121022444657700_B27","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"}],"container-title":["Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/doi\/10.1542\/peds.2017-1680\/912324\/peds_20171680.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/doi\/10.1542\/peds.2017-1680\/912324\/peds_20171680.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,12,11]],"date-time":"2021-12-11T07:44:51Z","timestamp":1639208691000},"score":1,"resource":{"primary":{"URL":"https:\/\/publications.aap.org\/pediatrics\/article\/140\/6\/e20171680\/38228\/Counseling-on-Sun-Protection-and-Indoor-Tanning"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,12,1]]},"references-count":27,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2017,12,1]]},"published-print":{"date-parts":[[2017,12,1]]}},"URL":"https:\/\/doi.org\/10.1542\/peds.2017-1680","relation":{},"ISSN":["0031-4005","1098-4275"],"issn-type":[{"value":"0031-4005","type":"print"},{"value":"1098-4275","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,12,1]]},"article-number":"e20171680"}}