title: Prevalence and Correlates of Indoor Tanning and Sunless Tanning Product Use among Female Teens in the United States.
abstract: BACKGROUND
  Indoor tanning (IT) before the age of 35 increases melanoma risk by 75%. Nevertheless, IT and sunless tanning product (STP) use have gained popularity among youth. However, there are limited data on the prevalence and sociodemographic correlates of both IT and STP use in a representative sample of American teens.
  
  
  METHODS
  Teenage females (N=778) aged 12-18 years were recruited as part of an on-going longitudinal study conducted between May 2011 and May 2013. Descriptive statistics explored IT and STP usage in teen females at baseline. Logistic regression was used to determine sociodemographic correlates of IT and STP use.
  
  
  RESULTS
  Approximately 16% of female teens engaged in IT behavior and 25% engaged in using STPs. Female teens living in non-metropolitan areas were 82% more likely to indoor tan compared to those in metropolitan areas (OR=1.82, 95% CI:1.07-3.10). Age, geographic regions, and race increased the likelihood of IT and STP use.
  
  
  CONCLUSIONS
  Results indicate a significant proportion of teen females engage in IT and STP use. There was evidence that in teens that have never used IT before, STP use precedes IT initiation. Given the evidence for increased IT in rural populations, research focused on rural tanning bed use is needed.
authors.affiliation: Department of Biostatistics and Epidemiology, College of Public Health, East Tennessee State University, Johnson City, TN, United States.
authors.forename: Megan
authors.initials: M
authors.lastname: Quinn
authors.affiliation: Department of Biostatistics and Epidemiology, College of Public Health, East Tennessee State University, Johnson City, TN, United States.
authors.forename: Arsham
authors.initials: A
authors.lastname: Alamian
authors.affiliation: Department of Community and Behavioral Health, College of Public Health, East Tennessee State University, Johnson City, TN, United States.
authors.forename: Joel
authors.initials: J
authors.lastname: Hillhouse
authors.affiliation: Department of Community and Behavioral Health, College of Public Health, East Tennessee State University, Johnson City, TN, United States.
authors.forename: Colleen
authors.initials: C
authors.lastname: Scott
authors.affiliation: Prevention Research Center and Department of Biobehavioral Health, College of Health and Human Development, Pennsylvania State University, University Park, PA, United.
authors.forename: Rob
authors.initials: R
authors.lastname: Turrisi
authors.affiliation: Department of Community and Behavioral Health, College of Public Health, East Tennessee State University, Johnson City, TN, United States.
authors.forename: Katie
authors.initials: K
authors.lastname: Baker
keywords: indoor tanning; residential status; sunless tanning product; teenage females