title: Outcomes of solarium industry efforts to improve compliance with recommended practices: a clear case for formal regulation.
abstract: BACKGROUND
  This study aimed to explore the effect of an industry-led self-education intervention on voluntary compliance with the international recommendations on solaria for cosmetic purposes in New South Wales, Australia, and to establish current compliance with recommendations. This study was conducted before the recent introduction of enforceable legislation in some Australian states.
  
  
  METHODS
  Simulated customer visits were made to a sample of 106 solaria in 2003 and 2006. A 'top-up' sample (n=61) was also visited in 2006 to establish current compliance levels. Simulated customers recorded whether they were asked about age, skin type or medications taken; the contents of any warning signs; information provided regarding consent forms, equipment, health risks and age restrictions; permitted frequency and duration of visits; and claims regarding safety.
  
  
  RESULTS
  An examination of pre-test and post-test compliance found little change over time. The current prevalence of compliance was less than optimal, with <10% of the operators suggesting that the fair-skinned customer should not use the solarium, and only 2% of the operators refusing access to this customer.
  
  
  CONCLUSIONS
  Industry attempts to delay enforced regulation of solarium operators via committing to self-education are not likely to produce a substantial or a sustained increase in protection for solarium users.
authors.affiliation: Centre for Health Research & Psycho-Oncology (CHeRP), The Cancer Council NSW, University of Newcastle & Hunter Medical Research Institute, Australia. Chris.Paul@newcastle.edu.au
authors.forename: Christine L
authors.initials: CL
authors.lastname: Paul
authors.forename: Afaf
authors.initials: A
authors.lastname: Girgis
authors.forename: Lynette
authors.initials: L
authors.lastname: Anniwell
authors.forename: Lorraine
authors.initials: L
authors.lastname: Paras
authors.forename: Christophe
authors.initials: C
authors.lastname: Lecathelinais
mesh_terms: D000293:Adolescent; D000328:Adult; D001315:Australia; D001505:Beauty Culture; D003257:Consumer Product Safety; D005260:Female; D019983:Guideline Adherence; D006801:Humans; D008297:Male; D055108:Sunbathing