title: Update on sun protection and tanning in children.
abstract: OBJECTIVE
  In this article we examine the latest information regarding pediatric sun protection and specifically focus on the impact of indoor tanning on children.
  
  
  RESULTS
  We examine and discuss the prevailing views and trends on ultraviolet radiation exposure, sun protection and the attendant adverse health effects among children. We identify the challenges related to limiting ambient ultraviolet exposure in children. As children, particularly adolescents, gain an understanding of sun protection, their use of ultraviolet radiation protection does not increase concordantly. We discuss health policies regarding ultraviolet radiation protection, compliance with these policies and potential methods to increase compliance. We also examine addiction-like behavior and other psychosocial factors affecting those who are regular indoor tanners. Finally, we consider possible alternatives to ultraviolet radiation induced tanning and whether encouraging these options leads to a confusing, mixed message from healthcare providers.
  
  
  CONCLUSIONS
  In this article we examine and discuss current practices, attitudes and recent trends in sun protection. We discuss indoor tanning, with special emphasis on the potential addictive qualities of ultraviolet radiation. Our goal is to identify opportunities and future directions to promote sun safety and protect children from harmful ultraviolet radiation exposure.
authors.affiliation: Section of Dermatology, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire 03756, USA.
authors.forename: Robert J
authors.initials: RJ
authors.lastname: MacNeal
authors.forename: James G H
authors.initials: JG
authors.lastname: Dinulos
mesh_terms: D000293:Adolescent; D002648:Child; D004396:Coloring Agents; D003469:Culture; D006801:Humans; D008019:Life Style; D012867:Skin; D012878:Skin Neoplasms / Q000209:etiology / Q000517:prevention & control; D013473:Sunscreening Agents / Q000627:therapeutic use*; D014466:Ultraviolet Rays / Q000009:adverse effects; D014807:Vitamin D / Q000096:biosynthesis
chemical_list: D004396:Coloring Agents; D013473:Sunscreening Agents; D014807:Vitamin D