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UVB and UVA irradiances from indoor tanning devices

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Abstract

Indoor tanning is common in spite of its classification as carcinogenic. Too high an ultraviolet (UV) irradiance and a lack of compliance with regulations have been reported. We measured UV irradiance from a large number of Norwegian solariums (sunbeds and stand-up cabinets) currently in use. Compliance (solariums and facilities) with national regulations and the effect of inspections delegated to local authorities (since 2004) were also studied. In 2008, 78 tanning facilities were selected from six regions throughout Norway that contained municipalities with and without local inspections. UV irradiance was measured with a CCD spectroradiometer in 194 out of 410 inspected solariums. Mean erythema weighted short (280–320 nm) and long (320-400 nm) wave UV irradiances were 0.194 (95% confidence interval (CI) 0.184–0.205) and 0.156 (95% CI 0.148–0.164) W m−2, respectively. Only 23% of the solariums were below the UV type 3 limit (<0.15 W m−2, short and long wave). Irradiances varied between solariums: spectral UVB (280–315 nm) and UVA (315–400 nm) irradiances were 0.5–3.7 and 3–26 times, respectively, higher than from Oslo summer sun. In total, 89.9% of the tanning facilities were unattended. Overall compliance increased since the first study in 1998–1999, but total UV irradiance did not decrease, mainly because of higher UVA irradiance in 2008. Solariums have become even less similar to natural sun due to higher UVA irradiance. Local inspections gave better compliance with regulations, but irradiances were significantly higher in municipalities with inspections (p £ 0.001, compared to without). Unpredictable UV irradiance combined with insufficient customer guidance may give a high risk of negative health effects from solarium use.

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References

  1. F. El Ghissassi, R. Baan, K. Straif, Y. Grosse, B. Secretan, V. Bouvard, L. Benbrahim-Tallaa, N. Guha, C. Freeman, L. Galichet and V Cogliano, on behalf of the WHO International Agency for Research on Cancer Monograph Working Group,A reviewofhuman carcinogens- Part D: radiation, Lancet Oncol., 2009, 10, 751–752.

    Article  Google Scholar 

  2. C. S. Thomson, S. Woolnough, M. Wickenden, S. Hiom and C. J. Twelves, Sunbed use in children aged 11–17 in England: face to face quota sampling surveys in the National Prevalence Study and Six Cities Study, Br. Med. J., 2010, 340, c877.

    Article  Google Scholar 

  3. T. Sigurdsson, S. M. Magnusson, B. Sigurgeirsson, J. H. Olafsson, J. Ragnarsson, G. B. Gudjonsdottir, M. Halldorsson, and S. Kristjansson, Sunbed-usage by 12–23 year old in Iceland 2004–2009, Proceedings of Third European IRPA Congress, Helsinki, Finland, 14–18 June 2010.

    Google Scholar 

  4. B. Køster, C. Thorgaard, I. H. Clemmensen and A. Philip, Sunbed use in the Danish population in 2007: a cross-sectional study, Prev. Med., 2009, 48(3), 288–290.

    Article  Google Scholar 

  5. K. Diehl, D. G. Litaker, R. Greinert, S. Zimmermann, E. W. Breitbart and S. Schneider, The prevalence of current sunbed use and user characteristics: the SUN-Study 2008, Int. J. Public Health, 2009, 55(5), 513–516.

    Article  Google Scholar 

  6. S. Schneider and H. Krämer, Who uses sunbeds? A systematic literature review of risk groups in developed countries, J. Eur. Acad. Dermatol. Venereol., 2009, 24(6), 639–648.

    Article  Google Scholar 

  7. S. Schneider, S. Zimmermann, K. Diehl, E. W. Breitbart and R. Greinert, Sunbed use in German adults: risk awareness does not correlate with behaviour, Acta Derm.-Venereol., 2009, 89(5), 470–475.

    Article  Google Scholar 

  8. F. U. Börner, H. Schütz and P. Wiedermann, A population-based survey on tanning bed use in Germany, BMC Dermatol., 2009, 9(1), 6.

    Article  Google Scholar 

  9. M. Dissel, S. Rotterdam, P. Altmeyer and T. Gambichler, Indoor tanning North Rhine-Westphalia Germany: a self-reported survey, Photodermatol., Photoimmunol. Photomed., 2009, 25(2), 94–100.

    Article  Google Scholar 

  10. Committee on Medical Aspects of Radiation in the Environment (COMARE): Thirteenth Report, The health effects and risks arising from exposure to ultraviolet radiation from artificial tanning devices, Chilton-Didcot: HPA-RPD, 2009. http://www.comare.org.uk/documents/COMARE13thReport.pdf (04.11.2010).

    Google Scholar 

  11. C. J. Heckman, E. J. Coups and S. L. Manne, Prevalence and correlates of indoor tanning among US adults, J. Am. Acad. Dermatol., 2008, 58(5), 769–780.

    Article  Google Scholar 

  12. A. E. Cust, B. K. Armstrong, C. Goumas, M. A. Jenkins, H. Schmid, J. L. Hopper, R. F. Kefford, G. G. Giles, J. F. Aitken and G. J. Mann, Sunbed use during adolescence and early adulthood is associated with increased risk of early-onset melanoma, Int. J. Cancer, 2010, DOI: 10.1002/ijc.25576.

    Google Scholar 

  13. D. Lazovich, R. I. Vogel, M. Berwick, M. A. Weinstock, K. E. Anderson and E. M. Warshaw, Indoor tanning and risk of melanoma: a casecontrol study in a highly exposed population, Cancer Epidemiol., Biomarkers Prev., 2010, 19(6), 1557–1568.

    Article  Google Scholar 

  14. M. B. Veierød, H-O. Adami, E. Lund, B. K. Armstrong and E. Weiderpass, Sun and solarium exposure and melanoma risk: effects of age, pigmentary characteristics, and nevi, Cancer Epidemiol., Biomarkers Prev., 2010, 19(1), 111–120.

    Article  Google Scholar 

  15. A. Faurschou and H. C. Wulf, Ecological analysis of the relation between sunbeds and skin cancer, Photodermatol., Photoimmunol. Photomed., 2007, 23(4), 120–125.

    Article  Google Scholar 

  16. IARC Working Group Reports, Vol. 1, Exposure to artificial UV radiation and skin cancer, Geneva, WHO, 2006.

    Google Scholar 

  17. S. J. Hemington-Gorse, M. A. Slattery and B. J. Drew, Burns related to sunbed use, Burns, 2010, 36(6), 920–923.

    Article  CAS  Google Scholar 

  18. P. Gies, J. Javorniczky, S. Henderson, A. McLennan, C. Roy, J. Lock, C. Lynga, A. Melbourne and L. Gordon, UVR Emissions from Solaria in Australia and Implications for the Regulation Process, Photochem. Photobiol., 2010, 87, 184–190.

    Article  Google Scholar 

  19. A. Bonino, S. Facta, S. Saudino, L. Anglesio and G. D’Amore, Tanning lamps ultraviolet emissions and compliance with technical standards, Radiat. Prot. Dosim., 2009, 137(3–4), 197–200.

    Article  CAS  Google Scholar 

  20. L. T. N. Nilsen, M. Hannevik, T. N. Aalerud, B. Johnsen, E. G. Friberg and M. B. Veierød, Trends in UV irradiance of tanning devices in Norway: 1983–2005, Photochem. Photobiol., 2008, 84(5), 1100–1108.

    Article  CAS  Google Scholar 

  21. H. Oliver, J. Ferguson and H. Moseley, Quantitative risk assessment of sunbeds: impact of new high power lamps, Br. J. Dermatol., 2007, 157(2), 350–356.

    Article  CAS  Google Scholar 

  22. R. L. Hornung, K. H. Magee, W. J. Lee, L. A. Hansen and Y-C. Hsieh, Tanning facility use: Are we exceeding food and drug administration limits?, J. Am. Acad. Dermatol., 2003, 49(4), 655–661.

    Article  Google Scholar 

  23. B. Gerber, P. Mathys, M. Moser, D. Bressoud and C. Braun-Fahrländer, Ultraviolet emission spectra of sunbeds, Photochem. Photobiol., 2002, 76(6), 664–668.

    Article  CAS  Google Scholar 

  24. J. McGinley, C. J. Martin and R. M. MacKie, Sunbeds in current use in Scotland: a survey of their output and patterns of use, Br. J. Dermatol., 1998, 139(3), 428–438.

    Article  CAS  Google Scholar 

  25. H. Moseley, M. Davidson and J. Ferguson, A hazard assessment of artificial tanning units, Photodermatol., Photoimmunol. Photomed., 1998, 14(2), 79–87.

    Article  CAS  Google Scholar 

  26. A. Gavin, C. Donnelly, A. Devlin, C. Devereux, G. O’Callaghan, G. McElwee, S. Gordon, T. Crossan, N. McMahon, P. Loan, S. Martin, L. McPeak, J. Caughey and A. H. O’Hagan, Public at risk: a survey of sunbed parlour operating practices in Northern Ireland, Br. J. Dermatol., 2010, 162(3), 627–632.

    Article  CAS  Google Scholar 

  27. S. Dobbinson, M. Wakefield and N. Sambell, Access to commercial indoor tanning facilities by adults with highly sensitive skin and by under-age youth: compliance tests at solarium centres in Melbourne, Australia, Eur. J. Cancer Prev., 2006, 15(5), 424–430.

    Article  Google Scholar 

  28. C. L. Paul, F. Stacey, A. Girgis, I. Brozek, H. Baird and J. Hughes, Solaria compliance in an unregulated environment: The Australian experience, Eur. J. Cancer, 2005, 41(8), 1178–1184.

    Article  CAS  Google Scholar 

  29. S. Q. Wang, R. Setlow, M. Berwick, D. Polsky, A. A. Marghoob, A. W. Kopf and R. S. Bart, Ultraviolet A and melanoma: A review, J. A m. Acad. Dermatol., 2001, 44, 837–846.

    Article  CAS  Google Scholar 

  30. IARC Working Group Reports, Vol. 5, Vitamin D and Cancer, Lyon, International Agency for Research on Cancer, 2008.

    Google Scholar 

  31. D. Borradale and M. Kimlin, Vitamin D and disease: an insight into traditional functions and new roles for the ‘sunshine vitamin’, Nutr. Res. Rev., 2009, 22, 118–136.

    Article  CAS  Google Scholar 

  32. The Committee to Review Dietary Reference Intakes for Vitamin D and Calcium, Food and Nutrition Board, Institute of Medicine (IOM), The National Academies, Dietary Reference Intakes for Calcium and Vitamin D. Brief Report. Washington DC, IOM, 2010. http://www.iom.edu/Reports/2010/Dietary-Reference-Intakes-for-Calcium-and-Vitamin-D.aspx (7.1.2011).

    Google Scholar 

  33. J. Moan, Z. Lagunova, E. Cicarma, L. Aksnes, A. Dahlback, W. B. Grant and A. C. Porojnicu, Sunbeds as vitamin D sources, Photochem. Photobiol., 2009, 85(6), 1474–1479.

    Article  CAS  Google Scholar 

  34. Regulations No. 1362 on Radiation Protection and Use of Radiation (Radiation Protection Regulations), Oslo: The Norwegian Ministry of Health, 2003.

  35. European Committee for Electrotechnical Standardisation, Safety of household and similar electrical appliances. Part 2: Particular requirements for appliances for skin exposure to ultraviolet and infrared radiation, EN 60335-2-27, Brussels, CENELEC, 1997.

    Google Scholar 

  36. European Committee for Electrotechnical Standardisation, Household and similar electrical appliances - Safety. Part 2-27: Particular requirements for appliances for skin exposure to ultraviolet and infrared radiation, EN 60335-2-27, 2010, Brussels, CENELEC, 2010.

    Google Scholar 

  37. Commission Internationale de L’Eclairage, CIE (1999) Erythema Reference Action Spectrum and Standard Erythema Dose, ISO 17166: 1999/CIE S 007-1998, CIE, Vienna, p 8.

    Google Scholar 

  38. L. Ylianttila, R. Visuri, L. Huurto and K. Jokela, Evaluation of a single-monochromator diode array spectroradiometer for sunbed UV-radiation measurements, Photochem. Photobiol., 2005, 81(2), 333–341.

    Article  CAS  Google Scholar 

  39. Global Solar UV Index: A Practical Guide. A joint recommendation of the World Health Organization, World Meteorological Organization, United Nations Environment Programme, and the International Commission on Non-Ionizing Radiation Protection, Geneva, WHO, 2002, Annex C.

    Google Scholar 

  40. Ungdomsundersøkelse - solarium, Oslo: Kreftforeningen og TNS Gallup, 2009. www.kreftforeningen.no/vp/multimedia/archive/00007/Solarium_Ungdomsunder_7665a.pdf (04.11.2010).

  41. World Health Organization (WHO), Artificial tanning sunbeds: risks and guidance, Geneva, WHO, 2003. http://www.who.int/uv/publications/sunbedpubl/en/ (04.11.2010).

    Google Scholar 

  42. Press release: The Finnish, Swedish, Icelandic and Norwegian Radiation Safety Authorities recommend prohibition of use of sunbeds for people under the age of 18 years. http://www.nrpa.no/eway/default.aspx?pid=239&trg=Container_6312&LeftMiddle_6254=6262:0:27, 4829:1:0:0:::0:0&Center_6261=6312:87556::0:6281:2:::0:0&Container_6312=6473:87560, (04.11.2010).

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Nilsen, L.T.N., Aalerud, T.N., Hannevik, M. et al. UVB and UVA irradiances from indoor tanning devices. Photochem Photobiol Sci 10, 1129–1136 (2011). https://doi.org/10.1039/c1pp05029j

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